Objective To evaluate the level of diabetic control in patients with type 2 diabetes mellitus in a community management system, and to identify potential influencing factors.
Methods A cross-sectional study was conducted among 735 registered patients with type 2 diabetes mellitus from 10 communities of a district through a systematic sampling method. Questionnaires, physical examinations, and biochemical tests were performed to evaluate overall management level and glycemic control. A multivariate logistic regression analysis was used to identify potential influencing factors of glycemic control.
Results The percentages of patients achieving ideal control were 23.7% for HbA1c (<6.5%), 18.0% for blood pressure (<130/80 mmHg), 34.0% for total cholesterol (TC), 57.1% for triglyceride (TC), 42.3% for high density lipoprotein cholesterol (HDL-C), 25.0% for low density lipoprotein cholesterol (LDL-C), 40.5% for body mass index (BMI), and 37.3% for waist-to-hip ratio (WHR). The results of K-W test showed that diabetes duration (H=27.976, P<0.05) and insulin use (H=10.953, P<0.05) were associated with glycemic control. Adjusted for confounders such as gender, age, duration, and drug use, the results of multivariate analysis showed BMI (aOR=1.437, 95% CI: 1.002-2.060), WHR (aOR=1.417, 95% CI: 1.031-1.948), the time length of follow-up (aOR=1.016, 95% CI: 1.007-1.025), and the normalization of follow-up (aOR=0.107, 95% CI: 0.074-0.153) were the potential influencing factors.
Conclusion Among the patients with type 2 diabetes in the community management system, the control levels of hyperglycaemia, hypertension, and hyperlipidemia are not satisfactory. Factors that may influence glycemic control include duration, insulin use, BMI, WHR, and normalization of follow-up.
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