Factors Effective to Blood Sugar Levels of Type 2 Diabetes Mellitus Patients, Phakdi Chumphon Hospital, Chaiyaphum Province

A Comparative Study of Blood Glucose Levels in Patients with Type 2 Diabetes at Phakdi Chumphon Hospital, Chaiyaphum Province

Abstract

Factors Effective to Blood Sugar Levels of Type 2 Diabetes Mellitus Patients, Phakdi Chumphon Hospital, Chaiyaphum Province. This retrospective descriptive study investigated factors affecting blood glucose levels among 320 type 2 diabetes mellitus patients receiving continuous care at the chronic disease clinic, Phakdi Chumphon Hospital. Data were extracted from HOSxP electronic medical records and analyzed using descriptive statistics, independent t-test, and one-way ANOVA. Results showed most participants were female (60.6%), aged ≥61 years (53.8%). Mean fasting blood glucose was 166.49±66.09 mg/dL and mean HbA1c was 7.79±2.30%, both exceeding optimal targets. Five factors showed significant associations with blood glucose levels (p<0.01): disease duration, with patients having diabetes >10 years exhibiting highest mean FBS (189.83±73.63 mg/dL); dyslipidemia (174.97±67.69 vs 148.64±59.46 mg/dL); postprandial medication use (173.26±70.80 vs 154.34±56.09 mg/dL); combination therapy with insulin and oral agents (216.92±79.95 vs 152.80±56.66 mg/dL); and diabetic nephropathy (194.80±77.69 vs 158.27±60.33 mg/dL). No significant associations were found for gender, age, marital status, body mass index, blood pressure, retinopathy, cardiovascular complications, diabetic foot, or health insurance coverage. These findings emphasize implementing risk-stratified diabetes management approaches targeting patients with extended disease duration, dyslipidemia, polypharmacy, and complications. Healthcare systems should prioritize individualized care plans, comprehensive self-management education, and intensive monitoring protocols for high-risk populations to optimize glycemic control and prevent long-term complications.