›› 2018, Vol. 38 ›› Issue (1): 89-.doi: 10.3969/j.issn.1674-8115.2018.01.018

• Original article (Public health) • Previous Articles     Next Articles

Impact factors of glycemic control in patients with short-term history type 2 diabetes mellitus in Pujiang community in Shanghai#br#

LI Zhi-yong1, LIU Yu2, HUANG Wei1, LING Xiao-yuan1, MA Jing3   

  1. 1.Pujiang Community Health Service Center, Minhang District, Shanghai 201112, China; 2.Department of Endocrinology and Metabolism, South Campus, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201112, China; 3.Department of Endocrinology and Metabolism, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
  • Online:2018-01-28 Published:2018-03-09
  • Supported by:
     国家自然科学基金 (81670728, 71373160);上海市卫生和计划生育委员会科研基金(201740054)(

Abstract: Objective · To access glycemic control status and investigate its impact factors of patients with short-term history of type 2 diabetes mellitus  in Pujiang Town, Minhang District, Shanghai.  Methods · The clinical information was collected by a standard questionnaire in 1 994 type 2 diabetic  mellitus patients from the community. FPG, HbA1c, and PPG after meal of 100 g steamed bread made of standard flour were measured. 429 patients with  5-years duration of diabetes were qualified in the final analysis. Ideal blood glucose control was FPG<7.0 mmol/L, PPG<10.0 mmol/L and HbA1c<7.0%.   Results · The proportion of patients with ideal blood glucose, FPG, PPG, and HbA1c control were 7.9%, 32.6%, 12.6% and 38.2%, respectively. Patients  with middle school- and high school-education were at lower risks for poor glycemic control (age- and sex- adjusted OR=0.60,95% CI 0.37-0.96).  Duration of diabetes, insulin resistance and blood pressure were negatively associated with glycemic control (age- and sex- adjusted, OR=1.95,95% CI 1.30-2.91;OR=2.52,95% CI 1.57-4.03;OR=1.94,95% CI 1.22-3.09, respectively).  Conclusion · Patients in Pujiang community had substantially  poor glycemic control. Less-educated diabetic patients should be emphasized on the importance of postprandial glycemic control.

Key words: community, &ensp, type&ensp, 2&ensp, diabetes&ensp, mellitus, &ensp, glycemic&ensp, control, &ensp, impact&ensp, factor