PMID- 23648345 OWN - NLM STAT- MEDLINE DCOM- 20140811 LR - 20130507 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 93 IP - 2 DP - 2013 Jan 8 TI - [A cross-sectional survey on current status of type 2 diabetes mellitus with overweight or obesity in Guangdong province]. PG - 104-9 AB - OBJECTIVE: To explore the glycemic control status and related risk factors of overweight or obesity patients with type 2 diabetes mellitus (T2DM) in Guangdong province. METHODS: The medical records of overweight or obesity patients with T2DM from 60 tertiary and secondary hospitals in Guangdong Province were collected by questionnaire and physical examination. And the clinical data were analyzed to explore the influencing factors of glycemic control. The HbA1c level was used to assess glycemic control. HbA1c < 7.0% indicated that glycemic control was up to standard. RESULTS: From August 2011 to March 2012, 5241 T2DM patients were recruited. The scope of current analysis was restricted to 4768 subjects with true data and deficiency no more than 5%. There were 2252 males and 2516 females. The age range was from 16 to 90 years, a median age 59.0 (50.0 - 69.0) years, onset age of diabetes 52.0 (44.0 - 60.0) years; a range of disease duration from 1 day to 42 years and a median of 5.0 (2.0 - 11.0) years. The median body mass index was 26.33(24.88 - 28.34) kg/m(2) and median waist circumference 93.0 (88.0 - 100.0) cm. Median HbA1c was 8.1% (6.9% - 10.1%) and only 26.2% patients reached the target level of HbA1c < 7.0%. Influencing factors of poor glycemic control were central obesity, high levels of resting heart rate, concurrent fatty liver and high intensity of treatment. And influencing factors of good glycemic control were regular exercises, smoking cessation, regular glycemic monitoring and good control of total cholesterol/triglyceride. CONCLUSION: A majority of Guangdong type 2 diabetics fail to achieve target values for glycemic control. There is an urgent need for comprehensive management for improving glycemic control. FAU - Yang, Fan AU - Yang F AD - Department of Endocrinology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China. FAU - Chen, Rong-ping AU - Chen RP FAU - Song, Qing-qing AU - Song QQ FAU - Chen, Li-shu AU - Chen LS FAU - Lin, Shao-da AU - Lin SD FAU - Liang, Gan-xiong AU - Liang GX FAU - Hu, Bao-chun AU - Hu BC FAU - Zhu, Zhi-zhang AU - Zhu ZZ FAU - Wang, Yu-lin AU - Wang YL FAU - Yan, Li AU - Yan L FAU - Lin, Jian-cai AU - Lin JC FAU - Li, Yan-bing AU - Li YB FAU - Cai, De-hong AU - Cai DH LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 0 (Blood Glucose) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Blood Glucose/metabolism MH - China/epidemiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/blood/*epidemiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Obesity/blood/*epidemiology MH - Overweight/blood/*epidemiology MH - Prevalence MH - Risk Factors MH - Young Adult EDAT- 2013/05/08 06:00 MHDA- 2014/08/12 06:00 CRDT- 2013/05/08 06:00 PHST- 2013/05/08 06:00 [entrez] PHST- 2013/05/08 06:00 [pubmed] PHST- 2014/08/12 06:00 [medline] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2013 Jan 8;93(2):104-9.