Controlling status of type 2 diabetes in chongming county: A survey / 第二军医大学学报

ABSTRACT

Objective To evaluate the controlling status of type 2 diabetes (T2DM) in Chongming County, a suburban region of Shanghai. Methods A total of 10,060 residents were selected from the Chengqiao Town of Chongming County by using random cluster sampling, and the subjects ranged in age 40-70 years old, with 989 of them previously diagnosed as T2DM patients. The level of control was evaluated according to Chinese Type 2 Diabetes Prevention Guidelines (2010 version). Results (1) The 989 patients with T2DM had an average age of (56. 41 + 7. 78) years, a mean disease duration of (7. 41 + 5. 72) years and an average hemoglobin Alc(HbAlc) level of (7. 60 + 1. 70)% And 433(43. 78%) patients had HbAlc<7%. (2) The patients were divided into untreated group (accounting for 58. 65%), oral hypoglycemic therapy group (33. 16%), oral hypoglycemic agents plus insulin treatment group (4. 25%), and insulin-treated group (3. 94%), the average HbAlc levels of the latter two groups were significantly higher than that of the untreated group, and the HbAu compliance rates were significantly lower than that of the untreated group (P<0. 01). (3) For the 989 patients, the mean high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and triacylglycerol (TG) were (1. 17 + 0. 30), (2. 63 + 0. 80) and (1. 99 + 1. 57) mmol/L, respectively, and 124(12. 54%) patients had their HDL-C, LDL-C, and TG levels meeting the standard. We also found that 87. 46% of the patients had diabetic dyslipidemia, but only 0. 91% of them were taking lipid-lowering drugs. (4) For the 989 patients, the mean systolic blood pressure (SBP) was (138. 45 + 19. 17) mmHg (1 mmHg = 0.133 kPa) and the diastolic blood pressure (DBP) was (80. 93 ± 9. 70) mmHg, with 23. 46% of them having blood pressure <130/80 mmHg, 52. 38% also having hypertension, and 27. 70% taking antihypertensive drugs. (5) The average body mass index (BMI) of the patients was (25. 17 + 3. 22) kg/m2, with those BMK24 kg/m2 accounting for 36. 30%. (6) Totally 13 (1. 31%) patients had their glucose, blood lipids, blood pressure, and BMI meeting the standard. Conclusion The control of blood sugar, blood lipids, blood pressure, and BMI of T2DM patients in our sample are greatly behind those required by Chinese Type 2 Diabetes Prevention Guidelines (2010 version), and the starting time of insulin treatment has lagged far behind.