THE STUDY ON CONTROL OF SERUM GLUCOSE IN TYPE 2 DIABETIC PATIENTS TREATING BY INSULIN AT CAN THO GENERAL HOSPITAL
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Abstract
Background: Control glycemia in diabetes patient helps reduce mortality, shorten hospital stay, and reduce infections for patients. Objectives: To (1) determine the proportion of patients with type 2 diabetes who manage glycemic control to achieve insulin treatment goals and (2) investigate some factors related to glycemia not reaching the goal after 5 days of treatment with insulin therapy at Can Tho General Hospital. Materials and methods: A cross sectional descriptive study was conducted in 151 patients with type 2 diabetes who was treated as an inpatient with insulin. Results: After 5 days of treatment, 70.9% of patients have not reached their target glycemic level. Patients taking glucocorticoids, snacks, HbA1c over 7%, and patients with disease over 5 years had the rate of glycemic control level were lower than other patients (p <0.05). Conclusion: The rate of glycemic control level after 5 days of treatment with insulin were low. Factors related to less than the target blood glucose level include HbA1c over 7%, glucocorticoid administration, snacks and duration of illness> 5 years.
Article Details
Keywords
Diabetes, glycemia, HbA1c
References
2. Huỳnh Quang Minh Trí (2017), Đánh giá tình trạng kiểm soát đường huyết ở bệnh nhân đái tháo đường type 2 điều trị nội trú tại khoa nội tiết bệnh viện Nhân Dân 115, luận văn chuyên khoa cấp 2, Đại học Y Dược thành phố Hồ Chí Minh.
3. ADA (2017), American Diabetes Association standards of medical care in diabetes.
4. Bender M, Smith TC, Thompson J, Koucheki A, Holdy K (2015), Predictors of suboptimal glycemic control for hospitalized patients with diabetes: Targets for clinical action. Journal of Clinical Outcomes Management, 22, (4).
5. D. Saenz-Abad, J. A. Gimeno-Orna, B. Sierra-Bergua, J. I. Perez-Calvo (2015), Predictors of mean blood glucose control and its variability in diabetic hospitalized patients. Endocrinol Nutr, Factores predictores del control glucemico promedio yde su variabilidad en pacientes diabeticos ingresadosen el hospital., 62, (6), 257-63.
6. Kheng Yong Ong, Yu Heng Kwan, Hooi Ching Tay et al, Prevalence of dysglycaemic events among inpatients with diabetes mellitus: a Singaporean perspective (2015), Singapore medical journal, 22, pp:393.
7. M. Botella, J. A. Rubio, J. C. Percovich, E. Platero, C. Tasende, J. Alvarez (2011), Glycemic control in non-critical hospitalized patients. Endocrinol Nutr, Control glucemico en pacientes hospitalizados no criticos., 58, (10), 536-40.
8. F. J. Pasquel, R. Gomez-Huelgas, I. Anzola, F. Oyedokun, J. S. Haw, P. Vellanki, L. Peng, G. E. Umpierrez (2015), Predictive Value of Admission Hemoglobin A1c on Inpatient Glycemic Control and Response to Insulin Therapy in Medicine and Surgery Patients With Type 2 Diabetes. Diabetes Care, 38, (12), e202-3.