Clinical outcome of Diabetes patients who were refered to continually received medication from a Subdistrict Health Promoting Hospital in Selaphum District, Roi-et Province.

Abstract

     This research was a retrospective quantitative study to find the treatment outcomes of diabetic patients who were referred for continued medication at a SHPH  compared annual examination results in fiscal years 2023 and 2024 to see improvements in treatment results.  Study design .Recorded data of annual examination results 2023 and 2024 from the medical records of the studied patients. Analyzed and presented with descriptive statistics and comparison of treatment results 2023-2024 by paired t- test.
     The study results found that A total of 88 patients, 64 were female (72.73%) and 24 were male (27.27%).  And patients had hospital visit during the study period 0-4 times, an average of 0.5 ± 1.02 times. The number of patients who received medication adjustments in the 2023 annual examination period was 49 (55.69%). Comparison of results was found that patients had better control HbA1C 8.69±1.17% decreased to 7.15±1.74% in 2024 (p = 0.03). Renal complications were found non-different of  urine  albumin (UA) between year 2023 and 2024 that are 64.24±164.66 and 62.14±140.82 respectively. But found a group of patients with microalbuminuria(UACR 30-299mg/g) increased from 20.00 %to 32.50 % and had an average SCr  0.83±0.16 increasing to 0.87±0.15 (p= 0.002) in 2024 while LDL values ​​were not different.