National trends in the prevalence of glycemic control among patients with type 2 diabetes receiving continuous care in Thailand from 2011 to 2018

Abstract Diabetes is one of the largest global health problems and exhibits a constantly increasing trend. A series of nationwide hospital-based cross-sectional surveys of clinical outcomes was performed annually from 2011 to 2015 and 2018 among patients with type 2 diabetes aged ≥ 20 years receivin...

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Main Authors: Boonsub Sakboonyarat, Warabhorn Pima, Channarong Chokbumrungsuk, Taksin Pimpak, Sirikorn Khunsri, Supak Ukritchon, Worarachanee Imjaijitt, Mathirut Mungthin, Wisit Kaewput, Bhophkrit Bhopdhornangkul, Nattapol Sathavarodom, Pyatat Tatsanavivat, Ram Rangsin
Format: Article
Language:English
Published: Nature Portfolio 2021-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-93733-4
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author Boonsub Sakboonyarat
Warabhorn Pima
Channarong Chokbumrungsuk
Taksin Pimpak
Sirikorn Khunsri
Supak Ukritchon
Worarachanee Imjaijitt
Mathirut Mungthin
Wisit Kaewput
Bhophkrit Bhopdhornangkul
Nattapol Sathavarodom
Pyatat Tatsanavivat
Ram Rangsin
author_facet Boonsub Sakboonyarat
Warabhorn Pima
Channarong Chokbumrungsuk
Taksin Pimpak
Sirikorn Khunsri
Supak Ukritchon
Worarachanee Imjaijitt
Mathirut Mungthin
Wisit Kaewput
Bhophkrit Bhopdhornangkul
Nattapol Sathavarodom
Pyatat Tatsanavivat
Ram Rangsin
author_sort Boonsub Sakboonyarat
collection DOAJ
description Abstract Diabetes is one of the largest global health problems and exhibits a constantly increasing trend. A series of nationwide hospital-based cross-sectional surveys of clinical outcomes was performed annually from 2011 to 2015 and 2018 among patients with type 2 diabetes aged ≥ 20 years receiving medical care for at least 12 months. A two-stage stratified cluster that was proportional to the size sampling technique was used to select a nationally and provincially representative sample of patients with type 2 diabetes in Thailand. A total of 186,010 patients with type 2 diabetes were enrolled in the study from 2011 to 2018. The prevalence of adequate glycemic control (hemoglobinA1c level < 7.0%) among patients with type 2 diabetes were estimated to be 34.5% (95%CI 33.8–35.2%) in 2011, 33.0% (95%CI 32.4–33.6%) in 2012, 34.7% (95%CI 34.1–35.4%) in 2013, 35.5 (95%CI 34.9–36.1%) in 2014, 35.6 (95%CI 35.0–36.2%) in 2015, and 35.6% (95%CI 35.0–36.2%) in 2018, respectively (p for trend < 0.001). Independent factors related to poor glycemic control (hemoglobinA1c ≥ 7%) were being female, younger aged, living in the northeastern region, received care form hospitals lower than regional level, under universal health coverage scheme, greater duration of diabetes, higher body mass index level and absence of hypertension comorbidity.
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spelling doaj.art-e9f4d99f2471479ca936b2a45d1f79cb2022-12-21T20:29:20ZengNature PortfolioScientific Reports2045-23222021-07-0111111110.1038/s41598-021-93733-4National trends in the prevalence of glycemic control among patients with type 2 diabetes receiving continuous care in Thailand from 2011 to 2018Boonsub Sakboonyarat0Warabhorn Pima1Channarong Chokbumrungsuk2Taksin Pimpak3Sirikorn Khunsri4Supak Ukritchon5Worarachanee Imjaijitt6Mathirut Mungthin7Wisit Kaewput8Bhophkrit Bhopdhornangkul9Nattapol Sathavarodom10Pyatat Tatsanavivat11Ram Rangsin12Department of Military and Community Medicine, Phramongkutklao College of MedicineMedical Research Network of the Consortium of Thai Medical SchoolsMedical Research Network of the Consortium of Thai Medical SchoolsMedical Research Network of the Consortium of Thai Medical SchoolsNational Health Security OfficeOffice of Research and Development, Phramongkutklao College of MedicineOffice of Research and Development, Phramongkutklao College of MedicineDepartment of Pharmacology, Phramongkutklao College of MedicineDepartment of Military and Community Medicine, Phramongkutklao College of MedicineDepartment of Microbiology, Phramongkutklao College of MedicineDivision of Endocrinology, Department of Medicine, Phramongkutklao HospitalDepartment of Medicine, Faculty of Medicine, Khon Kaen UniversityDepartment of Military and Community Medicine, Phramongkutklao College of MedicineAbstract Diabetes is one of the largest global health problems and exhibits a constantly increasing trend. A series of nationwide hospital-based cross-sectional surveys of clinical outcomes was performed annually from 2011 to 2015 and 2018 among patients with type 2 diabetes aged ≥ 20 years receiving medical care for at least 12 months. A two-stage stratified cluster that was proportional to the size sampling technique was used to select a nationally and provincially representative sample of patients with type 2 diabetes in Thailand. A total of 186,010 patients with type 2 diabetes were enrolled in the study from 2011 to 2018. The prevalence of adequate glycemic control (hemoglobinA1c level < 7.0%) among patients with type 2 diabetes were estimated to be 34.5% (95%CI 33.8–35.2%) in 2011, 33.0% (95%CI 32.4–33.6%) in 2012, 34.7% (95%CI 34.1–35.4%) in 2013, 35.5 (95%CI 34.9–36.1%) in 2014, 35.6 (95%CI 35.0–36.2%) in 2015, and 35.6% (95%CI 35.0–36.2%) in 2018, respectively (p for trend < 0.001). Independent factors related to poor glycemic control (hemoglobinA1c ≥ 7%) were being female, younger aged, living in the northeastern region, received care form hospitals lower than regional level, under universal health coverage scheme, greater duration of diabetes, higher body mass index level and absence of hypertension comorbidity.https://doi.org/10.1038/s41598-021-93733-4
spellingShingle Boonsub Sakboonyarat
Warabhorn Pima
Channarong Chokbumrungsuk
Taksin Pimpak
Sirikorn Khunsri
Supak Ukritchon
Worarachanee Imjaijitt
Mathirut Mungthin
Wisit Kaewput
Bhophkrit Bhopdhornangkul
Nattapol Sathavarodom
Pyatat Tatsanavivat
Ram Rangsin
National trends in the prevalence of glycemic control among patients with type 2 diabetes receiving continuous care in Thailand from 2011 to 2018
Scientific Reports
title National trends in the prevalence of glycemic control among patients with type 2 diabetes receiving continuous care in Thailand from 2011 to 2018
title_full National trends in the prevalence of glycemic control among patients with type 2 diabetes receiving continuous care in Thailand from 2011 to 2018
title_fullStr National trends in the prevalence of glycemic control among patients with type 2 diabetes receiving continuous care in Thailand from 2011 to 2018
title_full_unstemmed National trends in the prevalence of glycemic control among patients with type 2 diabetes receiving continuous care in Thailand from 2011 to 2018
title_short National trends in the prevalence of glycemic control among patients with type 2 diabetes receiving continuous care in Thailand from 2011 to 2018
title_sort national trends in the prevalence of glycemic control among patients with type 2 diabetes receiving continuous care in thailand from 2011 to 2018
url https://doi.org/10.1038/s41598-021-93733-4
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