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:: Volume 6, Issue 5 (October-November 2017) ::
JHPM 2017, 6(5): 34-42 Back to browse issues page
Assessment of Hemoglobin A1C in Patients with Type 2 Diabetes in the First Three Years of Care and its Related Factors
Zahra Khatir namani , Enayatollah Bakhshi , Arash Naghipour , Samaneh Hossein Zadeh
Biostatistics Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran , hosseinzadeh.sam@gmail.com
Abstract:   (1407 Views)
Introduction: Controlling diabetes is important to reduce its complications and prevent the disability. The aim of this study was to determine the HbA1c level in patients with type 2 diabetes in the first three years of care and its related factors.
Methods: In this descriptive-longitudinal study, 214 patients with type 2 diabetes referred to the health centers of Golestan University of Medical Sciences and under the “National Plan for the Prevention and Care of Diabetic Patients” were assessed during2013-2016. Random cluster sampling was performed to select the patients. The information including sex, age, history of hypertension and smoking as well as the amount of HbA1c associated with the blood test at the time of entry into the plan and at the first three years, once a year (4 repetitions in total), was collected from the patient records. The data were analyzed using the repeated measures ANOVA method by the statistical software R 3.3.2.
Results: The mean HbA1c reduced in three years. The results showed that four factors including age, history of hypertension, history of smoking, and BMI had a significant relation with HbA1c (P < 0.05).
Conclusions: The amount of HbA1c has been controlled during the implementation of “the National Plan for the Prevention and Care of Diabetic Patients”. Regarding the related factors, it is recommended to consider the importance of controlling blood pressure, and weight and to stop or reduce smoking in the patients.

 
Keywords: Hemoglobin A1C, Cigar Smoking, Hypertension, Age, Body Mass Index
Full-Text [PDF 423 kb]   (343 Downloads)    
Type of Study: Applicable | Subject: health management
Received: 2017/08/2 | Accepted: 2017/11/29 | Published: 2017/11/29
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Khatir namani Z, Bakhshi E, Naghipour A, Hossein Zadeh S. Assessment of Hemoglobin A1C in Patients with Type 2 Diabetes in the First Three Years of Care and its Related Factors. JHPM. 2017; 6 (5) :34-42
URL: http://jhpm.ir/article-1-846-en.html


Volume 6, Issue 5 (October-November 2017) Back to browse issues page
مدیریت ارتقای سلامت  Journal of Health Promotion Management
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