What question did this study set out to answer?

To identify demographic characteristics and risk factors associated with glycemic control among middle-aged and older adults with type 2 diabetes under essential public health management.

August 14, 2026BMC Endocrine DisordersOpen Access

Characteristics and risk factors of glycemic control among middle-aged and elderly diabetes patients under management: a cross-sectional survey based on national essential public health services in Mianyang City

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Authors

WXWenjuan Xiao FTFei Tong PMPeiyang Mao

Discussion

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Overview

Cross-sectional study finds suboptimal glycemic control in managed diabetes patients, suggesting a need for regular monitoring and targeted patient education.

Key Points

To identify demographic characteristics and risk factors associated with glycemic control among middle-aged and older adults with type 2 diabetes under essential public health management.
Conducted a cross-sectional survey using stratified multi-stage sampling of 1,500 patients aged 40 years and older enrolled in China's National Essential Public Health Services.
Collected management records, questionnaires, physical examination data, and laboratory tests, analyzing associations using multivariable logistic regression and interaction models.
Good glycemic control (HbA1c < 7.0%) was achieved in 49.5% of patients and was positively associated with age ≥ 60 years (OR = 1.41, 95% CI: 1.12–1.77, P = 0.003), regular exercise (OR = 1.51, 95% CI: 1.21–1.88, P < 0.001), and HbA1c testing ≥ 4 times/year (OR = 1.93, 95% CI: 1.31–2.85, P = 0.001).
Poor glycemic control was independently associated with diabetes duration ≥ 10 years (OR = 0.67, 95% CI: 0.50–0.89, P = 0.006), current smoking (OR = 0.66, 95% CI: 0.48–0.91, P = 0.010), and insulin-only therapy (OR = 0.36, 95% CI: 0.15–0.86, P = 0.022).
Interaction analysis revealed a strong positive interaction between high diabetes knowledge and insulin therapy on glycemic control (OR = 4.60, 95% CI: 1.78–11.89, P = 0.002).

Cite This Study

Xiao et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec79cb70b84ec8b9141e8 https://doi.org/10.1186/s12902-026-02465-x

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August 14, 2026BMC Endocrine DisordersOpen Access

Characteristics and risk factors of glycemic control among middle-aged and elderly diabetes patients under management: a cross-sectional survey based on national essential public health services in Mianyang City

View Full Paper

Ask AI

Bookmark

Authors

WXWenjuan Xiao FTFei Tong PMPeiyang Mao

Discussion

Member takes

Overview

Cross-sectional study finds suboptimal glycemic control in managed diabetes patients, suggesting a need for regular monitoring and targeted patient education.

Key Points

To identify demographic characteristics and risk factors associated with glycemic control among middle-aged and older adults with type 2 diabetes under essential public health management.
Conducted a cross-sectional survey using stratified multi-stage sampling of 1,500 patients aged 40 years and older enrolled in China's National Essential Public Health Services.
Collected management records, questionnaires, physical examination data, and laboratory tests, analyzing associations using multivariable logistic regression and interaction models.
Good glycemic control (HbA1c < 7.0%) was achieved in 49.5% of patients and was positively associated with age ≥ 60 years (OR = 1.41, 95% CI: 1.12–1.77, P = 0.003), regular exercise (OR = 1.51, 95% CI: 1.21–1.88, P < 0.001), and HbA1c testing ≥ 4 times/year (OR = 1.93, 95% CI: 1.31–2.85, P = 0.001).
Poor glycemic control was independently associated with diabetes duration ≥ 10 years (OR = 0.67, 95% CI: 0.50–0.89, P = 0.006), current smoking (OR = 0.66, 95% CI: 0.48–0.91, P = 0.010), and insulin-only therapy (OR = 0.36, 95% CI: 0.15–0.86, P = 0.022).
Interaction analysis revealed a strong positive interaction between high diabetes knowledge and insulin therapy on glycemic control (OR = 4.60, 95% CI: 1.78–11.89, P = 0.002).

Cite This Study

Xiao et al. (2026) studied this question.

synapsesocial.com/papers/6a7ec79cb70b84ec8b9141e8 https://doi.org/10.1186/s12902-026-02465-x

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