Journal of Convergence for Information Technology (융합정보논문지)

Convergence Society for SMB (중소기업융합학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Affecting the Control of HbA1c in Type 2 Diabetic Patients

제2형 당뇨환자의 당화혈색소(HbA1c) 수치 조절에 미치는 영향요인

  • Received : 2018.10.22
  • Accepted : 2018.12.20
  • Published : 2018.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objects: This study is a descriptive study to identify the factors influencing the glycated hemoglobin control in type 2 diabetes patients. Methods: This study used raw data from the third year of the National Health and Nutrition Examination Survey performed from 2015. The subjects were 285 people who were classified as type 2 diabetes patients among the 7,380 participants of the National Health and Nutrition Examination Survey. Findings: The factors influencing the glycated hemoglobin control in type 2 diabetes patients were found to be age, education level, prevalence period and sleeping time. Improvements: In type 2 diabetes patients, it is very important to have appropriate education on diabetes when they discovered the disease morbidity in the middle age rather than in the aged period and to have enough sleeping time. A practical program to help this education and training should be developed.

연구목적: 본 연구는 제2형 당뇨환자의 당화혈색소 수치 조절에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 연구방법: 본 연구는 2015년도 1월부터 12월까지 시행된 제6기 3차 년도 국민건강영양조사 자료 중 검진조사와 건강설문조사를 이용하였으며 설문에 참여한 전체 대상자 검진조사와 건강 설문조사에 참여한 전체 대상자 7.380명 중 제2형 당뇨환자로 분류된 285명을 대상으로 진행하였다. 연구결과: 대상자의 당화혈색소 조절에 영향을 주는 요인은 연령, 교육수준, 유병기간, 수면시간으로 나타났고 나머지는 영향을 주는 요인으로 나타나지 않았다. 결론: 제2형 당뇨환자에 있어서 중년기에도 질병 이환을 발견한 시점부터 교육수준에 맞는 적절한 당뇨교육을 실시하고, 적정 수면시간을 지키도록 하는 것도 당화혈색소 수치 조절에 영향을 미치는 것으로 나타났으므로, 이에 대한 적용 가능한 교육방법이나 프로그램의 개발이 필요하다.

Keywords

Table 1. Differences in general characteristics according to whether glycated hemoglobinis controlled in patients with type 2 diabetes

JKOHBZ_2018_v8n6_75_t0001.png 이미지

Table 2. Differences in disease-related characteristics of patients with type 2 diabetes mellitus with or without glycated hemoglobin

JKOHBZ_2018_v8n6_75_t0002.png 이미지

Table 3. Factors Affecting the Control of HbA1c in Type 2 Diabetic Patients

JKOHBZ_2018_v8n6_75_t0003.png 이미지

References

  1. American Diabetes Association. (2017). Standards of medical care in diabetes. Diabetes Care. American Diabetes Association, 2017; 40(1).
  2. Korea Centers for Disease Control. (2015). Korean national health and nutrition survey data. https://knkanes.cds.go.kr/.
  3. L. B. Park. et al. (2007). Analysis of the status of diabetes in Korea-Joint study with the Korean Diabetes Society-HIRA 2004-2006. A Monthly Diabetes Magazine., 207, 70-72.
  4. D. Hawkins, J. C. Bradberry, M. J. Cziraky, R. L. Talbert, D. W. Bartels & J. D. Cerveny. (2002). National Pharmacy Cardiovascular Council treatment guidelines for the management of type 2 diabetes mellitus: toward better patient outcomes and new roles for pharmacists. Pharmacotherapy, 22(4), 436-480. https://doi.org/10.1592/phco.22.7.436.33667
  5. H. W. Sarah, R. Gojka, R, G. Anders, S. Richard & K. Hilary. (2004). Global Prevalence of Diabetes: Estimates for the Year 2000 and Projections for 2030. Diabetes care, 27, 1047-1053. https://doi.org/10.2337/diacare.27.5.1047
  6. H. J. Jho, J. H. Ryu, S. H. Ye, Y. L. Kim & B. Y. Huh. (2005). The discrepancy between the estimation for blood glucose control and the HbA1Cvalue in diabetic patients. Korean Journal of Health Promotion, 5(1), 31-36.
  7. A. Girach, D. Manner & M. Porta. (2006). Diabetic microvascular complications: can patients at risk be identified? A review. The international Journal of Clinical Practice, 60(11), 1471-1483. https://doi.org/10.1111/j.1742-1241.2006.01175.x
  8. H. S. Keum & S. R. Suh. (2014). HbA1c, Self-Efficacy and Self-Care Activities Depending on the Disease Duration of Type 2 Diabetes Mellitus Patients. The Korea Contents Society, 14(12), 303-312. DOI : 10.5392/JKCA.2014.14.12.303.
  9. D. M. Nathan, B. Balkau, E. Bonora, K. Borch-Johnsen, J. B. Buse & S. Colagiuri. et al. (2009). International Expert Committee report on the role of the A1C assay in the diagnosis of diabetes. Diabetes Care, 32(7), 1327-1334. DOI : 10.2337/dc09-9033
  10. C. Y. Wu, H. Y. Hu, Y. C. Chou, N. Huang, Y. J. Chou & C. P. Li. (2015). The association of physical activity with all-cause, cardiovascular, and cancer mortalities among older adults. Preventive Medicine, 72, 23-29. https://doi.org/10.1016/j.ypmed.2014.12.023
  11. G. J. Won. (2004). The need for ACEI, ARB in the treatment of hypertensive patients with diabetes. Diabetes Research Digest, 1(3), 54-63.
  12. M. Ronald. (2004). Lipids and lipoproteins in patients with type 2 diabetes. Diabetes Care, 27(6), 1496-2000. DOI : 10.2337/diacare.27.6.1496.
  13. A. I. Adler. et al. (2000). Association of systolic blood pressure with macrovascular and microvascular complications of type 2 diabetes (UKPDS 36): prospective observational study. British Medical Journal, 321(7258), 412-419. DOI : 10.1136/bmj.321.7258.412.
  14. World Health Organization. (2005). The European Health Report 2005. WHO.
  15. C. Sofia, H. Niklas. G. Valdemar & K. Jaakko. (2003). Alcohol Consumption and the Incidence of Type 2 Diabetes. Diabetes Care, 26(10), 2785-2790. DOI : 10.2337/diacare.26.10.2785.
  16. N. W. Hur, H. C. Kim, C. M. Nam, H. Jee, H. C. Lee & I. Suh. (2007). Smoking cessation and risk of type 2 diabetes mellitus: Korea Medical Insurance Corporation Study. European Journal of Preventive Cardiology, 14(2), 244-249. https://doi.org/10.1097/01.hjr.0000239474.41379.79
  17. M. J. Lee, H. K. Kang & B. J. SEO. (2016). Correlation between Outpatient's Medical Adherence and National Insurance Type in the Type 2 Diabetes Mellitus. Journal of Convergence for Information Technology, 8(4), 9-14. DOI :10.22156/CS4SMB.2018.4.009.
  18. T. Ohkuma. et al. (2013). Impact of Sleep Duration on Obesity and the Glycemic Level in Patients With Type 2 Diabetes. American. Diabetes Association, 36(3), 611-617. DOI :10.2337/dc12-0904.
  19. C. Sacerdote, F. Ricceri, O. Rolandsson, I. Baldi, M. D. Chirlaque & E. Feskens. et al. (2012). Lower educational level is a predictor of incident type 2 diabetes in European countries: The EPIC-InterAct study. International Journal of Epidemiology, 41(4), 1162-1173. DOI: 10.1093/ije/dys091.
  20. E. Y. Pyo, M. H. Jun & Y. S. Kim. (2012). Factors Related to Blood Glucose Control in Patients with Diabetes. Korean Society for Health Education and Promotion, 29(3), 15-22.
  21. T. S. Brendan. et al. (2011). Life-Course Socioeconomic Position and Type 2 Diabetes Mellitus: The Framingham Offspring Study. American Journal of Epidemiology, 173(4), 438-447. DOI: 10.1093/aje/kwq379.
  22. M. Khattab, Y. S. Khader A. l. Khawaldeh & K. Ajlouni. (2008). Factors associated with poor glycemic control among patients with Type 2 diabetes. Journal of Diabetes and its Complications 24(2), 84-89. https://doi.org/10.1016/j.jdiacomp.2008.12.008
  23. R. Collins, J. Armitage, S. Parish, P. Sleigh & R. Peto. (2003). MRC/BHF Heart Protection Study of cholesterol-lowering with simvastatin in 5963 people with diabetes: a randomised placebo- controlled trial. The Lancet, 361(9374), 2005-2016. https://doi.org/10.1016/S0140-6736(03)13636-7
  24. I. C. Schrieks, A. L. Heil, H. F. Hendriks, K. J. Mukamal & J. W. Beulens. (2015). The Effect of Alcohol Consumption on Insulin Sensitivity and Glycemic Status: A Systematic Review and Meta-analysis of Intervention Studies. American Diabetes Association, 38(4), 723-73. DOI : 10.2337/dc14-1556.
  25. D. O. Baliunas. et al. (2009). Meta-analysis Alcohol as a risk factor for type 2 diabetes: a systematic review and meta-analysis. Diabetes Care, 32(11), 2123-2132. https://doi.org/10.2337/dc09-0227
  26. M. S. Song & M. H. Lee. (2016). Glycated Hemoglobins and Chronic Complications of Diabetes Mellitus, based on the Smoking Status of Patients with Type 2 Diabetes Mellitus. The Journal of korean academic society of home care nursing, 23(2), 139-146.
  27. J. W. Anderson, C. W. C. Kendall & D. J. A. Jenkins. (2003). Importance of weight management in type 2 diabetes: Review with meta-analysis of clinical studies. Journal of the American College of Nutrition, 22, 331-339. https://doi.org/10.1080/07315724.2003.10719316
  28. S. J. Boo. (2012). Glucose, Blood Pressure, and Lipid Control in Korean Adults with Diagnosed Diabetes. The Korean Academic Society of Adult Nursing, 24(4), 406-416. DOI : 10.7475/kjan.2012.24.4.406.
  29. E. J. Choi. (2011). Effects of Physical Activity on Glycemic Control in Type 2 Diabetics. The Korean Academic Society of Adult Nursing, 23(3), 298-307. http://uci.or.kr/G704-000343.2007.28.1.001.
  30. B. Moe & E. Eilertsen. (2013). Nilsen TI. The Combined Effect of Leisure-Time Physical Activity and Diabetes on Cardiovascular Mortality. Diabetes Care, 36(3), 690-695. DOI : 10.2337/dc11-2472.
  31. S. S. Kim. (2014). Effect of Complex-exercise ond Diabetes Outbreak Prediction Rate, Body Composition and Vascular Compliance in Obese smokers. Journal of Digital Convergence, 12(10), 587-595. DOI : 10.14400/JDC.2014.12.10.587
  32. Y. M. Kim & S. H. Kang. (2015). Changes and determinants affecting on geographic variations in health behavior, prevalence of hypertension and diabetes in Korean. Journal of Digital Convergence, 13(11), 241-254. http://dx.doi.org/10.14400/JDC.2015.13.11.241
  33. J. M. Im, E. J. Jang, C. S. Jeong & S. J. Shin. (2018). Mixed reality health management model using smart phone. The Journal of the Convergence on Culture Technology (JCCT), 4(2), 185-189. DOI : 10.17703/JCCT.2018.4.2.185
  34. S. E. Sa, W. H. Kim, K. K. Jo & J. Y. Lee. (2017). Comparisons of Physical Activity and Sedentary Life according to Health and Obesity Level. Journal of Digital Convergence, 15(4), 477-488. DOI : 10.14400/JDC.2017.15.4.477