The Effect of Blood Sugar Control and Association Among Elderly Patients With Type 2 Diabetes in Kantang District Southern Thailand

Abstract

The number of elderly patients with type 2 diabetes mellitus increases every year. This study aimed to compare the effect of blood sugar control and determine factors associated with blood sugar levels in patients with type 2 diabetes aged 60 years and over living in subdistrict health-promoting hospital (SHPH) and community hospital in Kantang District, southern Thailand. A retrospective comparative study was conducted using a database from the hospital and SHPH from January to December 2022. The data were analyzed by the Chi-square test, Fisher's Exact Test, Independent t-test, Wilcoxon rank sum test, and Spearman's rank correlation coefficient. It found that 222 patients received treatment from SHPH and 208 patients attended healthcare at community hospitals. Those patients who received treatment at community hospitals had lower hemoglobin A1C (HbA1c) (p<0.001) and Fasting Blood Sugar (FBS)(p=0.0251) than those patients who received treatment at SHPH. Factors associated with HbA1C of patients who received treatment at SHPH included total cholesterol (p=0.0308), triglycerides (p=0.0017), estimated glomerular filtration rate (eGFR) (p=0.0002), and FBS (p<0.001). Patients who received treatment at community hospitals found that total cholesterol (p=0.0388), eGFR (p=0.0101), and FBS (p<0.001) had correlated with HbA1C. The study emphasizes the necessity for customized interventions in subdistrict health-promoting hospitals (SHPH) to effectively manage blood sugar levels in older adult patients with type 2 diabetes. Improving treatment protocols can enhance quality care.



Author Information
Ausana Ko-aien, Thaksin University, Thailand
Tum Boonrod, Thaksin University, Thailand
Witchada Simla, Thaksin University, Thailand
Dusanee Suwankhong, Thaksin University, Thailand
Krekpon Dissara, Thaksin University, Thailand
Butsakorn Sangsuwan, Thaksin University, Thailand

Paper Information
Conference: AGen2024
Stream: Aging and Gerontology

This paper is part of the AGen2024 Conference Proceedings (View)
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To cite this article:
Ko-aien A., Boonrod T., Simla W., Suwankhong D., Dissara K., & Sangsuwan B. (2024) The Effect of Blood Sugar Control and Association Among Elderly Patients With Type 2 Diabetes in Kantang District Southern Thailand ISSN: 2432-4183 The Asian Conference on Aging & Gerontology 2024: Official Conference Proceedings https://doi.org/10.22492/issn.2432-4183.2024.11
To link to this article: https://doi.org/10.22492/issn.2432-4183.2024.11


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Posted by James Alexander Gordon