Status of fasting blood glucose control and its influencing factors among type 2 diabetic patients aged 65 years and below in Jiangdong District of Ningbo City, 2015
WANG Jun*, DONG Fen, SUN Ling-ying, YU Zi-lian, ZHAO Lei, LI Dong-mei
*Community Health Service Center of Minglou Street of Jiangdong District, Ningbo, Zhejiang 315040, China
Abstract： Objective To analyze the level of fasting blood glucose (FBG) and the factors influencing its control status among urban patients with type 2 diabetes mellitus so as to for provide a basis for diabetes mellitus prevention and control in communities. Methods A questionnaire survey, physical examination and laboratory testing were conducted in 600 type 2 diabetic patients enrolled from 5 streets of Jiangdong District, Ningbo City in December 2015. Linear regression analysis and logistic regression analysis were respectively used to analyze the factors influencing FBG and FBG control. Results Six hundred type 2 diabetic patients were surveyed in this study. The average FBG was (6.94±2.25) mmol/L, and 345 (57.50%) diabetic patients’ FBG was controlled well. Unitary linear regression analysis showed that FBG was positively correlated with waist circumference, diastolic pressure, smoking, duration of diabetes and high fat diet (P<0.05), but negatively correlated with behavior changing phase, diet habit based on guidance of diabetes, physical exercise and diet confidence II (the confidence with correct diet when dieting with others without diabetes) (P<0.05). Multiple linear regression analysis showed that FBG was positively correlated with waist circumference (standardized coefficient β=0.113, P=0.007), diastolic pressure (β=0.096,P=0.023) and duration of diabetes (β=0.087, P=0.030), but negatively correlated with behavior changing phase (β=-0.111, P=0.006). Single factor logistic regression analysis showed that diet habit based on guidance of diabetes, high score of diet confidence II and adequate duration of physical exercise could improve FBG control rate (P<0.05), while bigger waist circumference and longer duration of diabetes could worsen FBG control status. Multiple factor logistic regression analysis showed that longer duration of diabetes (OR=0.90, 95%CI:0.81-0.99) could reduce FBG control rate, whereas diet habit based on guidance of diabetes (OR=1.46, 95%CI:1.12-1.88) could increase FBG control rate. Conclusions FBG control status of the patients with type 2 diabetes mellitus surveyed in this study is satisfactory. The risk factors of FBG and FBG control rate are duration of diabetes, waist circumference and diastolic pressure, while the protective factors include diet habit based on guidance of diabetes, adequate duration of physical exercise and high behavior changing phase.
王俊, 董芬, 孙灵英, 俞紫莲, 赵磊, 李冬梅. 2015年宁波市江东区65岁以下2型糖尿病患者空腹血糖控制情况及其影响因素分析[J]. 实用预防医学, 2018, 25(3): 297-301.
WANG Jun, DONG Fen, SUN Ling-ying, YU Zi-lian, ZHAO Lei, LI Dong-mei. Status of fasting blood glucose control and its influencing factors among type 2 diabetic patients aged 65 years and below in Jiangdong District of Ningbo City, 2015. , 2018, 25(3): 297-301.
2018, Vol. 25 
