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Non-pharmaceutical factors for poor glycemic control in 13,970 Chinese women with drug-treated type 2 diabetes: a cross-sectional survey in 77 tertiary hospitals in four Chinese cities

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单位: [1]Department of Endocrinology, Chinese PLA General Hospital, Beijing, [2]Department of Endocrinology, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, [3]Department of Endocrinology, First Hospital of Peking University, Beijing, [4]Department of Endocrinology, Sino-Japan Friendship Hospital, Beijing, [5]Department of Endocrinology, Changhai Hospital of Shanghai, Shanghai, [6]Department of Endocrinology, The Second Xiangya Hospital of Central South University, Changsha, [7]Department of Endocrinology, Nanjing Drum Tower Hospital, Nanjing, Jiansu, [8]Department of Endocrinology, Xijing Hospital affiliated to 4th Military Medical University, Xi’an, [9]Department of Endocrinology, Peking University People’s Hospital, Beijing, [10]Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, People’s Republic of China
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关键词: HbA(1c) goal hyperglycemia oral antidiabetic drugs

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Background: Achieving good glycemic control improves clinical outcomes among patients with type 2 diabetes (T2D). This study aimed to explore non-pharmaceutical factors for poor glycemic control in Chinese women with T2D who used antidiabetic drug(s). Methods: A cross-sectional survey was conducted in March to June 2011 in 77 top tertiary hospitals in Beijing, Shanghai, Tianjin, and Guangzhou, People's Republic of China (the coverage rates of the 3A hospitals: 74.4%, 76%, 55%, and 29.3%, respectively). Of 29,502 patients with T2D who used oral antidiabetic drugs (OADs) alone or combined with insulin, 13,970 were women and used in the analysis. Logistic regression analysis was used to obtain odds ratios (ORs) and 95% confidence intervals (CIs) of factors for hyperglycemia defined as HbA1c (glycated hemoglobin) >= 77 mmol/mol (7.0%). Results: The mean age was 60.3 (standard deviation 11.0) years, with a median of 4 (interquartile range 2-9) years of duration of diabetes, and 65.1% had hyperglycemia. In multivariable analysis, body height of >= 164 cm (OR 1.26, 95% CI 1.15-1.37) and obesity (OR 1.16, 95% CI 1.04-1.31) was associated with increased risk of hyperglycemia, while self-monitoring blood glucose (SMBG) decreased the risk of hyperglycemia (OR 0.78, 95% CI 0.73-0.84). Duration of diabetes >= 3 years (>= 3 to <6 years, OR 1.46, 95% CI 1.32-1.62; >= 6 to <10 years, OR 1.65, 95% CI 1.44-1.89), especially >= 10 years (OR 1.95, 95% CI 1.73-2.19), was associated with higher risks of hyperglycemia. Conclusion: Body height >= 164 cm, obesity, and duration of diabetes >= 3 years increased while SMBG decreased risk of hyperglycemia in Chinese women with OAD-treated T2D.

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出版当年[2013]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 医学:内科
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出版当年[2012]版:
Q2 MEDICINE, GENERAL & INTERNAL
最新[2024]版:
Q2 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2024版] 最新五年平均[2021-2025] 出版当年[2012版] 出版当年五年平均[2008-2012] 出版前一年[2011版] 出版后一年[2013版]

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第一作者单位: [1]Department of Endocrinology, Chinese PLA General Hospital, Beijing,
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通讯机构: [9]Department of Endocrinology, Peking University People’s Hospital, Beijing, [10]Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, People’s Republic of China [*1]School of Public Health, Tianjin Medical University, PO Box 154, 22 Qixiangtai Road, Heping District, Tianjin 300070, People’s Republic of China [*2]Department of Endocrinology, Peking University People’s Hospital, Xicheng District, Beijing, People’s Republic of China
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