Awareness, treatment and control of type 2 diabetes among Chinese elderly and its changing trend for past decade

Liu, Miaomiao; Wang, Jianhua; He, Yao; Jiang, Bin; Wu, Lei; Wang, Yiyan; Zhang, Di; Zeng, Jing

doi:10.1186/s12889-016-2874-7

Cited by 29 publications

(43 citation statements)

References 23 publications

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“…For example, diabetes has been established as an independent risk factor for CKD(11), and awareness rates for type 2 diabetes have been documented between 65–90%. (12–14) A study performed among patients who were reportedly well-engaged with a healthcare provider system found greater than 70% of patients correctly identified that they had “high cholesterol” and greater than 90% correctly confirmed personal diagnoses of hypertension (HTN) respectively (12). Studies have found awareness of diabetes-related complications does vary, but remains higher than early stage CKD awareness (3–8%).…”

Section: Introductionmentioning

confidence: 99%

Independent correlates of chronic kidney disease awareness among adults with type 2 diabetes

Obadan

Walker

Egede

2017

Journal of Diabetes and its Complications

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Background Chronic Kidney Disease (CKD) is usually silent until advanced stages. Awareness of CKD is important to mitigate poorer outcomes. This study aims to understand the relationship(s) between CKD self-awareness and diagnosed CKD. Methods The study included 345 adults with type 2 diabetes from two primary care settings. Participants completed surveys assessing demographic information, self-care behaviors and comorbidities. Biological data was taken from medical records. CKD was diagnosed as eGFR =<59 ml/min. CKD awareness was defined by a positive response to “has a doctor, nurse or other health professional ever told you that you have a kidney disease?” and/or “have you ever had kidney failure that required dialysis or a kidney transplant?”. Logistic regression models were used to examine the association between CKD awareness and clinical/socio-demographic variables. Results 31% of study patients had CKD based on eGFR (of which only 63% were aware). Stepwise regression showed that non-Hispanic blacks (OR=3.49, p=0.04), those with college education (OR=8.02, p=0.01), history of myocardial infarction (OR=10.12, p=0.002) or hypertension (OR=23.25, p=0.02), and those with Medicare, VA insurance, or other insurance (OR=8.08, 8.72, 101.47, respectively, p<0.01) were significantly more likely to be aware of CKD. Those with a history of stroke or depression (OR=0.21, 0.28, respectively, p=0.03, p=0.04) were significantly less likely to be aware of CKD. Conclusion CKD awareness was found to be lower than diagnosed CKD rates. Factors associated with awareness include race, educational status and cardiovascular disease. Targeted strategies to increase CKD awareness may lead to improved health outcomes.

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Section: Introductionmentioning

confidence: 99%

Independent correlates of chronic kidney disease awareness among adults with type 2 diabetes

Obadan

Walker

Egede

2017

Journal of Diabetes and its Complications

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“… 2 , 18 There are limited studies with respect to awareness, treatment and control rates of diabetes in Beijing and the existing studies were mostly conducted in certain population or district. 19 , 20 , 21 , 22 In 2005, the overall awareness, treatment and control rate in population from four districts of Beijing was 56.7%, 50.0% and 15.0%, respectively. 19 In order to prevent and control chronic diseases, the Chinese government has increased financial investment on health care and Beijing has implemented comprehensive measurements in recent years.…”

Section: Introductionmentioning

confidence: 99%

Diabetes awareness, treatment, control rates and associated risk factors among Beijing residents in 2011: A cross‐sectional survey

Feng

Huang

Cao

et al. 2016

Chronic Diseases and Translational Medicine

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ObjectiveTo examine the awareness, treatment and control rates of diabetes and identify their associated risk factors among Beijing residents.MethodsA cross-sectional survey was conducted in 2011, using a stratified multistage cluster random sampling method to select a representative sample of 20,242 residents in Beijing aged 18–79 years. Diabetes was defined as fasting blood glucose (FBG) ≥7.0 mmol/L and/or history of diabetes and/or using insulin or hypoglycemic agents. All estimates of awareness, treatment and control rates were weighted by the 2010 Beijing Population Census data and the sampling scheme. Multivariate Logistic regression was used to identify factors associated with awareness, treatment and control rates.ResultsA total of 2061 (10.3%) participants were diagnosed as diabetes. The overall awareness, treatment and control rate among patients were 60.9%, 51.3% and 22.4%, respectively, while overall control rate among treated patients was 33.8%. These rates differed across subgroups. Women were more likely to be aware of diabetes status, receive treatment and have better glucose controlled than men (69.5% vs. 54.7% for awareness, 61.0% vs. 44.3% for treatment, and 27.6% vs. 18.6% for control, respectively). In addition, only 22.2% of treated patients had both FBG and hemoglobin A1c (HbA1c) controlled well. Multivariate Logistic regression suggested that old age, women, higher education and family history of diabetes were associated with higher awareness, treatment and control rates (All P < 0.05). Treated individuals living in rural (OR = 0.67(95%CI: 0.47–0.96)) or with dyslipidemia (OR = 0.63 (95%CI: 0.44–0.91)) had a lower diabetic control rate.ConclusionsAwareness, treatment and control rates of diabetes in Beijing were still low. A comprehensive intervention strategy on diabetes management and control is warranted.

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“…In elderly adults, pharmacologic management with multiple drugs leads to a low treatment adherence, given a higher number of side effects. Besides, non-pharmacologic treatments such as a diet and lifestyle interventions are generally less effective, since the modi cation of eating and physical activity habits is usually a di cult task 34,35 . Education has previously been described as a protective factor for cognitive impairment, as higher education allows the development of "cognitive reserve" and a lower educational level is associated with a 5.6 greater risk of dementia 36 .…”

Section: Discussionmentioning

confidence: 99%

Effect of Poor Glycemic Control Incognitive Performance Inthe Elderly With Type 2 Diabetes Mellitus: The Mexican Health and Aging Study

Mimenza-Aguilar

Jiménez-Castillo

Yeverino-Castro

et al. 2020

Preprint

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Background Cognitive impairment is twice more frequent in elderly with type 2 diabetes mellitus (DM). This study was conducted to determine the association between glycemic control and cognitive performance among community-dwelling elderly persons in Mexico. Methods Cross-sectional study conducted in individuals aged 60 years or elderly participating in the 2012 Mexican Health and Aging Study. Type 2 DM participants were classified in 3 groups according to their glycated hemoglobin levels (HbA1c): <7% (intensive control), 7-7.9% (standard control) or ≥ 8% (poor control), and cognitive performance: low (CCCE ≤ 44 points), intermediate (44.1-59.52 points), or high (≥ 59.53 points). Multinomial logistic regression models were constructed to determine this association. Results Out of 946 subjects, 216 were selected. Subjects in the low cognitive performance group were older (69.7 ± 6.6 vs 65.86 ± 5.18 years, p < .001) and had a lower educational level (2.5 ± 2.6 vs 7.44 ± 4.15 years, p < .000) when compared to the high cognitive performance participants. HbA1c ≥8% was associated with having low (OR 3.17, 95% CI 1.17–8.60, p = .024), and intermediate (OR 3.23, 95% CI 1.27–8.20, p = .014) cognitive performance; this trend was not found for HbA1c 7.0-7.9% group. Conclusions Glycemic control with a HbA1c ≥ 8% was associated with worse cognitive performance.

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Awareness, treatment and control of type 2 diabetes among Chinese elderly and its changing trend for past decade

Cited by 29 publications

References 23 publications

Independent correlates of chronic kidney disease awareness among adults with type 2 diabetes

Independent correlates of chronic kidney disease awareness among adults with type 2 diabetes

Diabetes awareness, treatment, control rates and associated risk factors among Beijing residents in 2011: A cross‐sectional survey

Effect of Poor Glycemic Control Incognitive Performance Inthe Elderly With Type 2 Diabetes Mellitus: The Mexican Health and Aging Study

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