Analysis Of Glycemic Control And Its Influence Factors In The40-aged And Elderly Patients With Type2Diabetes In Communities Of Beijing

Objective:To investigate the current status of the glycemic control in the patients aged45or older in the communities of Beijing.Method:The people aged45years or older were enrolled in this present study fromthree communities, Gucheng, Jinding and Laoshan, of Beijing. Each participantreceived a questionnaire survey, physical examination, laboratory examination。Theglycemic control of the patient with type2diabetes, which is reported in thequestionnaire,was assessed according to the goal of HbA1c＜7%advocated by theAmerican Diabetes Association(ADA) and the Chinese Diabetes Society. A logisticregression analysis was made to reveal the characteristics associated with patientsattaining HbA1c＜7.0%.Result:Of the2523patients included in the survey, the average of the HbA1c is(7.4±1.78)%and patients with HbA1c＜7%was45.7%.The oral antidiabetic drugs(OADS) monotherapy, insulin only, OAD+Insulin groups had mean glycosylatedhemoglobin (HbA1c) levels of（7.35+1.62）%,（7.90±2.19）%and（7.91±1.98）%，respectively, and among those three groups,47.2%,32.5%,26.4%of the patients metthe goal of HbA1c<7.0%. The mean HbA1c of the patients,treated with one OAD, twoOADS and more than three OADS, was （7.28±1.54）%,（7.51±1.86）%,（7.50±1.21）%, respectively, while the percentage of patients with HbA1c<7.0%was45.0%,39.6%,37.0%. As the development of the diabetes, the average of the HbA1camong patients with the duration of less than one year, one-five years,5-10years andmore than10years wa（s6.95±1.48）%,（7.11±1.62）%,（7.43±1.79）%,（7.84±1.94）%andthe number of patients with the achievement of HbA1c＜7%was56.4%,55.5%,44.7%,32.8%. According to the result of the logistic regression analysis,mean HbA1cachievement of HbA1c<7.0%was related to the gender, BMI, WHR, SBP, Complications/comorbidities, duration of diabetes and the therapeuticregimen(OR=1.320,0.762,0.027,0.992,1.264,0.431,0.432，P＜0.05).Conclusion:More than half of the patients aged45or older with T2DM do notmeet the target of glycemic control of HbA1c less than7．0％in the communities ofBeijing, which is down as the duration of diabetes...