https://scholars.lib.ntu.edu.tw/handle/123456789/540624
標題: | Blood sugar control among type 2 diabetic patients who travel abroad: A cross sectional study | 作者: | Lin I.-W. HAO-HSIANG CHANG YI-HSUAN LEE Wu Y.-C. CHIA-WEN LU KUO-CHIN HUANG |
公開日期: | 2019 | 出版社: | NLM (Medline) | 卷: | 98 | 期: | 13 | 起(迄)頁: | e14946 | 來源出版物: | Medicine | 摘要: | The dose adjustment of anti-diabetic drugs during traveling abroad remains an important issue for the diabetic patients. However, there are few studies exploring the changes in blood sugar in patients with type 2 diabetes mellitus (T2DM) when traveling abroad. The study aimed to investigate the hypoglycemic episodes, sugar control, and associated factors during travel among patients with T2DM.A questionnaire was administrated to T2DM patients visiting the family medicine clinic in a medical center from September 2016 to April 2017. The Chi-square test was used to examine the differences in risk factors of hypoglycemia between hypoglycemic group and non-hypoglycemic group. Multivariate logistic regression models were used to examine the risk factors for the hypoglycemia.A total of 65 males and 74 females completed the questionnaire. The mean age was 59.3?±?12.1 year olds, the mean BMI was 28.1?±?5.9?kg/m, and the mean HbA1C was 7.4?±?1.1%. There was 8.6% of diabetic patients reporting hypoglycemic episodes during travel. The hypoglycemic episodes were significantly related to the numbers of crossing time zones after adjusting for possible confounders. Only 21.6% of subjects told physicians their travel plan whereas two third of the physicians did not provide pre-travel consultation.The hypoglycemic episodes sometimes occurred and were related to the numbers of crossing time zones in diabetic travelers. The proportion of pre-travel consultation was low in patients with T2DM. Besides, most of the physicians did not offer pre-travel education when patients mentioned their traveling plan. The willing and ability of physicians to offer the pre-travel diabetic education deserved further investigation. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064120432&doi=10.1097%2fMD.0000000000014946&partnerID=40&md5=e8fdd6b4f9fdec854d212ec0390711d5 https://scholars.lib.ntu.edu.tw/handle/123456789/540624 |
ISSN: | 1536-5964 | DOI: | 10.1097/MD.0000000000014946 | SDG/關鍵字: | glycosylated hemoglobin; hemoglobin A1c protein, human; aged; body mass; complication; cross-sectional study; drug effect; female; glucose blood level; human; hypoglycemia; male; middle aged; non insulin dependent diabetes mellitus; patient education; questionnaire; retrospective study; risk factor; statistics and numerical data; travel; Aged; Blood Glucose; Body Mass Index; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Female; Glycated Hemoglobin A; Humans; Hypoglycemia; Male; Middle Aged; Patient Education as Topic; Retrospective Studies; Risk Factors; Surveys and Questionnaires; Travel |
顯示於: | 醫學系 |
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