Factors Associated with Glycemic Control among People with Type 2 Diabetes Mellitus According to New Normal Medical Service Model of Health Promoting Hospital in Buriram Province

Abstract

          Objective: This study aimed to study the correlation between Glycemic control among patients with Type 2 Diabetes Mellitus according to the new normal medical service model of health promoting hospitals in Buriram Province.      

          Methodology: This cross-sectional analytical study involved a sample group of 281 participants, employing a multi-stage random sampling method. Data were collected by questionnaires, and analyzed using descriptive and inferential statistics.

Findings: The study found that 68.33% of the sample group were female with an average age of 51.78 years (S.D. = 6.18). Seventy-five point eighty percent (75.80%) had no complications and the average duration of diabetes was 7.18 years (S.D. = 6.02), with an average blood glucose level of 130.82 mg/dl (S.D. = 29.23). Sixty-seven point sixty two percent (67.62%) had blood sugar levels ≤130 mg/dl. The self-care behavior of diabetic patients who take care of themselves according to the health literacy and health behaviors 3E2S was at a good level (32.38%). Forty-six point ninety eight percent (46.98%) of diabetic patients knew their family physician's name. Factors associated with controlling blood glucose levels in diabetic patients were the absence of complications (Adj.OR = 3.13, 95%CI: [1.70 to 5.77], p <0.001), age greater than 50 years (Adj.OR = 1.93, 95%CI: [1.06 to 3.70], p = 0.049). Patients aged 50 and older had superior blood glucose control compared to those younger than 50. Significant factors linked to the length of time of diabetes have been discovered. Those diagnosed with diabetes more than 5 years (Adj.OR = 1.97, 95%CI: [1.12 to 3.46], p = 0.018) had greater blood sugar control than those diagnosed for less than 5 years. It was also noted that knowing the name of the family doctor was a significant factor. Patients with diabetes who knew the name of their primary care physician had greater blood sugar control than those who did not (Adj.OR = 1.91, 95%CI: [1.08 to 3.37], p = 0.025).

          Suggestions: Other research designs are recommended, such as experimental studies or operational research. The results would guide the development of chronic non-communicable disease programs that are tailored to the specific needs and challenges of each region.