Influencing factors of chronic dyslipidemia in T2DM patients with diabetes point system management in Qingpu District，Shanghai
10.3969/j.issn.1006-2483.2025.02.013
- VernacularTitle:上海市青浦区积分制管理糖尿病患者长期血脂异常的影响因素
- Author:
Zhouli WU
1
;
Sen WANG
1
;
Jie CHEN
1
;
Zhihua REN
1
;
Kaiyou YE
1
;
Yueqin JIANG
1
;
Ya WU
1
Author Information
1. Qingpu District Center for Disease Control and Prevention , Shanghai 201799 , China
- Publication Type:Journal Article
- Keywords:
T2DM;
Dyslipidemia;
Diabetes point system management;
Healthy lifestyle;
Integrated intervention
- From:
Journal of Public Health and Preventive Medicine
2025;36(2):56-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the influencing factors of chronic dyslipidemia in T2DM patients who signed a contract for diabetes point system management in Qingpu District, and to provide a basis for comprehensive intervention and prevention and control of dyslipidemia in T2DM patients and to optimize the management strategy of Qingpu District diabetes point system. Methods Among the T2DM patients who signed the diabetes point system from 2017 to 2023, patients with chronic dyslipidemia and normal blood lipids were selected and included in the case group and the control group, respectively. A case-control study was conducted with 1:1 matching by age and gender to analyze the factors influencing dyslipidemia. Results Multifactorial paired logistic regression analysis showed that overweight/obesity and central obesity and smoking in T2DM patients increased the risk of dyslipidemia by 1.93, 2.27, and 2.16 times, respectively. Long-term use of lipid-lowering drugs, duration of diabetes for 5 years or more, regular physical exercise, knowledge of blood lipid status, and married status could reduce the risk of dyslipidemia in T2DM patients (OR values were 0.547, 0.452, 0.685, 0.386 and 0.354, respectively). Current complications (history of stroke, coronary heart disease, and renal insufficiency) were also associated with dyslipidemia (OR=1.802, 95% CI:1.125-2.888). Conclusion The management of diabetes point system in Qingpu District should strengthen the feedback and interpretation of blood lipid monitoring results, improve patients’ health awareness of blood lipid management, and actively take comprehensive management of lifestyle intervention and drug treatment to effectively control blood lipid and reduce the occurrence of related complications.
