| Objective:To explore the epidemiological characteristics of type 2 diabetes in the outpatient department of Gongshu District,Hangzhou City,to understand the control status and related risk factors of type 2 diabetes in Gongshu District of Hangzhou,and to provide theoretical basis for improving the management of diabetes mellitus in Gongshu District.Methods:In the outpatient clinics of 6 hospitals in Gongshu District of Hangzhou City,patients with type 2 diabetes who met the inclusion criteria were investigated and cross-sectional studies were used.All patients participating in the study signed informed consent and volunteered to participate in the survey.The study included face-to-face questionnaire survey,physical measurement,review of case records and outpatient electronic information management system,medical examination and detection of glycosylated hemoglobin(HbA1c),independent data entry by dedicated computer;statistical analysis of data using SPSS 17.0 software package.Result:1.A total of 3,705 people were selected and invited to participate in the study.The final valid questionnaire was 3,590(2048 males and 1,542 females),the male to female ratio was 1.33:1,and the effective rate was 96.9%.Among the 3,590questionnaires,there were 1639 in tertiary hospitals and 1951 in community hospitals.The age of the patients in the survey was 59.2±12.0 years,the course of disease was7.54±5.63 years,and the body mass index was 24.0±3.0 kg/m~2.2.The average HbA1c of the study subjects was 8.0%±2.0%,and 28.3%of patients achieved the ideal glycemic control goal(HbA1c<6.5%).The rate of HbA1c compliance in the outpatients with type 2 diabetes in tertiary hospitals was 42.7%,while that in community hospitals was only 16.2%.3.The grading rates of glycosylated hemoglobin in different age groups(≤60 years old,>60 years old)were 28.7%and27.9%,respectively;the stratification rate of glycosylated hemoglobin in diabetes stratification(≤10 years,>10 years)was:32.1%17.6%;body mass index stratification(BMI<24kg/m~2,BIM≥24kg/m~2)glycated hemoglobin compliance rate:36.5%,22.7%.Others include blood glucose testing and participation in diabetes education,high level of education,heavy work intensity,high monthly income,no smoking,drinking,regular exercise,family history,simple diet control or single oral hypoglycemic agents higher.There was no significant difference in the rate of grading glycosylated hemoglobin in all age groups and genders(P>0.05).There were significant differences in the rate of glycosylated hemoglobin in all other layers(P<0.05).In the logistic regression analysis,the disease course,body mass index,regular exercise,monthly income level,diabetes education,education level,work intensity,treatment plan,smoking,alcohol,and family history were the influencing factors of HbA1c compliance(P<0.05).The course of disease,body mass index,smoking and treatment options are risk factors for HbA1c compliance.5.The prevalence of hypertension in this study accounted for 61.6%,and dyslipidemia accounted for 61.2%.The prevalence of diabetic nephropathy accounted for 37.2%,diabetic retinopathy accounted for 25%,diabetic peripheral neuropathy accounted for28.6%,diabetic peripheral vascular disease accounted for 69.1%,stroke and coronary lesions accounted for 17.4%and 45%,respectively.The prevalence of the foot is0.6%.Conclusion:The rate of glycosylated hemoglobin in patients with type 2 diabetes in Gongshu District of Hangzhou is lower than that of the national level.The tertiary hospital is significantly higher than the community hospital.In addition to the course of disease and body mass index,blood glucose testing,diabetes education,work intensity,treatment plan,smoking,etc.are also important factors influencing glycated hemoglobin.Screening,diagnosis and treatment of diabetes-related complications and chronic complications still need to be strengthened. |
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