Is HbA1C Level of Diabetes Patients Treated in Diabetes Clinic better than Patients Treated in General Clinic?

Ram Rangsin MD 1 , Lucksika Wanichtanom MD 2

Affiliation : 1 Department of Military and Community Medicine, Phramongkutklao College of Medicine, Bangkok, Thailand 2 Bangpakong Hospital, Chachoengsao, Thailand

Objective : The present research aims to study glycemic control in diabetes patients receiving treatment and follow ups at diabetes clinics and diabetes and hypertension clinics compared to those at general clinics.
Materials and Methods : The method is a cross-sectional study and the data was collected from the research study ‘An Assessment on Quality of Care among Patients Diagnosed with Type 2 Diabetes and Hypertension Visiting Hospitals in care of Ministry of Public Health and Hospital in Bangkok, Thailand, 2013’ at least 12 month of 25783 patients. Multivariate analysis was applied.
Results : From a total of 25783 patients, 11912 patients received their treatment at a diabetes clinic, 8058 patients received their treatment at a diabetes and hypertension clinic, and 5813 patient received their treatment at a general clinic. Diabetes clinics have 1.406 times poorer HbA1C control than general and other clinics (OR = 1.406, 95% CI = 1.023 -1.933 ). Community district hospitals are the worst at HbA1C, at 1.851 times poorer than hospitals in the Bangkok area (OR = 1.851, 95% CI = 1.525 -2.248).
Conclusion : Diabetes patients treated at diabetes clinics and diabetes and hypertension clinics have a poorer HbA1C level than diabetes patients treated at general clinics.

Keywords : Diabetes mellitus type 2, Diabetes clinic, General clinic, NCDs, HbA1C

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