THE EFFECTS OF USING A DIABETES MANAGEMENT APPROACH TO ACHIEVE REMISSION ON HEMOGLOBIN A1C AND BODY MASS INDEX IN TYPE 2 DIABETES PATIENTS AT THE DIABETES CLINIC, LAM THAP HOSPITAL, KRABI PROVINCE
DOI:
https://doi.org/10.55766/sjhsci-2024-02-e03259Keywords:
Body mass Index, Diabetes Management, Hemoglobin A1C, Type 2 Diabetes MellitusAbstract
This quasi-experimental research employed a single-group, pretest-posttest design to compare the mean values of glycated hemoglobin (HbA1c) and body mass index (BMI) in patients with type 2 diabetes before and after implementing the diabetes remission care guidelines (Remission Service) at the Diabetes Clinic, Lam Thap Hospital, Krabi Province. The study was conducted over 12 and 24 weeks. The sample was selected using purposive sampling, consisting of 21 patients diagnosed with type 2 diabetes, aged 18 years and older, who had been diagnosed within the last 10 years (ICD-10 codes E10-E14), had received continuous care for at least 6 months, and were treated with oral hypoglycemic agents. The research instruments were adapted from the Remission Service Guidelines of the Department of Disease Control, combined with self-management concepts. Data analysis included frequency, percentage, mean, standard deviation, and One-way repeated measures ANOVA.
The results showed that after the implementation of the diabetes remission care guidelines, average HbA1c levels at 24 weeks were significantly lower than before (p =.000). BMI at 24 weeks was not significantly lower than before (p = .639).
In conclusion, the diabetes remission care guidelines were effective in controlling average HbA1c levels and BMI in type 2 diabetes patients. It is recommended that patients follow these guidelines to better control their diabetes, reduce medication use, prevent complications, and potentially achieve diabetes remission. Further studies should be conducted to assess the impact on BMI and to add additional weight management strategies.
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