PMID- 27811452 OWN - NLM STAT- MEDLINE DCOM- 20180221 LR - 20221207 IS - 1119-3077 (Print) VI - 19 IP - 6 DP - 2016 Nov-Dec TI - Simultaneous control of blood glucose, blood pressure, and lipid among drug-treated Type 2 diabetes patients from Shaanxi province, North-Western China: A multicenter study. PG - 784-792 LID - 10.4103/1119-3077.181359 [doi] AB - AIM: To investigate the percentage of patients with Type 2 diabetes mellitus (T2DM) who achieved simultaneous control of glycated hemoglobin (HbA1c), blood pressure (BP), and low-density lipoprotein cholesterol (LDL-C) and also to assess its determinants in Shaanxi province, North-Western China. MATERIALS AND METHODS: This cross-sectional survey was conducted between March and June 2012 in six tertiary hospitals across Shaanxi province. Subjects with known T2DM who had at least one antidiabetic medicine were invited. A questionnaire was used to collect basic information and blood samples were drawn for laboratory measurements. Simultaneous control was defined as HbA1c <7%, BP <130/80 mmHg, and LDL-C <2.6 mmol/L. RESULTS: A total of 2274 individuals were included, of which 588 individuals (25.9%) achieved good glycemic control (HbA1c <7%) and only 102 (4.5%) attained simultaneous control. The percentage of individuals (24.2%) achieving simultaneous control increased with less stringent goals (HbA1c <8%, BP <140/90 mmHg, and LDL-C <2.8 mmol/L). In addition, multivariate analyses showed that body mass index of 24-28 kg/m2 (odds ratio [OR]: 0.577, 95% confidence interval [CI]: 0.376-0.886), HbA1c above 8% at diagnosis (pooled OR: 0.392, 95% CI: 0.254-0.531), and insulin treatment (pooled OR: 0.412, 95% CI: 0.225-0.594) were the independent predictors of simultaneous control. CONCLUSION: Simultaneous control among drug-treated Type 2 diabetes patients was amazingly low in North-Western China. Our present study confirmed the gap between guideline and practice and provided evidence of the need for aggressive diabetes management. FAU - Xu, S AU - Xu S AD - Department of Endocrinology, Xijing Hospital, Fourth Military Medical University, Xi'an, China. FAU - Sun, F AU - Sun F AD - Department of Endocrinology, Xijing Hospital, Fourth Military Medical University, Xi'an, China. FAU - Xu, W AU - Xu W AD - Department of Dermatology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, China. FAU - Jiao, K AU - Jiao K AD - Department of Endocrinology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China. FAU - Shi, B AU - Shi B AD - Department of Endocrinology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. FAU - Xie, X AU - Xie X AD - Department of Endocrinology, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. FAU - Wang, Y AU - Wang Y AD - Department of Endocrinology, Shaanxi Provincial People's Hospital, Xi'an, China. FAU - Zhu, M AU - Zhu M AD - Department of Nutrition, Xi'an Municipal Central Hospital, Xi'an, China. FAU - Ji, Q AU - Ji Q AD - Department of Endocrinology, Xijing Hospital, Fourth Military Medical University, Xi'an, China. LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - India TA - Niger J Clin Pract JT - Nigerian journal of clinical practice JID - 101150032 RN - 0 (Blood Glucose) RN - 0 (Cholesterol, LDL) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hypoglycemic Agents) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Adult MH - Aged MH - Blood Glucose/metabolism MH - Blood Pressure MH - Body Mass Index MH - China MH - Cholesterol, LDL/metabolism MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/complications/*drug therapy/metabolism MH - Dyslipidemias/complications/metabolism MH - Female MH - Glycated Hemoglobin/metabolism MH - Humans MH - Hypertension/complications MH - Hypoglycemic Agents/*therapeutic use MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Odds Ratio EDAT- 2016/11/05 06:00 MHDA- 2018/02/22 06:00 CRDT- 2016/11/05 06:00 PHST- 2016/11/05 06:00 [pubmed] PHST- 2018/02/22 06:00 [medline] PHST- 2016/11/05 06:00 [entrez] AID - NigerJClinPract_2016_19_6_784_181359 [pii] AID - 10.4103/1119-3077.181359 [doi] PST - ppublish SO - Niger J Clin Pract. 2016 Nov-Dec;19(6):784-792. doi: 10.4103/1119-3077.181359.