Analysis of influencing factors of hemoglobin A1c in type 2 diabetic patients
10.3760/cma.j.issn.1673-4904.2011.31.004
- VernacularTitle:2型糖尿病糖化血红蛋白的影响因素分析
- Author:
Chunhua SUI
;
Jing GONG
;
Yingli LU
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
type 2;
Hemoglobin A1c
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(31):9-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influencing factors of hemoglobin A1c in type 2 diabetic patients,including blood glucose,anti-diabetic therapeutic regiments,disease course,age,diabetic education,degree-educated,self-monitoring blood glucose.Methods Seventy-eight type 2 diabetic patients were divided into two groups by different degree of blood glucose,anti-diabetic therapeutic regiments,disease course,age,diabetic education,degree-educated,self-monitoring blood glucose.The levels of hemoglobin A1c in two groups were compared.Results There were significant changes in the levels of hemoglobin A1c between fasting blood glucose (FBG) ≤ 6.1 mmol/L group (30 cases) and FBG > 6.1 mmol/L group (48cases),2 h postprandial blood glucose (2hBG) ≤8.0 mmol/L group (32 cases) and 2hBG > 8.0 mmol/L group (46 cases ),insulin treatment group (27 cases) and no-insulin treatment group ( 51 cases ),combined drugs treatment group ( 36 cases ) and single drug treatment group ( 15 cases),age ≤ 65 years old group (41cases) and age >65 years old group (37 cases),disease course≤ 10 years group (39 cases) and disease course > 10 years group( 39 cases),degree-educated above high grade group( 34 cases) and degree-educated below high grade group (44 cases),diabetic education ≥2 times/month group (20 cases) and diabetic education < 2 times/month group (58 cases),self-monitoring blood glucose≥2 times/week group ( 19 cases)and self-monitoring blood glucose < 2 times/week group (59 cases)[ (6.7 ± 1.5 )% vs.(7.9 ± 1.3 )%,(6.8 ±1.1)% vs.(7.8 ± 1.2)%,(6.7 ± 1.5)% vs.(8.1 ± 1.4)%,(6.8 ± l.0)%vs.(8.0 ± 1.6)%,(6.9 ± 1.7)% vs.(7.4 ± 1.6)%,(6.5 ± 1.2)% vs.(8.2 ± 1.3)%,(6.9 ± 1.0)% vs.(7.6 ± 1.4)%,(6.1 ± 1.7)% vs.(8.0 ±1.1 ) %,(6.7 ± 1.1 )% vs.(7.6 ± 1.2)% ] (P < 0.01 or < 0.05 ).Conclusion Blood glucose,anti-diabetic therapeutic regiments,disease course,diabetic,degree-educated,self-monitoring blood glucose are the important factors influencing hemoglobin A1c.