Background and objective: Recently, Thailand had two target goals of diabetic treatment, the first goal of the Bureau of Non-communicable Diseases (Goal 1), which has set one goal for all types of diabetic patients and applied for most hospitals in Thailand. Another goal of treatment is set under the Clinical Practice Guideline for Diabetes 2014 (Goal 2) for individual group of patients. This study aimed to compare patients glycemic control between the two different goals and determine frequency of hypoglycemic events.
Methods: Data of fasting blood sugar (FBS), hemoglobin A1c (HbA1c) and hypoglycemia were collected prospectively from the type 2 diabetes patients at Chatturat hospital from 1 June 2016 to 31 March 2017 from the electronic database (HOSxP) and patient interviews.
Result: From 153 patients enrolled in the study, the majority was female (79.1%) and mean age was 60.65 ± 9.77 years.
Base on Goal 1, achievement of FBS goal form all visits and form all patients were 32.5% and 13.1%, respectively, and for HbA1c were 37.9% and 22.9%, respectively. Based on Goal 2, achievement of FBS goal from all visits and from all patients were 44.2% and 22.2%, respectively, and for HbA1c were 53.9% and 45.8%, respectively. In this study, 49 patients (32.0%) experienced hypoglycemia, and 43 patients of these (87.8%) should have been targeted non-strictly for glycemic control.
Conclusion: Targeting patients according to Goal 1 achieved less glycemic control, when compared to Goal 2