上海市浦东新区2型糖尿病患者血糖控制的影响因素分析

Analysis on influencing factors for achieving glycemic control in patients with type 2 diabetes mellitus in Pudong New Area of Shanghai

目的评价上海市浦东新区2型糖尿病患者血糖控制情况,了解血糖控制的影响因素。方法采用随机抽样方法,在2011年10月1日前随访管理的2型糖尿病患者中抽取618人,开展问卷调查和体格检查。根据2010年美国糖尿病学会(ADA)的血糖控制目标(糖化血红蛋白<7%),将被调查者分为血糖控制组和血糖控制不良组,采用Logistic回归分析,探讨血糖控制的影响因素。结果 580例2型糖尿病患者的糖化血红蛋白平均值为7.46%,各项指标检测的平均值均超过ADA推荐的糖尿病综合控制目标。多因素Logistic回归分析结果显示,病史长,腰臀比异常,超重或肥胖等因素为血糖控制不佳的影响因素。结论目前上海市浦东新区2型糖尿病血糖控制达标率较低,血糖控制受多种因素影响。

Objective To evaluate glycemic control and identifying factors for achieving such control in patients suffering from type 2 diabetes mellitus in Pudong New Area of Shanghai. Methods A questionnaire survey and physical examination were conducted in patients with type 2 diabetes through a random sampling method. The criteria of American Diabetes Association（ ADA）,were applied to evaluate the control of blood glucose,blood pressure and blood lipid. Logistic regression analysis was used to analyze factors for achieving the target goal of glycemic control（ Hb Alc 〈 7. 0%） recommended by ADA.Results The mean Hb Alc concentration of 580 patients with type 2 diabetes was 7. 46%. Disease course,overweight,obesity and waist-to-hip ratio were influencing factors in achieving the Hb Alc goal.Conclusion The success rate of glycemic control is now low in patients with type 2 diabetes mellitus in Pudong New Area of Shanghai. The achieving of glycemic control has been affected by multiple factors.