Effects of Carbohydrate Reduction Program and Telemonitoring on Glycosylated Hemoglobin in Patients with Poorly Controlled Type 2 Diabetes: A Randomized Controlled Trial
R Jantraporn, P Pichayapinyo*, สุนีย์ ละกำปั่น, กรภัทร มยุระสาคร
Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok 10400, Thailand; Phone: +66 84 8767899 Fax: +66 2 3548542; Email: panan.pic@mahidol.ac.th
Objective: To examine whether a carbohydrate reduction program combined with telemonitoring improves glycosylated hemoglobin (HbA1c) in patients with poorly controlled type 2 diabetes. Materials and Methods: A randomized controlled trial with two-group pretest-posttest design and follow-up was conducted in the Primary Care Unit at Siriraj Hospital, Bangkok, Thailand. Fifty-three patients with poorly controlled type 2 diabetes aged from 35 to 59 years were randomly assigned to two groups, an experimental group (n = 26) that received both routine care and a dietary carbohydrate program applying telephone monitoring, and a comparison group (n = 27) that received only routine care. HbA1c was assessed at baseline and at 12 weeks. Dietary self-efficacy and consumption behavior were measured at baseline, 8 weeks, and 12 weeks. Results: According to the findings, the HbA1c levels in the experimental group at 12 weeks showed significant improvement compared to baseline and the comparison group (p<0.05). The mean difference in dietary self-efficacy and consumption behavior at 12-week were significantly higher than baseline and greater than those in the comparison group (p<0.05). Conclusion: The study program was effective in decreasing HbA1c levels because the program enhanced patients’ confidence in dietary control, which improved consumption behavior.
วารสารจดหมายเหตุทางการแพทย์ ปี 2562, May ปีที่: 102 ฉบับที่ 5 หน้า 523-529
Type 2 diabetes, carbohydrates, Telemonitoring, Glycosylated hemoglobin