Factors Associated with HbA1c Levels of Type 2 Diabetes Patients in Nong Bua Daneng Hospital, Chaiyaphum Province

Abstract

Objective: To investigate the factors associated with Hba1c levels in type 2 diabetes patients receiving treatment and follow-up at Nongbuadaeng hospital.

Methods: A cross-sectional study was conducted using patient records from January to December 2023. The sample size was 3,800 patients. Data were analyzed using descriptive statistics and Spearman’s rank correlation.

Result: The majority of the patients were female (70.6%) and aged between 40-59 years (40.1%). The prevalence of obesity (BMI ≥ 30) was 84.5%. Additionally, 56.5% of the patients had high blood pressure (SBP 120-139), 65.0% had fasting blood sugar (FBS) >125 mg/dL, and 85.3% had HbA1c ≥ 6.5 mg%. Spearman's rank correlation analysis revealed a weak negative correlation between age and HbA1c levels (r = -18.9%), indicating that younger patients may have higher HbA1c levels. A moderate positive correlation was found between FBS and HbA1c levels (r = 40.2%).

Conclusion: The study findings suggest that the type 2 diabetic patients in this study are at high risk of developing complications due to elevated BMI, blood pressure, FBS, and HbA1c levels. Further research on in-depth analysis of high-risk groups, the impact of complications, and the development of individualized patient care strategies could be potential solutions to address these issues.