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学科主题: 临床医学
题名:
Glycemic Control Rate of T2DM Outpatients in China: A Multi-Center Survey
作者: Chen, Rong1; Ji, Linong2; Chen, Liming3; Chen, Li4; Cai, Dehong5; Feng, Bo6; Kuang, Hongyu7; Li, Hong8; Li, Yiming9; Liu, Jing10; Shan, Zhongyan11; Sun, Zilin12; Tian, Haoming13; Xu, Zhangrong14; Xu, Yancheng15; Yang, Yuzhi16; Yang, Liyong17; Yu, Xuefeng18; Zhu, Dalong19; Zou, Dajin1
关键词: China ; Diabetes Mellitus, Type 2 ; Epidemiology ; Obesity
刊名: MEDICAL SCIENCE MONITOR
发表日期: 2015-05-19
DOI: 10.12659/MSM.892246
卷: 21, 页:1440-1446
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, Research & Experimental
研究领域[WOS]: Research & Experimental Medicine
关键词[WOS]: TYPE-2 DIABETES-MELLITUS ; BLOOD-GLUCOSE ; OBESITY ; DIABESITY ; DRUGS
英文摘要:

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.

语种: 英语
WOS记录号: WOS:000354697000001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/68269
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 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

Recommended Citation:
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.
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