The current status of diabetes and prediabetes among Khmer people in Hau Giang province and evaluation of the effectiveness of some intervention measures - 22


When was the last time you were measured by a health care professional?

Within 12

1


blood pressure is when?

month

2

H2a


1-5 years

3



No measurement in 5




year


H2b

Have you ever been told by a doctor or medical professional

Does your doctor say you have high blood pressure?

Have

Are not

1

2


Have you ever heard a doctor/health worker say that

Have

1

H3

Do you have heart disease (eg angina,

Are not

2


myocardial infarction)




(for women only)

Have

1

H4a

Have you ever been pregnant?

Are not

2


Are not?




In such pregnancies, how many

Have

1

H4b

Now you have been diagnosed with diabetes by your doctor.

Are not

2


or blood sugar disorders?

Don't know



Have you ever given birth to a baby weighing more than 4 kg?

Have

1

H4c

Are not?

Are not

2



Don't know

3


Does anyone in your family (parents, siblings) have the disease?

Have

1

H5

diabetes?

Are not

2



Don't know

3

Height and weight

Code


BMI

< 18.5

1

M1


18.5 -<23

2



≥ 23

3

Waist

M2

Waist

(in centimeters)……………….cm

M3

Hips

(in centimeters)……………….cm

M4

WHR


Blood pressure

Code column

Maybe you are interested!

The current status of diabetes and prediabetes among Khmer people in Hau Giang province and evaluation of the effectiveness of some intervention measures - 22


1st measurement Systolic BP

Systolic mmHg

……………

M4b

diastolic blood pressure

Diastolic mmHg

…………..

M5a

Second measurement of systolic blood pressure

Systolic mmHg

……………

M5b

diastolic blood pressure

Diastolic mmHg

……………

M6

In the past 2 weeks, have you been using

Have

1


medicine to treat high blood pressure?

Are not

2

Testing

Encoded column

M7

In the past 12 hours, besides drinking water, have you

eat or drink anything else?

Have

Are not

1

2

M8

Time of day to take sample

(24 hour clock)


…..hour…..

minute…



Diabetes

1

M9

Blood sugar

Labor Law

2



Normal

3


Measure Blood Sugar 2nd Time (Do the test)

Diabetes

1


M10

glucose tolerance if 1st time RLĐHLĐ)

RLDNG

Normal

2

3


HbA1c (When tested 1st and 2nd time is

Good < 5.7

1

M11

Labor and Employment Laws and Labor Relations

Fair 5.7 – 6.5

Poor ≥ 6.5

2

3




High Low B. Normal

Male

Female



≥ 20%

≥ 30%

M12

Body opening ratio

< 10

< 20



10- < 20

20- < 30


Organ opening rate

Height >9

1

M13


Normal (1 – 9)

2


Risk of progression to type 2 diabetes in

Short

1


10 years

Low light

2

M14


Medium

3



High

4



Very high

5

quit

Encoded column

T1


Eat sweet

Eat more Eat less

1

2

T2


Eat fat

Eat a lot

Eat less

1

2

M4a


Eat fat

Eat a lot

Eat less

1

2

T4


Have dinner

Eat before 8pm

Eat after 8pm

1

2

T5


Eat fruit

Eat a lot

Eat less

1

2

Knowledge

(Rating by illustration card)


Encoded column


K1

Diabetes prevention knowledge

Good Fair Poor

1

2

3


K2

Attitude to prevent diabetes

Good Fair Poor

1

2

3


K3

Practice on diabetes prevention

Good

Pretty Poor

1

2

3


K4

Know the risk factors

Know

1

2

K5

Know how to detect diabetes

Know

1

2


K6


Know how to prevent diabetes

Know

1

2

K7

Know the consequences of diabetes

Know

1

2

T3


Investigator...........................


Investigator...........................


APPENDIX 2


HAU GIANG DEPARTMENT OF HEALTH


DIABETES RISK MONITORING BOOK


File number:………………


Full name:…………………………………………………

Date of birth: ……/……/…………

Gender: Male Female

Occupation:…………………………………………………………………………………………………………... Address:……………………………………..Commune……………………….District………………………………..

Contact phone number:……………………………………………………………………………………


Personal history

1

Weight at heaviest………………….kg

Child's birth weight over 3.5kg: ………times Child's birth weight under 2.6kg: ………times Smoking: Yes No

2

3

4


5

Drink alcohol: Yes No


Already diagnosed

Place of diagnosis

6

Hypertension

Yes No


7

Myocardial ischemia

Yes No


8

Stroke

Yes No


9

Gestational diabetes

Yes No


Family history (father, mother, siblings)


1

Obesity

Yes No

4

Cardiovascular disease

Yes No


2

Diabetes

Yes No

5

Hypertension

Yes No

3

Lipid disorders

Yes No

6

Mobile money

Yes No

7

Other diseases: (specify)……………………………….......

EXAMINATION AND TEST RESULTS


The…

Day……

The…

Day……

The…

Day……

The…

Day……

The…

Day……

The…

Day……

The…

Day……

Weight (kg)








Waist circumference (cm)








Height (cm)








BMI (kg/m2)








Blood pressure when resting









(mmHg)








Fasting blood glucose

(mmol/l)








HbA1c








Body fat








Visceral fat








Implementation results

Have

Are not

Have

Are not

Have

Are not

Have

Are not

Have

Are not

Have

Are not

Have

Are not

Drink alcohol















Smoke















Eat salty















Eat a lot of fat















Physical exercise















Eat sugar















Eat vegetables and fruits















Eat after 8pm















SELF ASSESSMENT








CONFIRMATION OF COLLEAGUE








APPENDIX 3


Khmer people aged 45 and over were selected for the study.



District


Commune

Number of people

Khmer ethnic group

Number of people from

45 years old

Rate (%)

select

Sample selection

Long My

Phien Commune

3328

931

22.9

213

Luong Nghia

3217

943

22.9

216


Water

Water

2570

799

22.9

183

Vinh Trung

2910

814

22.9

186

Chau Thanh A

The Clog

1820

642

22.9

147

Seven Thousand

1928

676

22.9

155

Total

06

16,573

4,805

22.9

1100


Number of subjects selected for intervention and control samples of communes


Social proof

Sample certificate

Social intervention

Intervention form

Water

183

The Clog

147

Vinh Trung

186

Seven Thousand

155

2

369

2

302

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