Clinical characteristics of diabetic patients with metabolic syndrome and its components at 15 urban communities in Beijing
10.3760/cma.j.issn.1671-7368.2011.06.005
- VernacularTitle:北京15个城区社区成人糖尿病人群伴发代谢综合征及其组分的特征分析:北京社区糖尿病研究2
- Author:
Hanjing FU
;
Shenyuan YUAN
;
Gang WAN
;
Liangxiang ZHU
;
Mingxia YUAN
;
Guangran YANG
;
Sufang PAN
;
Xianglei BU
;
Jiandong ZHANG
;
Xueping DU
;
Yuling LI
;
Yu JI
;
Xiaoning GU
;
Yue LI
;
Xueli CUI
;
Wei BAI
;
Yujie CHEN
;
Ziming WANG
;
Qingsheng ZHU
;
Ying GAO
;
Deyuan LIU
;
Yuntao JI
;
Ze YANG
- Publication Type:Journal Article
- Keywords:
Community;
Diabetes,type 2;
Metabolic syndrome
- From:
Chinese Journal of General Practitioners
2011;10(6):390-393
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study clinical characteristics of type 2 diabetic(T2D)patients with metabolic syndrome(MS)and its components in Beijing urban communities.Methods Totally,3295 T2D patients involved in a combined prospective diabetic management study from 15 urban communities in Beijing were classified as four groups, according to 2004 Chinese Diabetes Society's definition of MS, i. e, isolated T2D, T2D with one component of MS, T2D with two components of MS and T2D with three components of MS. Their clinical characteristics were analyzed. Results ( 1 ) Among 3295 T2D patients, 155 (4. 7% )were isolated T2D, 107 (32.6%) T2D with one component of MS, 1386 (42.1%) T2D with two components of MS and 679 (20.6%) T2D with three components of MS, with an overall 62.7% (2065/3295) of T2D patients complicated with MS. (2) In these T2D patients, the more components of MS they had, the higher body mass index (BMI), waist circumference, waist to hip circumference ratio (WHR),systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting serum levels of insulin and triglyceride (TG) and the lower level of high-density lipoprotein-cholesterol (HDL) were presented (P <0. 01 ). (3) Percentage of isolated T2D in women increased from 49. 0% (76/155) to 61.9% (420/679)of those with three components of MS ( P < 0 01 ), with increasing of components of MS. (4) Multiple logistic regression analysis showed that BMI, history of hypertension, decreased HDL, increased TG,increased blood pressure, all were risk factors for T2D patients complicated with MS. Conclusions Among T2D patients in urban communities of Beijing, 95.3% (3140/3295) of them complicated with one or more components of MS, and 61.9% (420/679) of them complicated with MS. So, community diabetic management must be implemented in an all-round way, including control of blood pressure, blood lipids,body weight and so on, in addition to control of blood sugar.
