Health status of diabetes type 2 patients in Thailand contradicts their perception and admitted compliance

Srivanichakorn, Supattra; Sukpordee, Nattaporn; Yana, Tassanee; Sachchaisuriya, Pattara; Schelp, Frank Peter

doi:10.1016/j.pcd.2011.02.005

Cited by 6 publications

(10 citation statements)

References 14 publications

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“…23 In our study, diabetic CKD was more prevalent in older ages (above 60 years) which was similar to a previous communication. 24 This study found that increased age could be a risk factor of renal insufficiency which might result due to degenerative changes in the glomerular tissue. According to this study, hypertensive diabetic patients were 1.5 times more likely to develop CKD which supports a previous communication.…”

Section: Discussionmentioning

confidence: 79%

Can glycated hemoglobin act as a reliable glycemic indicator in patients with diabetic chronic kidney disease? evidence from the Northeast of Thailand

et al. 2017

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ABSTRAK DM (AOR: 0,66, 95% CI: 0,86, p<0,05 ABSTRACTBackground: Chronic kidney diseases (CKD) is a common microvascular complication in patients with diabetes mellitus (DM) which requires adequate glycemic control. Glycated hemoglobin (HbA1c) is a conventional biomarker to estimate glycemic status, but its role in diabetic CKD patients is unclear. Therefore, this study aimed to determine whether patients with high HbA1c are associated to develop diabetic CKD.

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Section: Discussionmentioning

confidence: 79%

Can glycated hemoglobin act as a reliable glycemic indicator in patients with diabetic chronic kidney disease? evidence from the Northeast of Thailand

et al. 2017

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“…It has been reported recently that a high proportion of T2DM patients obviously do not feel comfortable to admit that they do not follow the advice of health personnel [39]. In general a Thai villager is quite well informed about the basics of diabetes mellitus [24].…”

Section: Discussionmentioning

confidence: 99%

Use of glucometer and fasting blood glucose as screening tools for diabetes mellitus type 2 and glycated haemoglobin as clinical reference in rural community primary care settings of a middle income country

et al. 2012

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BackgroundThailand is considered to be a middle income country, and to control and prevent type 2 diabetes mellitus (T2DM) is one of the main concerns of the Thai Ministry of Public Health (MoPH). Screening for T2DM and care for T2DM patients has been integrated into the primary health care system, especially in rural areas. The intention of this investigation is to link public health research at the academic level with the local health authorities of a district of a north-eastern province of the country.MethodsEpidemiological methods were applied to validate the screening tools fasting capillary blood glucose (CBG), measured by glucometer and venous blood for the determination of plasma glucose (VPG), used for screening for T2DM among asymptomatic villagers. For assessing the validity of these two methods glycated haemoglobin (HbA1c) values were determined and used as the ‘clinical reference’.ResultsAll together 669 villagers were investigated. Determinations of CBG and VPG resulted in suspected T2DM cases, with 7.3% when assessed by CBG and 6.4% by VPG using a cutoff point of 7 mmol/L (126 mg/dl). Taking HbA1c determinations with a cutoff point of 7% into account, the proportion of T2DM suspected participants increased to 10.4%. By estimating sensitivity, specificity and the positive predictive value of CBG and VPG against the ‘clinical reference’ of HbA1c, sensitivity below 50% for both screening methods has been observed. The positive predictive value was determined to be 58.5% for CBG and 56.8% for VPG. The specificity of the two screening tests was over 96%.ConclusionsThe low sensitivity indicates that using fasting CBG or VPG as a screening tool in the field results in a high proportion of diseased individuals remaining undetected. The equally low positive predictive values (below 60%) indicate a high working load for the curative sector in investigating suspected T2DM cases to determine whether they are truly diseased or false positive cases according to the screening method. Further implications of the results and the controversial discussion related to the use of HbA1c as clinical evidence for suffering from T2DM are also discussed.

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“…A sub-sample of 2892 patients answered a questionnaire. Details of the sampling technique are given in the preceding publication [4]. Laboratory variables as well as weight and height data were used from the last visit of the patients to the respective health provider at the end of the project.…”

Section: Methodsmentioning

confidence: 99%

“…Ninety percent of the patients claimed that they took their medicine as told and 80% seemed to know well how to take care of them. Sixty percent of all the patients, from whom the sub-sample had been taken, had glycated hemoglobin (HbA1c) levels above 7% in addition to the high proportion of patients with high triglyceride and low high density lipid (HDL) levels [4]. Obviously, the result of the questionnaire contradicted the laboratory findings and the situation of T2DM patients in Thailand was not as favorable as the results of the questionnaire seemed to imply.…”

Section: Introductionmentioning

confidence: 99%

“…From all the four regions of the country the prevalence of T2DM in the northeast exceeds the other three regions [3]. In a foregoing publication [4] the laboratory results from over 4000 patients with T2DM from all over Thailand was reported. A questionnaire also assessed from a subsample of approximately 2800 individuals investigated how patients understand the character of the disease they are suffering from and how they observe the advice given to them in terms of taking medicine and taking appropriate care of them.…”

Section: Introductionmentioning

confidence: 99%

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Importance of regional differences in the features of type 2 diabetes mellitus in one and the same country—The example of Thailand

Srivanichakorn¹,

Yana²,

Sanchaisuriya³

et al. 2013

JDM

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Background: A dataset from a nationwide assessment of type 2 diabetes mellitus (T2DM) patients from Thailand was reassessed. Objective: Prevalence of T2DM is highest in the northeast of Thailand and the intention of the study was to assess whether the clinical picture and behavior of patients from the northeast differ from the rest of the country. Materials and Methods: The variables of two groups of patients i.e. those from the northeast of Thailand and patients from the remaining three other regions, with the exception of Bangkok, were compared. The dataset consisted out of clinical laboratory data and the results of a questionnaire recording knowledge and admitted compliance of patients. Results: A higher proportion of patients from the northeast have elevated triglyceride levels and lower high density lipoprotein (HDL) fractions in comparison with the patients derived from the other three regions. The northeasterners know very well and better than the patients of the other regions how to take care of them while having T2DM yet the proportion of those with glycated hemoglobin (HbA1c) values over 6.4% was higher for them than for the other group of patients. Conclusion: In depth investigation by health educators would be useful in order to find out how the relationship between knowledge and practice could be improved for patients from the northeast of Thailand.

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Health status of diabetes type 2 patients in Thailand contradicts their perception and admitted compliance

Cited by 6 publications

References 14 publications

Can glycated hemoglobin act as a reliable glycemic indicator in patients with diabetic chronic kidney disease? evidence from the Northeast of Thailand

Can glycated hemoglobin act as a reliable glycemic indicator in patients with diabetic chronic kidney disease? evidence from the Northeast of Thailand

Use of glucometer and fasting blood glucose as screening tools for diabetes mellitus type 2 and glycated haemoglobin as clinical reference in rural community primary care settings of a middle income country

Importance of regional differences in the features of type 2 diabetes mellitus in one and the same country—The example of Thailand

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