Effectiveness of caring for type 2 diabetic patients to diabetes remission with intensive lifestyle modification, Suratthani Province

Abstract

Background: Currently, there is treatment for patients with type 2 diabetes to enter a phase of diabetes remission, called diabetes remission, with the aim of being able to control blood sugar to a level below the diabetes diagnosis criteria without using medication to control it. Reduce sugar levels This will improve the patient's quality of life and reduce the chance of complications.

Objectives: To study the effectiveness of caring for type 2 diabetic patients (body mass index, waist circumference, and Hemoglobin A1C: HbA1C), ability to control blood sugar, reducing medication and stopping medication with intensive lifestyle modification and satisfaction with medical treatment with intensive lifestyle modification.

Method: This research was a quasi-experimental research. The study samples were type 2 diabetic patients, aged 18 years and over, and came to treatment at Ban Na San Hospital, Kanchanadit Hospital, Ban Ta Khun Hospital, Ban Na Derm Hospital and Chaiburi Hospital (40 people each), blood sugar level before the study (HbA1c) of 7 mg% or more, amount 200 people, which were divided into experimental group and comparison group, 100 people per group. Research tools were guidelines of medical care for diabetic patients with intensive lifestyle modification and traditional lifestyle modification, health status record form, satisfaction questionnaire with intensive lifestyle modification, and health assessment tools. Data was analyzed by descriptive statistic, Chi-square test, Independent     t-test and Paired sample t-test.

Results: The results after intensive lifestyle modification found that diabetic patients had decrease in body mass index, waist circumference, and HbA1c after the 3 months and 6 months study by statistical significant (p-value < 0.001), and had decrease in HbA1c after 3 months and 6 months of study more than the comparison group, decrease in body mass index, waist circumference after 6 months of study more than the comparison group by statistical significant (p-value < 0.01). After the 3 months study, diabetic patients were able to control their blood sugar at 39.0%, reduce their diabetes medications at 46.0%, but no one was able to stop their diabetes medications. After 6 months of study, they were able to control their blood sugar at 91.0%, reduce diabetes medication at 57.0% and stop medication at 16.0%. However, most of diabetic patients were satisfied with intensive lifestyle modification at high level, 93.0%.

Conclusion: This medical care by intensive lifestyle modification can be used to care type 2 diabetic patients, and should be extended to use in various hospitals in the future.