南京社区2型糖尿病患者血糖控制不良及其影响因素分析
(0) Objective:To evaluate the level of glycemic management among diabetic patients in 11 communities of Nanjing,China,and to assess the possible correlations with unsatisfactory glucose control,so as to improving glucose management. Research Design:Cross-sectional study (2011-2013).Subjects:A total of 2454 community-dwelling Chinese patients with type 2 diabetes were included (mean age,65.17y;64.6％ male),recruited from ”5+1” Diabetes Community Management Research ”This work was supported by National Natural Science Foundation of China”.Measurements:All data were collected once patients were willing to participate in our community management research, including glycosylated hemoglobin (HbAlc) status (obtained from a central laboratory) and glucose-lowering treatment options.Associations between not achieving glycemic target and potential factors were tested using bivariate and multivariate analyses. Results:Of 2454 patients extracted,55.26% initially achieved the target of HbAlc<7%.The mean HbAlc,systolic/diastolic blood pressure,low density lipoprotein cholesterol (LDL-c),total cholesterol(TC) and triglycerides (TG) of the enrolled patients was 7.13(±1.58)%,129.76(±14.69)/77.14(±9.16)mmHg,2.66(±0.90)mmol/L,4.74(±1.14)rnmol/L and 1.72(±1.46)mmol/L separately.In both bivariate and multivariate analyses,male,FBG,LDL-c,TG and increasingly complex antidiabetic treatment programs were significantly associated with HbAlc>7%.However,it was found that smoking,drinking,diabetes duration,BMI,waist circumference and systolic blood pressure were significantly associated with not accomplishing the glycemic target only in bivariate analyses.Besides,in male patients,BMI and LDL-c were significantly associated with HbAlc>7%,but not so in female patients. Conclusions:The glycemic control of diabetic patients in Chinese communities of Nanjing was suboptimal.In our consecutive Diabetes Community Management Study,corresponding interventions can be applied to those factors that can be influenced,in order to raise the standard-achieving rate of glycemic control.
2型糖尿病 老年患者 血糖控制 社区管理
单珊 娄青林 卞茸文
江苏省省级机关医院 江苏省老年医院 糖尿病防治、教育、研究中心
国内会议
成都
中文
196-196
2014-05-23（万方平台首次上网日期，不代表论文的发表时间）