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.
第一作者单位:[1]Second Mil Med Univ Chinese PLA, Changhai Hosp, Dept Endocrinol, Shanghai, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Chen Rong,Ji Linong,Chen Liming,et al.Glycemic Control Rate of T2DM Outpatients in China: A Multi-Center Survey[J].MEDICAL SCIENCE MONITOR.2015,21:1440-1446.doi:10.12659/MSM.892246.
APA:
Chen, Rong,Ji, Linong,Chen, Liming,Chen, Li,Cai, Dehong...&Zou, Dajin.(2015).Glycemic Control Rate of T2DM Outpatients in China: A Multi-Center Survey.MEDICAL SCIENCE MONITOR,21,
MLA:
Chen, Rong,et al."Glycemic Control Rate of T2DM Outpatients in China: A Multi-Center Survey".MEDICAL SCIENCE MONITOR 21.(2015):1440-1446