Factors influencing blood glucose control among urban and rural patients with type 2 diabetes mellitus in Nanning City
ZHOU Ji1, YANG Shao-hu1, LYU Ying-nan2
1. Nanning Municipal Center for Disease Control and Prevention, Nanning, Guangxi 530023, China; 2. Center for Genomic and Personalized Medicine of Guangxi Medical University, Nannning, Guangxi 530021, China
Abstract：Objective To understand the factors affecting blood glucose control among urban and rural patients with type 2 diabetes mellitus in Nanning City, and to provide a scientific basis for implementing targeted intervention measures. Methods Using multi-stage random sampling method, questionnaire survey and blood glucose testing were carried out among 300 patients with type 2 diabetes mellitus from one urban district and 200 ones from one country in Nanning City in 2018. SPSS 24.0 software was used for the analysis, and LASSO regression model was used to identify the factors influencing blood glucose control in the patients with type 2 diabetes mellitus. Results The proportion of reaching blood glucose control target was higher in urban patients (45.61%) than in rural ones (29.65%), and the differences were statistically significant (χ2=12.719, P<0.05). The proportions of daily physical exercise, mode of outpatient follow-up, using hypoglycemic medications regularly, reaching blood pressure control target and correctly answering > 6 questions about diabetes prevention knowledge were all higher in the group reaching blood glucose control target than in the group not reaching blood glucose control target, with statistically significant differences (all P<0.05). LASSO regression results showed that whether in cities or rural areas, diabetes duration ≥ 10 years (β=0.30, β=0.07), smoking within one year (β=0.23, β=0.27), using hypoglycemic medications irregularly (β=0.29, β=0.36) and correctly answering ≤ 6 questions about diabetes prevention knowledge (β=0.21, β=0.08) were all the risk factors for blood glucose control in the patients with type 2 diabetes mellitus, whereas the follow-up frequency in one year < 4 times (β=-0.44, β=-0.81) was the protective factor. All medical insurance except urban medical insurance and the frequency of bloodglucose testing less than once a day were the risk factors for blood glucose control in urban patients (β=0.14, β=0.15), but they were the protective factors for rural patients (β=-0.13, β=-0.87). The education level of middle school and above was the protective factor for blood glucose control in urban patients (β=-0.22), but the risk factor for rural patients (β=0.40). In addition, the risk factors for blood glucose control in urban patients included alcohol consumption within one year (β=0.07). The risk factors for blood glucose control in rural patients also included being married (β=0.08), while the protective factors included having no family history of diabetes (β=-1.66). Conclusion Blood glucose control of urban patients with type 2 diabetes mellitus in Nanning City is superior to that of rural patients, and the factors influencing blood glucose control in urban and rural patients are different. Therefore, pertinence measures should be taken according to different urban and rural areas so as to improve the healthy lifestyle and blood glucose control behavior of patients.
周吉, 杨绍湖, 吕应楠. 南宁市城市和农村2型糖尿病患者血糖控制的影响因素分析[J]. 实用预防医学, 2021, 28(7): 785-790.
ZHOU Ji, YANG Shao-hu, LYU Ying-nan. Factors influencing blood glucose control among urban and rural patients with type 2 diabetes mellitus in Nanning City. , 2021, 28(7): 785-790.
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2021, Vol. 28 
