Additionally, there was an overall trend of SAR reduction in Bangkok and central regions, where human and financial resources were traditionally concentrated, and increase in northeastern regions, where the resources were traditionally scarce, over the eight years [ 10 , 32 ].
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Hospital admission for type 2 diabetes mellitus under the Universal Coverage Scheme in Thailand: A time- and geographical-trend analysis, 2009-2016.
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As for the SARs for the complications of T2DM, most regions showed a decreasing trend for each of the complications except for SAR of T2DM with CKD in Region 9 that increased from 0.86 to 1.05 in the same period; MI in Region 7 that increased from 0.88 in 2009 to 1.01 in 2016; cerebrovascular diseases that increased in Regions 7 and 9 between 2009 and 2016, from 0.83 to 1.03 and 0.65 to 1.11, respectively; retinopathy that increased in Regions 8 and 11 (Surat Thani) from 0.43 to 1.11 and 0.52 to 1.00, respectively; foot amputation that in northeastern regions of Regions 7 and 8 that increased from 1.35 to 1.61 and 1.24 to 1.43, respectively.