PMID- 23217384
OWN - NLM
STAT- MEDLINE
DCOM- 20131203
LR  - 20221207
IS  - 2542-5641 (Electronic)
IS  - 0366-6999 (Linking)
VI  - 125
IP  - 23
DP  - 2012 Dec
TI  - Management status of type 2 diabetes mellitus in tertiary hospitals in Beijing: 
      gap between guideline and reality.
PG  - 4185-9
AB  - BACKGROUND: Diabetes has become one of the most common chronic diseases and the 
      third leading cause of death in China. Many programs have been initiated at 
      national and local levels to address the illness. However, the effect of these 
      programs in daily outpatient clinics is still unclear. The objective of this 
      study was to investigate the management status of type 2 diabetes mellitus (T2DM) 
      and factors associated with it in diabetes clinics of tertiary hospitals in 
      Beijing. METHODS: A cross-sectional survey was conducted in six tertiary 
      hospitals in Beijing. Control criteria were defined based on 2007 China guideline 
      for type 2 diabetes (CGT2D). RESULTS: A sample of 1151 patients, age (60.8 +/- 9.2) 
      years, and with a median disease duration of 7.3 years was included. The 
      hemoglobin A1c (HbA1c) mean level was (7.15 +/- 1.50)%, the percentage of patients 
      achieving the targets for HbA1c was 37.8%, blood pressure 65.6%, triglyceride 
      (TG) 48.8%, high-density lipoprotein (HDL) 59.2%, low-density lipoprotein (LDL) 
      34.0%, and total cholesterol (TC) 42.0%. The factors independently associated 
      with glycemic control were diabetes duration (odds ratio (OR) = 0.95; 95% 
      confidence interval (CI): 0.919 - 0.982, P < 0.01), body mass index (BMI) (OR = 
      0.914, 95%CI: 0.854 - 0.979, P = 0.01) and smoking (OR = 0.391, 95%CI: 0.197 - 
      0.778, P < 0.01). The factors independently associated with blood pressure 
      control were BMI (OR = 0.915, 95%CI: 0.872 - 0.960, P < 0.01) and male gender (OR 
      = 0.624, 95%CI: 0.457 - 0.852, P < 0.01). The factor independently associated 
      with LDL control was education level (OR = 1.429, 95%CI: 1.078 - 1.896, P = 
      0.013). CONCLUSIONS: The management status of T2DM patients in tertiary hospitals 
      in Beijing has improved remarkably. However, there is still room for further 
      improvement to reach the guideline target. Long diabetes duration, high BMI, 
      smoking, male gender and low education level were independently associated with 
      poor metabolic control.
FAU - Li, Ming-Zi
AU  - Li MZ
AD  - Department of Endocrinology and Metabolism, Peking University People's Hospital, 
      Beijing 100044, China.
FAU - Ji, Li-Nong
AU  - Ji LN
FAU - Meng, Zhao-Lin
AU  - Meng ZL
FAU - Guo, Xiao-Hui
AU  - Guo XH
FAU - Yang, Jin-Kui
AU  - Yang JK
FAU - Lu, Ju-Ming
AU  - Lu JM
FAU - Lu, Xiao-Feng
AU  - Lu XF
FAU - Hong, Xu
AU  - Hong X
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - China
TA  - Chin Med J (Engl)
JT  - Chinese medical journal
JID - 7513795
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
RN  - 0 (Lipoproteins, HDL)
RN  - 0 (Lipoproteins, LDL)
RN  - 0 (Triglycerides)
RN  - 97C5T2UQ7J (Cholesterol)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Blood Glucose/metabolism
MH  - Blood Pressure
MH  - China
MH  - Cholesterol/blood
MH  - Diabetes Mellitus, Type 2/*blood/metabolism
MH  - Female
MH  - Glycated Hemoglobin/metabolism
MH  - Hospitals/statistics & numerical data
MH  - Humans
MH  - Lipoproteins, HDL/blood
MH  - Lipoproteins, LDL/blood
MH  - Male
MH  - Middle Aged
MH  - Triglycerides/blood
MH  - Young Adult
EDAT- 2012/12/12 06:00
MHDA- 2013/12/16 06:00
CRDT- 2012/12/11 06:00
PHST- 2012/12/11 06:00 [entrez]
PHST- 2012/12/12 06:00 [pubmed]
PHST- 2013/12/16 06:00 [medline]
PST - ppublish
SO  - Chin Med J (Engl). 2012 Dec;125(23):4185-9.