ObjectiveTo ascertain the control of blood glucose and risk factors for cardiovascular disease in communities of Putuo District of Shanghai.
MethodsA cross sectional study was conducted among 408 registered patients with type 2 diabetes mellitus (T2DM)from 10 communities of a district through a systematic sampling method.Data on demographic information, blood glucose, blood pressure, blood lipids levels were collected by questionnaire interviews, physical examinations, and laboratory tests.
ResultsA total of 408 T2DM patients were enrolled, including 186 males(45.59%) and 222 females(54.41%).The average age of the participants were (66.86±6.97) yrs.Those with hypertension accounted for 61.27%, with dyslipidemia 60.05%, and with obesity or overweight 56.62%.Their mean HbA1c level was(7.43±1.52)%.While 48.77%, 26.23%, and 26.72% of the patients achieved the individual target goals for control of blood glucose (HbA1c < 7%), blood pressure (systolic blood pressure < 140 mmHg, diastolic blood pressure < 80 mmHg), and blood lipids (LDL-C < 2.6 mmol/L), respectively, only 2.70% of them achieved all 3-target goals.The control rate of HbA1c was significantly the lowest in the group of disease duration more than 10 years(P < 0.01).Multivariable logistic regression analysis showed that the factors influencing blood glucose were smoking, long duration of disease and high BMI; the factors influencing blood pressure were sleep time ≥7 h/d, overweight and high WHR; the factors influencing blood lipids were female sex, and big waist size.
ConclusionThe control of diabetes, hypertension, dyslipidemia in type 2 diabetes patients in communities of Putuo District of Shanghai has been (was) unsatisfactory.Achieving adequate control of risk factors for cardiovascular disease in patients with type 2 diabetes remains a challenge.The intervention should be strengthened for type 2 diabetes complications in communities.
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