A dataset from a nationwide assessment of type 2 diabetes mellitus (T2DM)
patients fromThailandwas reassessed. Objective: Prevalence of T2DM is highest in the northeast ofThailandand
the intention of the study was to assess whether the clinical picture and
behavior of patients from the northeast differ from the rest of the country.
Materials and Methods: The variables of two groups of patients i.e. those from the northeast ofThailandand patients from the remaining three
other regions, with the exception ofBangkok,
were compared. The dataset consisted out of clinical laboratory data and the
results of a questionnaire recording knowledge and admitted compliance of
patients. Results: A higher proportion of patients from the northeast have
elevated triglyceride levels and lower high density lipoprotein (HDL)
fractions in comparison with the patients derived from the other three regions.
The northeasterners know very well and better than the patients of the other
regions how to take care of them while having T2DM yet the proportion of those
with glycated hemoglobin (HbA1c)
values over 6.4% was higher for them than for the other group of patients.
Conclusion: In depth investigation by health
educators would be useful in order to find out how the relationship
between knowledge and practice could be improved for patients from the northeast
Cite this paper
Srivanichakorn, S. , Yana, T. , Sanchaisuriya, P. , Maw, Y. and Schelp, F. (2013) Importance of regional differences in the features of type 2 diabetes mellitus in one and the same country—The example of Thailand. Journal of Diabetes Mellitus, 3, 150-155. doi: 10.4236/jdm.2013.33023.
 WHO (2005) Preventing chronic diseases: A vital investment.
 Healey, B. and Zimmerman Jr., R. (2010) The new world of health promotion. Jones & Bartlett Publishers, Sudbury.
 Aekplakorn, W., et al. (2007) Prevalence and management of diabetes and associated risk factors by regions of Thailand: Third national health examination survey 2004. Diabetes Care, 30, 2007-2012.
 Srivanichakorn, S., et al. (2011) Health status of diabetes type 2 patients in Thailand contradicts their perception and admitted compliance. Primary Care Diabetes, 5, 195-201. doi:10.1016/j.pcd.2011.02.005
 Aekplakorn, W., Srivanichakorn, S., and Sangwatanaroj, S. (2009) Microalbuminuria and metabolic risk factors in patients with type 2 diabetes in primary care setting in Thailand. Diabetes Research Clinical Practice, 84, 92-98.
 Report of a World Health Organization Consultation (2011) Use of glycated haemoglobin (HbA1c) in the diagnosis of diabetes mellitus. Diabetes Research Clinical Practice, 93, 299-309.
 Chaisiri, K., et al. (1998) Nutritional status and serum lipids of a rural population in Northeast Thailand—An example of health transition. International Journal of Vitamin and Nutrition Research, 68, 196-202.
 Pongpaew, P., et al. (1978) Serum lipid pattern in urban and rural Thai population. Journal of Nutritional Science and Vitaminology (Tokyo), 24, 289-296.
 Parks, E.J. and Hellerstein, M.K. (2000) Carbohydrateinduced hypertriacylglycerolemia: Historical perspective and review of biological mechanisms. American Journal of Clinical Nutrition, 71, 412-433.
 Chen, Y.J., et al. (2010) Glycemic index and glycemic load of selected Chinese traditional foods. World Journal of Gastroenterology, 16, 1512-1517.
 Lim, N.K., et al. (2012) A Risk Score for Predicting the Incidence of type 2 diabetes in a middle-aged Korean cohort. Circulation Journal, 76, 1904-1910.
 Immuong, U., Charerntanyarak, L. and Furu, P. (2009) Community perceptions of health determinants in Khon Kaen Province, Thaland. Southeast Asian Journal of Tropical Medicine and Public Health, 40, 380-391.