Diabetes self-management skills and their effects on glycemic control among outpatients
10.3969/j.issn.1006-6187.2011.01.013
- VernacularTitle:门诊糖尿病患者的自我管理水平及其对血糖控制的影响
- Author:
Hong ZHU
;
Weilin WANG
;
Jianhua WANG
- Publication Type:Journal Article
- Keywords:
Self-management;
Diabetes mellitus;
Glycemic control
- From:
Chinese Journal of Diabetes
2011;19(1):49-51
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study diabetes self-management skills among outpatient diabetics and their influence on glycemic control.MethodsData were collectedfrom 281 diabetes patients recruited in Tianjin Medical University Metabolic Hospital using a questionnaire covering their diet, physical exercise and glycemic self-monitoring during the last three months.Additional HbA1c and blood lipid information were retrieved from medical records.Logistic regression modified by factor analysis was then conducted.ResultsMore than half patients did well in diet control, physical exercise and drug treatment.23% patients exceeded physician-recommended intervals for self-monitoring.Self-monitoring was primarily conducted through hospital testing or family-owned glucometers.Abnormal blood pressure (53%) or lipid (47%) levels were also common.Overall, self-management practices among men and the younger(<60yr)were worse than that among women and elderly people.The significant related factors for good glycemic control included higher socioeconomic status and positive treatment, but Abnormal cholesterol and inadequate self-monitoring were related with poor glycemic control with the adjusted odds ratios equaling to 059, 039, 189 and 183, respectively.ConclusionsMore attention should be taken on men and the younger (<60yr)to improve their skills of self-management.Self-monitoring, physical exercise, diet control, etc. independently influence blood glucose control.
