Abstract:

Objective To explore the reasons for the lost to follow-up of patients with diabetes mellitus in a municipal hospital, investigate the control status of related metabolic parameters of patients with diabetes mellitus treated in community hospitals, and analyse the related influential factors. Methods Five hundred patients with type 2 diabetes mellitus in Pudong New Area absent from follow-up of a municipal hospital were selected, and their recent places for treatment, reasons for lost to follow-up and status of blood glucose monitoring were investigated by questionnaire survey. On the basis of results of biochemical examinations and questionnaire survey, the control status of metabolic parameters of patients with type 2 diabetes mellitus treated in 6 community hospitals in Pudong New Area was evaluated, and the related influential factors were analysed. Results A total of 392 patients (78.4%) finished the questionnaire. The questionnaire survey revealed that 69.1% of patients transferred to community hospitals for further treatment, 87.8% monitored fast blood glucose in the past 6 months, and 44.9% and 20.2% monitored postprandial blood glucose and glycosylated hemoglobin (HbA1c), respectively. Among the 900 patients with diabetes mellitus treated in community hospitals, those with HbA1c＜6.5% and systolic/diastolic blood pressure＜130 mmHg/80 mmHg accounted for 18.3% and 17.4%, respectively, and 29.6%, 31.6% and 82.25% of patients had normal levels of total cholesterol, low density lipoprotein and high density lipoprotein, respectively. Correlation analysis demonstrated that long disease course, abdominal obesity, low family incomes and low frequency of blood glucose monitoring were related to poor control of blood glucose. Conclusion Comprehensive treatment by municipal and community hospitals may be an effective way to improve the management effect for patients with diabetes mellitus.

Key words: type 2 diabetes mellitus, management, control status, related factors