The Relationship Between Stress And Type 2 Diabetes Mellitus Management In Ratchaburi Province, Thailand

Abstract

Stress is one of the triggers which has also been linked to a higher risk of T2DM. Nervous strain seems to have a direct and indirect influence on the probability of becoming ill. This research aims to express the effect of stress on blood glucose parameters and to outline the effect of stress on the glycemic control of the patients in Ratchaburi province, Thailand. Data were conducted in Sub-District Health Promoting Hospital in Ratchaburi province, Thailand from January 2018 to March 2018. The participants were diabetic patients aged over 18 years old who were selected by multistage cluster random sampling. The data covered 1,890 patients. The dependent was hemoglobin A1c test (HbA1c). Research findings showed that the mean age of respondents was 57.56 years (+12.10) and the number of male respondents was higher than that of women. Most respondents (36.20%) had completed a Bachelor’s degree. The majority of participants (28.35%) were employees. Regarding to duration of diabetes, the majority (28.35%) had 11-20 year. In terms of body mass index, 29.67% had body mass index between 25.0- 29.9 (overweight).  Nephropathy was the most complication and comorbidity at (33.63%). Furthermore, patients were mostly taking Antihypertensive (67.80%) and ACE Inhibitor or ARB (59.00%). The majority of HbA1c level (42.74%) was lower than 7.0%. It was found that there was a positive correlation between both the fasting blood glucose, post-prandial blood glucose levels, and the stress levels.