ArticlePatient preference and adherence2025
Determinants of Glycemic Control in Thai Adults with Insulin-Treated Type 2 Diabetes Mellitus: A Cross-Sectional Study.
Article in Patient preference and adherence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Insulin is an effective treatment for achieving glycemic control and delaying diabetes-related chronic complications. Even with receiving insulin therapy, adults with type 2 diabetes (T2DM) may still struggle to reach their glycemic targets. Objective: This study aimed to determine factors associated with glycemic control in Thai adults with insulin-treated T2DM. Methods: A cross-sectional study was conducted among adults with insulin-treated T2DM between July 2021 - May 2022. Glycemic control is measured by Hemoglobin A1C (HbA1C), and good glycemic control was defined as HbA1C < 7%. Characteristics of adults with T2DM were analyzed using descriptive statistics. Determinant factors of glycemic control, including diabetes self-management, attitude toward insulin treatment, social support, patient-healthcare providers communication, self-monitoring blood glucose (SMBG), insulin injection technique, self-reported hypoglycemia, and lipohypertrophy, were analyzed using binary logistic regression. Results: Of the 273 participants, the mean age was 62.1 (SD = 10.7) years, 60.8% were females, and 41.8% achieved good glycemic control. Binary logistic regression analyses after adjusting for gender, age, BMI, education level, and health benefits show that performing better diabetes self-management (Adjusted odds ratio (AOR) = 1.15; 95% CI: 1.10-1.21, Conclusion: Diabetes self-management, attitude toward insulin treatment, insulin injection technique, and SMBG were significantly associated with glycemic control in Thai adults with insulin-treated T2DM.
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