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Glycemic Control Rate of T2DM Outpatients in China: A Multi-Center Survey

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单位: [1]Second Mil Med Univ Chinese PLA, Changhai Hosp, Dept Endocrinol, Shanghai, Peoples R China [2]Peking Univ, Peoples Hosp, Beijing 100871, Peoples R China [3]Tianjin Med Univ, Dept Metab Dis, Tianjin, Peoples R China [4]Shandong Univ, Qilu Hosp, Dept Endocrinol, Jinan, Shandong, Peoples R China [5]First Mil Med Univ, Zhujiang Hosp, Dept Endocrinol, Guangzhou, Guangdong, Peoples R China [6]Shanghai East Hosp, Dept Endocrinol, Shanghai, Peoples R China [7]Harbin Med Univ, Dept Endocrinol, Harbin, Heilongjiang, Peoples R China [8]Zhejiang Univ, Sir Run Run Shaw Hosp, Sch Med, Dept Endocrinol, Hangzhou 310003, Zhejiang, Peoples R China [9]Fudan Univ, Huashan Hosp, Dept Endocrinol, Shanghai 200433, Peoples R China [10]Gansu Prov Hosp, Dept Endocrinol, Lanzhou, Gansu, Peoples R China [11]China Med Univ, Affiliated Hosp 1, Dept Endocrinol, Shenyang 110001, Liaoning, Peoples R China [12]Southeast Univ, Zhongda Hosp, Dept Endocrinol, Nanjing, Jiangsu, Peoples R China [13]Sichuan Univ, West China Hosp, Dept Endocrinol, Chengdu 610064, Sichuan, Peoples R China [14]306th Hosp PLA, Dept Endocrinol, Beijing, Peoples R China [15]Wuhan Univ, Zhongnan Hosp, Dept Endocrinol, Wuhan 430072, Hubei, Peoples R China [16]Heilongjiang Prov Hosp, Dept Endocrinol, Harbin, Heilongjiang, Peoples R China [17]Fujian Med Univ, Affiliated Hosp 1, Dept Endocrinol, Fuzhou, Fujian, Peoples R China [18]Tongji Hosp, Dept Endocrinol, Wuhan, Hubei, Peoples R China [19]Nanjing Univ, Affiliated Hosp, Nanjing Drum Tower Hosp, Med Sch,Dept Endocrinol, Nanjing 210008, Jiangsu, Peoples R China
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关键词: China Diabetes Mellitus Type 2 Epidemiology Obesity

摘要:
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/m(2)): <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.

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出版当年[2014]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
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出版当年[2013]版:
Q3 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q3 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者单位: [1]Second Mil Med Univ Chinese PLA, Changhai Hosp, Dept Endocrinol, Shanghai, Peoples R China
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