PMID- 25905475
OWN - NLM
STAT- MEDLINE
DCOM- 20160519
LR  - 20221207
IS  - 2322-5939 (Electronic)
IS  - 2322-5939 (Linking)
VI  - 4
IP  - 5
DP  - 2014 Dec 23
TI  - Inadequate control of diabetes and metabolic indices among diabetic patients: A 
      population based study from the Kerman Coronary Artery Disease Risk Study 
      (KERCADRS).
PG  - 271-7
LID - 10.15171/ijhpm.2015.06 [doi]
AB  - BACKGROUND: The goal of diabetes control should be feasible in order to minimize 
      the risk of its adverse events and to reduce its burden and cost on patients. The 
      current study aimed to assess the status of glycemic control in male and female 
      patients with Type 2 Diabetes Mellitus (T2DM) in Kerman, Iran. METHODS: In the 
      present study, 500 T2DM (300 women and 200 men) from the Kerman Coronary Artery 
      Disease Risk Study (KERCADRS), a population-based study from 2009 to 2011, were 
      selected. Patients were >18 years old, had Fasting Blood Sugar (FBS) higher than 
      126 mg/dl, and had been through treatment for their diagnosed disease. All 
      participants underwent Glycosylated Hemoglobin (HbA1c) analysis. HbA1c less than 
      7% was considered as good glucose control. Other metabolic indices based on 
      American Diabetes Association (ADA) target recommendations were considered. 
      RESULTS: The mean level of HbA1c in total subjects was 8.56 +/- 4.72% that only 
      31.66% of men and 26.00% of women had controlled level of HbA1c. Total 
      cholesterol less than 200 mg/dl was reported in 64.50% of men and 44.00% of 
      women, High Density Lipoprotein (HDL) more than 40 mg/dl was revealed in 20.50% 
      of men and 34.67% of women, and Low Density Lipoprotein (LDL) less than 100 mg/dl 
      was reported in 41.50% of men and 25.33% of women. In multivariate logistic 
      regression model, longer duration of disease and higher Waist Circumference (WC) 
      were positively associated with uncontrolled diabetes status. CONCLUSION: The 
      findings of the present study revealed that diabetes control in T2DM was 
      inadequate. Changing the policy of treatment in individual patient and 
      establishing better diabetes clinic to decrease the frequency of uncontrolled 
      T2DM are crucial. Paying attention to other affecting metabolic components such 
      as WC in the process of T2DM management is important.
CI  - (c) 2015 by Kerman University of Medical Sciences.
FAU - Yousefzadeh, Gholamreza
AU  - Yousefzadeh G
AD  - Physiology Research Center, Institute of Neuropharmacology, Kerman University of 
      Medical Sciences, Kerman, Iran.
FAU - Shokoohi, Mostafa
AU  - Shokoohi M
AD  - Research Center for Modeling in Health, Institute for Futures Studies in Health, 
      Kerman University of Medical Sciences, Kerman, Iran.
FAU - Najafipour, Hamid
AU  - Najafipour H
AD  - Physiology Research Center, Institute of Neuropharmacology, Kerman University of 
      Medical Sciences, Kerman, Iran.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20141223
PL  - Iran
TA  - Int J Health Policy Manag
JT  - International journal of health policy and management
JID - 101619905
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
RN  - 97C5T2UQ7J (Cholesterol)
SB  - IM
MH  - Abdominal Fat/metabolism
MH  - Aged
MH  - Blood Glucose/*metabolism
MH  - Cholesterol/blood
MH  - Delivery of Health Care/*standards
MH  - Diabetes Mellitus, Type 2/complications/metabolism/*therapy
MH  - Female
MH  - Glycated Hemoglobin/*metabolism
MH  - Health Policy
MH  - Health Services/*standards
MH  - Humans
MH  - Hypercholesterolemia/blood/complications
MH  - Iran
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - *Quality of Health Care
MH  - Sex Factors
MH  - Waist Circumference
PMC - PMC4417630
OTO - NOTNLM
OT  - Central Obesity
OT  - Diabetes Care
OT  - Diabetes Control
OT  - Glycosylated Hemoglobin (HbA1c)
OT  - Type 2 Diabetes Mellitus (T2DM)
EDAT- 2014/01/01 00:00
MHDA- 2016/05/20 06:00
PMCR- 2014/12/23
CRDT- 2015/04/24 06:00
PHST- 2014/09/07 00:00 [received]
PHST- 2014/12/20 00:00 [accepted]
PHST- 2015/04/24 06:00 [entrez]
PHST- 2014/01/01 00:00 [pubmed]
PHST- 2016/05/20 06:00 [medline]
PHST- 2014/12/23 00:00 [pmc-release]
AID - 10.15171/ijhpm.2015.06 [doi]
PST - epublish
SO  - Int J Health Policy Manag. 2014 Dec 23;4(5):271-7. doi: 10.15171/ijhpm.2015.06.