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标题：Predictors of Glycemic Control among Patients with Type 2 Diabetes in Western China: A Multi-center Cross Sectional Study
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作者：Yufang Xiang ; Biqi Ren ; Yue Chen 等
期刊名称：Biological and Pharmaceutical Bulletin
印刷版ISSN：0918-6158
电子版ISSN：1347-5215
出版年度：2021
卷号：44
期号：5
页码：620-626
DOI：10.1248/bpb.b20-00898
出版社：The Pharmaceutical Society of Japan
摘要：The prevalence of type 2 diabetes mellitus (T2DM) is increasing rapidly in China. Glycemic control is vital in this patient population. We designed a cross-sectional questionnaire to investigate glycemic control and associated factors in T2DM patients in Western China. The survey included patients’ medical history, blood glucose status, and therapeutic medications, as well as demographic data. The Chi-square test, Fisher’s exact test, and logistic regression were performed to analyze the data. The STROBE checklist was used to check the procedure. Among 510 T2DM patients included in this study, 47.5% of them had blood glucose control within the normal range, defined as glycated hemoglobin A1c (HbA1c) ≤7% or fasting plasma glucose (FPG) <7.0 mmol/L. The mean age of participants was 60.58 ± 11.20 years, with a male to female ratio of 1.02 : 1. Glycemic control was significantly associated with region ( p < 0.001), comorbidities ( p < 0.001), monitoring frequency ( p = 0.002), treatment with insulin ( p = 0.003), and medication compliance ( p < 0.001). Logistic regression analysis showed that unsuccessful glycemic control was significantly related to wealthier residence ( p < 0.001), more comorbidities ( p = 0.017), monitoring frequency ( p = 0.003), and medication incompliance ( p < 0.001). These results suggested that the level of glycemic control among T2DM patients in Western China was poor. It is necessary to carry out health management and nursing of diabetic patients from community, family and patients jointly.
关键词：diabetes mellitus;glycemic control;health management