Factors affecting of uncontrolled blood glucose, accuracy of insulin injection administration of diabetic patients in Wapipathum hospital

บทคัดย่อ

Objective of this study was conducted to investigatethe factor affecting blood glucose control and evaluate insulin injection administration technique in diabetic patients. This cross-sectional descriptive study collected the data from medical record and patients’ interview on the factor may affecting on blood glucose control. The study was conducted at the DM clinicinWapipathum hospital between 1 January and 30 April 2015. Total of 226 diabetic patient used insulin injection had average blood glucose was 164.79±67.75 mg/dL. The Factorfor blood glucose control were chronic kidney disease (Odds ratio (OR) = 2.26; 95%CI = 1.16-4.36), female (OR) = 0.49; 95%CI = 0.25-0.96), Mixtard®using (OR = 0.35;95%CI =0.17-0.73), chronic kidney disease(OR =2.26; 95% = 1.16-4.36), drug items more than 3 (OR =0.35; 95%CI = (0.19-0.72). There were 32 of insulin injection patients could not control blood glucose. The most of them were female, average age was 62.40±9.81 years old. Patients had been treated with insulin for 4.34±3.57 years. The risk factors may affecting the poor blood glucose control were high glucose food consumption and lack of exercise. However, the most of patients in the syringe use (80%) and penfill group (90%) can be use insulin administration accuracy. This study indicated pharmacist should be counseling on DM patients who had factor associated uncontrolled blood glucose and life style modification counseling are needed.