Factors influencing good blood glucose control in elderly diabetic patients
10.3760/cma.j.issn.0254-9026.2024.08.007
- VernacularTitle:老年糖尿病患者血糖高质量达标的影响因素分析
- Author:
Xiuqi QIAO
1
;
Na AN
;
Minghui WANG
;
Hong WANG
;
Fuying ZHAO
;
Ran LUAN
;
Jiaming CAO
;
Qi PAN
Author Information
1. 北京医院内分泌科 国家老年医学中心 中国医学科学院老年医学研究院，北京 100730
- Keywords:
Diabetes;
Disease Management;
Blood glucose
- From:
Chinese Journal of Geriatrics
2024;43(8):994-999
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate blood glucose management in elderly diabetic patients and the factors that affected achieving high rates of achieving it.Methods:The quality of blood glucose control by elderly diabetic patients who visited five community health service centers in Beijing in June 2022 was surveyed retrospectively using a questionnaire.Participants were divided into the high-quality group and not high-quality groups by the criteria of glycosylated hemoglobin(HbA 1C)<7% without hypoglycemia and weight gain.Single factor analysis and multiple-stepwise Logistic regression analysis were used to identify the relative risk of factors affecting the achievement of good glucose management. Results:A total of 287 valid questionnaires were collected, including 80 cases(27.9%)in the high-quality group and 207 cases(72.1%)in the not high-quality group.There were significant differences in sex, course of disease, occurrence of hypoglycemia, number of chronic complications, medication, alcohol consumption, dietary changes, missed medication doses, prolonged outpatient visit intervals, and depressive mood between the two groups( P<0.05).Multivariate stepwise logistic regression analysis showed that insulin use, missed medication ≥ 1 time/week, and prolonged outpatient visit intervals were independent risk factors for good control( P<0.05). Conclusions:The percentage of elderly diabetes patients with good blood glucose control was low.Factors affecting the rate included insulin use, medication compliance, and prolonged outpatient visit intervals.
