The achievement of comprehensive control targets among type 2 diabetes mellitus patients of different ages.

Yun Yu, Kaipeng Xie, Qinglin Lou, Hui Xia, Dan Wu, Lingli Dai, Cuining Hu, Kunlin Wang, Shan Shan, Yun Hu, Wei Tang
Author Information
  1. Yun Yu: Department of Endocrinology and Metabolism, Geriatric Hospital of Nanjing Medical University, Nanjing, China.
  2. Kaipeng Xie: Nanjing Maternity and Child Health Care Institute, Nanjing Maternity and Child Health Care Hospital, Women's Hospital of Nanjing Medical University, Nanjing, China.
  3. Qinglin Lou: Department of Endocrinology and Metabolism, Geriatric Hospital of Nanjing Medical University, Nanjing, China.
  4. Hui Xia: Department of Endocrinology and Metabolism, Geriatric Hospital of Nanjing Medical University, Nanjing, China.
  5. Dan Wu: Department of Endocrinology and Metabolism, Geriatric Hospital of Nanjing Medical University, Nanjing, China.
  6. Lingli Dai: Department of Endocrinology and Metabolism, Geriatric Hospital of Nanjing Medical University, Nanjing, China.
  7. Cuining Hu: Department of Endocrinology and Metabolism, Geriatric Hospital of Nanjing Medical University, Nanjing, China.
  8. Kunlin Wang: Department of Endocrinology and Metabolism, Geriatric Hospital of Nanjing Medical University, Nanjing, China.
  9. Shan Shan: Department of Endocrinology and Metabolism, Geriatric Hospital of Nanjing Medical University, Nanjing, China.
  10. Yun Hu: Division of Geriatrics, Drum Tower Clinical Medical College of Nanjing Medical University, Nanjing, China.
  11. Wei Tang: Department of Endocrinology and Metabolism, Geriatric Hospital of Nanjing Medical University, Nanjing, China.

Abstract

OBJECTIVE: To evaluate achievement of comprehensive controls among patients with type 2 diabetes mellitus (T2DM) in different age groups.
RESULTS: The elderly patients had higher control rates for BMI (44.36%), TC (50.83%) and LDL-C (48.27%) than those aged 60-80 years and younger patients (all <0.05). Multiple logistic regression revealed that elderly patients were more likely to achieve control targets for HbA1c (odd ratio (OR) = 2.19), TC (OR = 1.32), HDL-C (OR = 1.35), and TG (OR = 1.74) than younger patients. This effect was stronger in males (OR = 2.27; OR = 1.41; OR = 1.51; OR = 1.80). By contrast, elderly females were only more likely to achieve HbA1c < 7.0% (OR=1.88).
CONCLUSIONS: Our findings suggest that comprehensive control strategies still should be strengthened.
METHODS: A total of 3126 T2DM patients were included, and detected blood pressure (BP), body mass index (BMI), glycosylated hemoglobin (HbA1c), fasting plasma glucose (FPG), postprandial plasma glucose (PPG), total cholesterol (TC), low density lipoprotein cholesterol (LDL-C), triglycerides (TG), and high-density lipoprotein cholesterol (HDL-C). We divided patients into three age groups (<60, 60-80 and ≥ 80 years), to assess the differences in achieving the control targets.

Keywords

References

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MeSH Term

Aged
Aged, 80 and over
Aging
Blood Glucose
Cholesterol, HDL
Diabetes Mellitus, Type 2
Female
Glycated Hemoglobin
Glycemic Control
Goals
Humans
Male
Middle Aged
Sex Characteristics
Triglycerides

Chemicals

Blood Glucose
Cholesterol, HDL
Glycated Hemoglobin A
Triglycerides

Word Cloud

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