Impact factors of glycemic control in patients with short-term history type 2 diabetes mellitus in Pujiang community in Shanghai / 上海交通大学学报（医学版）

ABSTRACT

Objective·To access glycemic control status and investigate its impact factors of patients with short-term history of type 2 diabetes mellitus in Pujiang Town,Minhang District,Shanghai.Methods·The clinical information was collected by a standard questionnaire in 1 994 type 2 diabetic mellitus patients from the community.FPG,HbA lc,and PPG after meal of 100 g steamed bread made of standard flour were measured.429 patients with 5-years duration of diabetes were qualified in the final analysis.Ideal blood glucose control was FPG＜7.0 mmol/L,PPG＜10.0 rnmol/L and HbAlc＜7.0％.Results·The proportion of patients with ideal blood glucose,FPG,PPG,and HbAlc control were 7.9％,32.6％,12.6％ and 38.2％,respectively.Patients with middle school-and high school-education were at lower risks for poor glycemic control (age-and sex-adjusted OR=0.60,95％ CI 0.37-0.96).Duration of diabetes,insulin resistance and blood pressure were negatively associated with glycemic control (age-and sex-adjusted,OR=1.95,95％ CI 1.30-2.91;OR=2.52,95％ CI 1.57-4.03;OR=1.94,95％ CI 1.22-3.09,respectively).Conclusion·Patients in Pujiang community had substantially poor glycemic control.Less-educated diabetic patients should be emphasized on the importance of postprandial glycemic control.