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Frequency of glycated hemoglobin monitoring was inversely associated with glycemic control of patients with Type 2 diabetes mellitus
Fu, C.; Ji, L.2; Wang, W.; Luan, R.3; Chen, W.4; Zhan, S.5; Xu, B.1
关键词Cross-sectional study glycemic control HbA(1c) Type 2 diabetes mellitus urban China
刊名JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION
2012-03-01
DOI10.3275/7743
35期:3页:269-273
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Endocrinology & Metabolism
研究领域[WOS]Endocrinology & Metabolism
关键词[WOS]BLOOD-GLUCOSE CONTROL ; COMPLICATIONS ; MANAGEMENT ; CHINA ; IMPACT ; COSTS
英文摘要

Background: The frequency of monitoring glycated hemoglobin (HbA(1c)) and its impact on glycemic control of Chinese Type 2 diabetes mellitus (T2DM) patients have not been well understood. Aim: To explore the current status of the glycemic control, the frequency of HbA(1c) monitoring, and their relationship in T2DM outpatients in urban China. Subjects and methods: A cross-sectional study was carried out in 15 hospitals purposely sampled from 4 cities of China. T2DM outpatients were consecutively recruited, and underwent a face-to-face interview in outpatient consulting rooms using a self-developed structured questionnaire to collect information. All consented patients were invited to have a free HbA(1c) test. Results: Among 1511 subjects, the average level of HbA(1c), was 8.1 +/- 1.6% with the ideal percents of 13.6% and 24.8% (HbA(1c)<6.5% and <7.0%, respectively). Less than 1/3 (339/1157) had received 2 or more HbA(1c) tests per yr, and they had a significantly lower average of HbA(1c) than those having only 1 or no test per yr (F=5.012, p=0.007). After adjustment for possible confounders including age, gender, and city, there was a significantly inverse association with adjusted odds ratios of 2.56 [95% confidence interval (CI): 1.71, 3.86] and 1.67 (95% CI: 1.11, 2.50), respectively, between the frequency of monitoring HbA(1c), (null, once vs >= 2 times per yr) and worse glycemic control (HbA(1c)>= 7.0%). Conclusions: Glycemic control of T2DM outpatients was poor in urban China. Frequency of HbA(1c) monitoring is seriously insufficient in majority of patients. Lower frequency of HbA(1c) monitoring is significantly associated with poor glycemic control. (J. Endocrinol. Invest. 35: 269-273, 2012) (C)2012, Editrice Kurtis

语种英语
WOS记录号WOS:000305039600005
项目编号B118 ; G16916403
资助机构GlaxoSmithKline (China) Investment Co. Ltd ; Shanghai Leading Academic Discipline Project ; China Medical Board ; Distinguished Professorship Award
引用统计
被引频次:9[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/62916
专题北京大学第二临床医学院
北京大学基础医学院
作者单位1.Fudan Univ, Sch Publ Hlth, Dept Epidemiol, Key Lab Publ Hlth Safety,Minist Educ, Shanghai 200032, Peoples R China
2.Peking Univ, Peoples Hosp, Beijing 100871, Peoples R China
3.Sichuan Univ, W China Sch Publ Hlth, Chengdu 610064, Peoples R China
4.Sun Yat Sen Univ, Sch Publ Hlth, Guangzhou 510275, Guangdong, Peoples R China
5.Peking Univ, Sch Publ Hlth, Beijing 100871, Peoples R China
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GB/T 7714
Fu, C.,Ji, L.,Wang, W.,et al. Frequency of glycated hemoglobin monitoring was inversely associated with glycemic control of patients with Type 2 diabetes mellitus[J]. JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION,2012,35(3):269-273.
APA Fu, C..,Ji, L..,Wang, W..,Luan, R..,Chen, W..,...&Xu, B..(2012).Frequency of glycated hemoglobin monitoring was inversely associated with glycemic control of patients with Type 2 diabetes mellitus.JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION,35(3),269-273.
MLA Fu, C.,et al."Frequency of glycated hemoglobin monitoring was inversely associated with glycemic control of patients with Type 2 diabetes mellitus".JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION 35.3(2012):269-273.
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