Key result
Among 20,053 community-managed patients with type 2 diabetes, less than 1% achieved all eight comprehensive control targets for blood glucose, lipids, blood pressure, and BMI.
Cross-Sectional (n=20,053)
Yes
Comprehensive control of cardiovascular and metabolic risk factors remains extremely poor among community-managed type 2 diabetes patients in Jiangsu, China, highlighting the need for reinforced comprehensive interventions.
Low concurrent control rates signal need for intensified community management; leaves open optimal target prioritization in Chinese T2D populations.
Objective To explore the control levels of blood glucose, blood lipid, blood pressure (BP), and body mass index (BMI) in the community-managed patients with type 2 diabetes in Jiangsu and to provide the basis for better management of type 2 diabetes in communities. Methods From December 2013 to January 2014, 20 053 patients with type 2 diabetes and have received disease management according to the National Basic Public Health Service were recruited in Changshu County of Suzhou City, Huai′an and Qinghe Districts of Huai′an City. Questionnaire survey, anthropometric and laboratory measurements were conducted. According to the Chinese guidelines for type 2 diabetes prevention and treatment (2013), the control levels of blood glucose, blood lipid, BP, and BMI were assessed. Results Among 20 053 patients with type 2 diabetes, the proportions for controlled fasting plasma glucose (FPG) and HbA1C were 31.4% and 41.9% respectively, and 25.3% of the patients simultaneously achieved goals of FPG and HbA1C control. There were 23.9%, 55.7%, 75.5% and 24.2% of the patients met goals for total cholesterol (TC), triglyceride (TG), high-density lipoprotein-cholesterol (HDL-C), and low-density lipoprotein-cholesterol (LDL-C), respectively. Only 10.3% of the patients achieved all the 4 targets of blood lipid. Furthermore, there were 25.4% and 35.9% patients achieved BP and BMI targets respectively, and the control rates for BP and BMI of females were higher than those of males (all P<0.05). Less than 1% of the patients had all eights indices controlled at target levels. Conclusions The achievement of comprehensive targets among community patients with type 2 diabetes remains poor in Jiangsu. Follow-up and management of type 2 diabetes should be strengthened in communities, health education and comprehensive intervention on disease complications should also be reinforced accordingly. (Chin J Endocrinol Metab, 2018, 34: 112-120)
No takes yet. Share an insight, caveat, or question.
Su et al. (2018) conducted a cross-sectional in type 2 diabetes (n=20,053). Community disease management was evaluated on Achievement of all eight comprehensive control targets (blood glucose, blood lipid, BP, and BMI). Among 20,053 community-managed patients with type 2 diabetes, less than 1% achieved all eight comprehensive control targets for blood glucose, lipids, blood pressure, and BMI.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: