Glycemic control rate of T2DM outpatients in China: a multi-center survey.

Abstract:

BACKGROUND:Type 2 diabetes mellitus (T2DM)-associated mortality and morbidity are strongly dependent on glycemic control. With T2DM prevalence increasing in China, we aimed to assess glycemic control rates in Chinese T2DM outpatients. MATERIAL/METHODS:A total of 9065 adult T2DM outpatients (5035 men) were assessed in 26 Chinese medical centers between August 2010 and April 2012. Patients were stratified according to BMI (kg/m2): <24, 24-28, and >28. Successful glycemic control was defined as glycated hemoglobin A1c (HbA1c) ≤7% or fasting plasma glucose (FPG) <7.0 mmol/L. RESULTS:Among the participants included in this study, 2939 had BMI <24, 3361 had BMI of 24-28, and 2764 had BMI >28. The glycemic control rate was only 32.6%, and the triple control rate for glycemia, blood pressure, and lipidemia was only 11.2%. Glycemic control rates by BMI group were 33.7% (<24), 33.8% (24-28), and 30.2% (>28) (p=0.005), and corresponding incidences of cardiovascular diseases (CVD) were 12.2%, 15.7%, and 15.9% (p<0.001). Multivariate logistic regression analysis demonstrated that older age (p<0.001), higher BMI (p=0.026), larger waist circumference (p<0.001), less education (p<0.001), and recent diagnosis (p<0.001) were independent risk factors for poor glycemic control. CONCLUSIONS:The T2DM glycemic control rate in China is currently low, especially in older obese patients with poor education and recent diagnosis.

journal_name

Med Sci Monit

authors

Chen R,Ji L,Chen L,Chen L,Cai D,Feng B,Kuang H,Li H,Li Y,Liu J,Shan Z,Sun Z,Tian H,Xu Z,Xu Y,Yang Y,Yang L,Yu X,Zhu D,Zou D

doi

10.12659/MSM.892246

subject

Has Abstract

pub_date

2015-05-19 00:00:00

pages

1440-6

eissn

1234-1010

issn

1643-3750

pii

892246

journal_volume

21

pub_type

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