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| Analysis on the status of comprehensive management and related factors of diabetes in Shanghai community |
| ZENG Yuanyuan XIAO Yuanyuan ZHU Chaoyu LIU Mengdan GAO Qingge XU Li JIANG Fusong WEI Li▲ |
| Department of Endocrinology and Metabolism， Shanghai Jiao Tong University Affiliated 6th People′s Hospital， Shanghai 200233, China |
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Abstract Objective To investigate the comprehensive management of diabetic patients in Shanghai Nicheng community and explore its influencing factors. Methods From March to April 2014, 541 diabetic patients over 40 years old in Nicheng community of Shanghai were selected. The clinical and laboratory data were collected and analyzed statistically. The control rate of blood sugar, blood pressure, and blood lipid were evaluated, and relevant factors were analyzed. Results The control rates of glycosylated hemoglobin, blood pressure and blood lipid in diabetic patients in Shanghai community were 72.27%, 43.44% and 38.82%, respectively, the proportion of all three indicators to reach the standard was 5.91%. Multivariate Logistic regression analysis showed that lack of exercise, poor diet control, lower frequency of blood glucose monitoring, high systolic blood pressure and triglyceride levels were risk factors of HbA1c target rate of diabetic patients （P < 0.05）; age, illiterate, high levels of HbA1c and triglyceride were risk factors of blood pressure target rate in diabetic patients （P < 0.05）; lack of exercise, irregular pharmacologic treatment and lower frequency of community blood glucose monitoring were risk factors of the blood lipids target rate in diabetic patients （P < 0.05）. Conclusion At present, the comprehensive management level of patients with type 2 diabetes in Shanghai community needs further improvement, especially for elderly patients with low education level, lack of exercise, no diet control and blood glucose monitoring.
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