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目的评价上海市浦东新区2型糖尿病患者血糖控制情况,了解血糖控制的影响因素。方法采用随机抽样方法,在2011年10月1日前随访管理的2型糖尿病患者中抽取618人,开展问卷调查和体格检查。根据2010年美国糖尿病学会(ADA)的血糖控制目标(糖化血红蛋白<7%),将被调查者分为血糖控制组和血糖控制不良组,采用Logistic回归分析,探讨血糖控制的影响因素。结果 580例2型糖尿病患者的糖化血红蛋白平均值为7.46%,各项指标检测的平均值均超过ADA推荐的糖尿病综合控制目标。多因素Logistic回归分析结果显示,病史长,腰臀比异常,超重或肥胖等因素为血糖控制不佳的影响因素。结论目前上海市浦东新区2型糖尿病血糖控制达标率较低,血糖控制受多种因素影响。
Objective To evaluate glycemic control in type 2 diabetic patients in Pudong New Area of Shanghai and to understand the influencing factors of glycemic control. Methods A total of 618 patients with type 2 diabetes who were followed up before October 1, 2011 were recruited by random sampling method. Questionnaires and physical examinations were performed. According to the target of glycemic control (HbA1c <7%) of the American Diabetes Society (ADA) in 2010, the respondents were divided into the blood glucose control group and the poor glycemic control group. Logistic regression analysis was used to investigate the influencing factors of glycemic control. Results The average value of HbA1c in 580 patients with type 2 diabetes mellitus was 7.46%, and the average value of each index test exceeded the target of comprehensive diabetes control recommended by ADA. Multivariate logistic regression analysis showed that long history, abnormal waist-hip ratio, overweight or obesity and other factors for the poor control of blood glucose. Conclusions At present, the rate of glycemic control of Type 2 diabetes in Pudong New Area in Shanghai is low, and the control of blood glucose is affected by many factors.