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, HbA1c, 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 mmol/L and HbA1c<7.0%. Results: The proportion of patients with ideal blood glucose, FPG, PPG, and HbA1c 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.