title: Health status of diabetes type 2 patients in Thailand contradicts their perception and admitted compliance.
abstract: A nationwide data set about the health status of diabetes mellitus type 2 (DM) patients and a questionnaire of a sub-sample of the DM patients about their know-how, behavior and perception about health care had been re-assessed. Laboratory results revealed that in average 70% of the patients had been over nourished, over 50% had abnormal cholesterol-, over 55% had high triglyceride levels and 51% had high density lipid (HDL) values below 45 mg/dl. Sixty percent of patients had glycated hemoglobin (HbA1c) levels over 7%. About 60% of study participants answered a questionnaire. In contrast to the laboratory findings about 90% claimed to take the medicine as the doctor advised, 60% said that they adjusted their food intake as advised and more than 80% said that they know well how to take care of themselves. They were only superficially informed about the complications of DM. Almost 95% were satisfied with the health service they receive and over 70% were satisfied with their health status. The results are discussed in connection with the need to control DM on the basis of primary health care (PHC). It is argued that the assessment of health programs solely through questionnaires might be misleading, if the findings are not confirmed by clinical and biochemical parameters.
authors: ASEAN Institute for Health Development, Bhuddhamonthon 4 Rd, Salaya Sub-district, Bhuddhamonthon District, Nakornpathom 73170, Thailand.
authors: Supattra
authors: S
authors: Srivanichakorn
authors: Nattaporn
authors: N
authors: Sukpordee
authors: Tassanee
authors: T
authors: Yana
authors: Pattara
authors: P
authors: Sachchaisuriya
authors: Frank Peter
authors: FP
authors: Schelp
mesh_terms: D015415:Biomarkers / Q000097:blood; D016009:Chi-Square Distribution; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D004032:Diet; D005247:Feeding Behavior; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006305:Health Status Indicators; D006306:Health Surveys; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008055:Lipids / Q000097:blood; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D010465:Perception; D011320:Primary Health Care; D011787:Quality of Health Care; D040242:Risk Reduction Behavior; D012648:Self Care; D011795:Surveys and Questionnaires; D013785:Thailand / Q000453:epidemiology
chemical_list: D015415:Biomarkers; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D008055:Lipids; C517652:hemoglobin A1c protein, human