Factors affecting the achievement of the target for blood glucose control among community patients with type 2 diabetes mellitus / 预防医学

ABSTRACT

Objective@#To investigate the achievement of the target for blood glucose control among community patients with type 2 diabetes mellitus (T2DM) and its influencing factors, so as to provide insights into developing blood glucose management strategies and intervention measures.@*Methods@#Basic information, lifestyle, medication use, disease history, and HbA1c test results of T2DM patients aged 18 years and older and living in Jinshan District, Shanghai Municipality for more than 6 months were collected through Jinshan District Chronic Disease Follow up Management System and district-level information platform. The proportion of blood glucose achieving the control target (HbA1c<7%) was analyzed. Factors affecting the achievement of the target for blood glucose control were identified using a multivariable logistic regression model.@*Results@#A total of 16 758 T2DM patients were included, with 7 844 males (46.81%) and 8 914 females (53.19%), and a median age of 69.00 (interquartile range, 12.00) years. There were 8 095 patients achieving the blood glucose control target, accounting for 48.31%. Multivariable logistic regression analysis showed that age (60-69 years, OR=0.749, 95%CI 0.675-0.832; 70-79 years, OR=0.892, 95%CI 0.801-0.993; ≥80 years, OR=1.238, 95%CI 1.086-1.411), body mass index (overweight, OR=0.926, 95%CI 0.863-0.993; obesity, OR=0.800, 95%CI 0.718-0.891), disease course (6-10 years, OR=0.728, 95%CI 0.673-0.787; ≥11 years, OR=0.534, 95%CI 489-0.583), smoking (daily, OR=0.792, 95%CI 0.730-0.860), drinking (daily, OR=0.788, 95%CI 0.642-0.967), medication adherence (intermittent, OR=0.293, 95%CI 0.271-0.317; self discontinuation, OR=0.074, 95%CI 0.064-0.087), hypertension (OR=0.643, 95%CI 0.588-0.703) and cardiovascular and cerebrovascular diseases (OR=0.671, 95%CI 0.563-0.800) were the influencing factors for the achievement of the target for blood glucose control among T2DM patients.@*Conclusion@#The blood glucose control among T2DM patients is mainly affected by age, body mass index, disease course, smoking, drinking, medication adherence and comorbidities.