Glycemic control and its influencing factors in type 2 diabetes patients in Anhui, China

Abstract

ObjectiveTo investigate the status of glycemic control and analyze its influencing factors in patients with type 2 diabetes (T2D) in Anhui, China.Methods1,715 T2D patients aged 18–75 years old were selected from 4 counties or districts in Anhui Province in 2018, using a convenience sampling method. All patients have undergone a questionnaire survey, physical examination, and a glycosylated hemoglobin (HbA1c) test. According to the 2022 American Diabetes Association criteria, HbA1c was used to evaluate the glycemic control status of patients, and HbA1c < 7.0% was defined as good glycemic control. The influencing factors of glycemic control were analyzed by multivariate unconditional logistic regression.ResultsThe prevalence of good glycemic control among people with T2D in the Anhui Province was low (22.97%). On univariate analysis, gender, education level, occupation, region, smoking, drinking, waist circumference and disease duration (all P < 0.05) were significantly associated with glycemic control. The factors associated with pool glycemic control were female gender [OR = 0.67, 95%CI (0.52, 0.86), P = 0.001], higher level of education [OR = 0.47, 95%CI (0.27, 0.83), P = 0.001], living in rural areas [OR = 1.77, 95%CI (1.39, 2.26), P < 0.001], central obesity [OR = 1.58, 95%CI (1.19, 2.09), P = 0.001] and longer duration of disease [OR = 2.66, 95%CI (1.91, 3.69), P < 0.001].ConclusionsThe prevalence of good glycemic control in people with T2D in Anhui Province was relatively low, and gender, region, education level, central obesity and course of the disease were influencing factors. The publicity and education on the importance of glycemic control should be further strengthened in T2D patients, and targeted intervention measures should be carried out for risk groups.

The association between alcohol drinking and glycemic management among people with type 2 diabetes in China

“…In our study, another major important finding is that heavy alcohol drinking was in negative association with the glycemia level among type 2 diabetes patients, suggesting that heavy drinking may affect glycemic management for people with diabetes. This was consistent with the finding reported among type 2 diabetes patients in Anhui province of China 9 .…”

“…To reduce the burden caused by such a large number of people with diabetes, it is necessary and imperative to help people with diabetes control their glycemia, as a bad blood glucose level is the most important factor for diabetic angiopathy and complications 3 , 4 , 5 . In addition to clinical treatment, lifestyles and behavior (e.g., alcohol drinking) modification are also important for patients with type 2 diabetes to manage their glycemia 6 , 7 , 8 , 9 , 10 .…”

Factors Influencing the Control of Diabetes Measured via Glycated Hemoglobin Concentrations in Adults with Type 1 Diabetes

“…Relationships between glycemic control described in the literature are not entirely consistent. Similarly to the present study, Xing et al (2022) reported that the prevalence of good glycemic control was lower in men than in women [20]. In turn, the results of Duarte et al (2019) showed that women with T2D had poorer glycemic control than men [21].…”

Fracture Risk Assessment Tool (Frax Tool) Scores in Type 2 Diabetes Mellitus Patients in Haji Hospital Medan

“…As a common chronic disease with increasing prevalence, prevention and regular treatment of T2DM is important to prevent complications, one of which is by performing glycemic control. However, differences in geographical location, socioeconomic conditions, dietary habits, and health services lead to different levels of glycemic control [17]. Factors that influence the good and bad control of diabetes are BMI, which is influenced by a person's lifestyle, such as diet, physical activity, and adherence to medication Putri, Nugroho, & Adi [8].…”