Saifone Moungkkum
Burapha University, Thailand
Title: Factors influencing microvascular complications among people with type 2 diabetes in eastern region, Thailand
Biography
Biography: Saifone Moungkkum
Abstract
The purpose of this cross-sectional study was to examine the prevalence of the complications for microvascular and determining factors influencing microvascular complications. Data were collected from 350 patients with type 2 diabetes, who received the cares at the diabetes clinics from eleven governmental hospitals located in the Eastern region of Thailand. The data were analyzed by means of descriptive statistics, and binary logistic regression analysis.
The results revealed that there were 239 cases having the complications for microvascular, calculated as 68. 3% (95 %CI: 63 % – 73 %). Among diabetic patients with microvascular complications, diabetic kidney disease accounted for the majority of them (35.98 %), followed by diabetic retinopathy (24.68 %) and peripheral neuropathy (5.44 %) There were relationships between the following variables: age, HbA1C, triglycerides level, duration of diabetes, and the complications as such with statistical significance (p <. 01). Participants, who had age over sixty years, had higher risk of having microvascular complications about 13.48 times (OR = 13.48, 95%CI: 2.18 – 83.48). Those with the diabetes who had HbA1C level more than 8 % showed a higher chance of microvascular complications than those with HbA1C level less than 7 %.46 times (OR = .46, 95%CI: .23 – .90). Participants, who had high triglycerides level showed a higher chance of microvascular complications about 2.15 times (OR = 2.15, 95%CI: 1.20 – 3.85). Moreover, those with the diabetes for over 20 years showed a higher chance of microvascular complications about 4.76 times than those with diabetes for shorter time (OR = 4.76, 95%CI: 1.28 – 17.67).
Conclusion: Such findings can be used for health care provider in order to develop the intervention focused on micro vascular complications in early diagnosed diabetes mellitus patients. Early identification of diabetic kidney disease, diabetic retinopathy and diabetic neuropathy early care management lead to prevent micro vascular complications.