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学科主题: 临床医学
题名:
Determinants for inadequate glycaemic control in Chinese patients with mild-to-moderate type 2 diabetes on oral antidiabetic drugs alone
作者: Zhang Shao-ling1; Chen Zong-cun1; Yan Li1; Chen Li-hong1; Cheng Hua1; Ji Li-nong2
关键词: type 2 diabetes mellitus ; glycaemic control ; haemoglobin A(IC) ; oral antidiabetic drug ; obsevational study
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2011-08-20
DOI: 10.3760/cma.j.issn.0366-6999.2011.16.012
卷: 124, 期:16, 页:2461-2468
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: GLUCOSE CONTROL ; PLASMA-GLUCOSE ; RISK-FACTORS ; MELLITUS ; PREVALENCE ; MANAGEMENT ; COMPLICATIONS ; TRIGLYCERIDES ; HYPERGLYCEMIA ; POPULATIONS
英文摘要:

Background Prevalence of inadequate glycaemic control among patients with type 2 diabetes mellitus (T2DM) remains high. We assessed glycaemic control in the real-life practice among people with T2DM in metropolises in China who were treated with oral antidiabetic drugs (OAD) alone and to determine factors associated with inadequate glycaemic control in this population.

Methods An observational, cross-sectional multicentre study was conducted in 16 metropolitan medical centers. People with T2DM who had been followed-up before the index visit which occurred from January to September 2007 were included in the study. All subjects were >= 30 years of age at the time of T2DM diagnosis and had received monotherapy or combination therapy of OAD for at least 6 months. Demographic and clinical data were collected from medical records. The main study outcome was the inadequate glucose control rate, which was calculated by the proportion of patients with haemoglobin A(1C) (HbA(1C)) >= 6.5% detected on the index visit.

Results In this cohort of 455 patients with T2DM whose mean age was 60.6 years and mean disease duration was 6.1 years, 45.5% had inadequate glycaemic control. The mean (SD) HbA(1C) was 6.7% (1.3). Multivariate Logistic regression showed that physical inactivity, disease duration >10 years, body mass index (BMI) >= 24 kg/m(2), low homeostasis model assessment of beta-cell function (HOMA-beta) index, less frequency of medical visit and hypertriglyceridaemia were independent determinants of inadequate glycaemic control. Higher incidence of self-reported hypoglycemia experience (47.1% vs. 34.8%, P=0.008) and more fear of hypoglycemia quantified by Worry subscale of the Hypoglycaemia Fear Survey (HFS) II were happened in subjects with good glycemic control.

Conclusion Approximately one half of these outpatients with T2DM from the metropolitan medical centers in China had inadequate glycaemic control treated with OAD alone, which raises the need for more effective educational and therapeutic approaches on management of hypertriglycemia, enhancing physical exercise and weight control, and at the same time, lowering the hypoglycemic risk and diminishing the hypoglycemic fear of patients. Chin Med J 2011;124(16):2461-2468

语种: 英语
项目资助者: Merck Sharp &amp ; Dohme (MSD) Pharmaceutical Co., Ltd, China
WOS记录号: WOS:000294584200012
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55325
Appears in Collections:北京大学第二临床医学院_内分泌科_期刊论文

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作者单位: 1.Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Affiliated Hosp 2, Dept Endocrinol, Guangzhou 510120, Guangdong, Peoples R China
2.Peking Univ, Peoples Hosp, Dept Endocrinol, Beijing 100044, Peoples R China

Recommended Citation:
Zhang Shao-ling,Chen Zong-cun,Yan Li,et al. Determinants for inadequate glycaemic control in Chinese patients with mild-to-moderate type 2 diabetes on oral antidiabetic drugs alone[J]. CHINESE MEDICAL JOURNAL,2011,124(16):2461-2468.
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