Predictive Factors for Poor Glycemic Control Among Patients with Type 2 Diabetes Mellitus at Nakhonthai Crown Prince Hospital, Nakhonthai District, Phitsanulok Province

Abstract

         Objective: This study aimed to identify factors that can predict poor blood glucose control among type 2 diabetes mellitus (T2DM) patients at Nakhonthai Crown Prince Hospital, Nakhon Thai District, Phitsanulok Province.

          Methods: This cross-sectional study collected the data from 270 T2DM patients aged 35 years or older who were being treated with oral hypoglycemic agents. Simple random sampling was employed to select participants. Data were collected using a structured questionnaire. Risk factors for poor glycemic control were analyzed by comparing patients with uncontrolled and controlled blood glucose levels using Fisher’s exact test and odds ratios (OR). Factors with a p-value < .05 were further analyzed using multivariate logistic regression.
          Results: The results revealed that patients aged 40–59 years had a 3.99 times higher risk of poor blood glucose control (p < .05), while those under 40 years had a 6.76 times higher risk (p < .05). Additionally, patients with moderate levels of basic health literacy had a 2.73 times higher risk (p < .05), and those with low health literacy had a 4.33 times higher risk (p < .05).

           Conclusion: The factors that can predict the risk of poor blood glucose control among patients with type 2 diabetes are being under 60 years of age and having low to moderate levels of basic health literacy. Therefore, type 2 diabetes patients under the age of 60 with low to moderate basic health literacy should be closely monitored to ensure proper blood glucose control.