ArticleNorth American journal of medical sciences2016
Association of Comorbid and Metabolic Factors with Optimal Control of Type 2 Diabetes Mellitus.
Article in North American journal of medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Review
- Real-World Treatment Patterns Among Patients with Type 2 Diabetes Mellitus Initiating Treatment with Oral Semaglutide.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024Article
- Impact of telemedicine on glycemic control in type 2 diabetes mellitus during the COVID-19 lockdown period.Frontiers in endocrinology · 2023Article
- Type 2 diabetes mellitus patients' lived experience at a tertiary hospital in Ekiti State, Nigeria.Scientific reports · 2022Article
- Comorbid Chronic Physical Illnesses in Type 1 Diabetes Adolescents: Personal, Caregiver, and Family Functioning.Salud y conducta humana · 2021Article
- Factors that Correlate with Poor Glycemic Control in Type 2 Diabetes Mellitus Patients with Complications.Osong public health and research perspectives · 2018Article
- Article
- Correlation between Glycated Hemoglobin and Triglyceride Level in Type 2 Diabetes Mellitus.Cureus · 2017Article
- Factors in Gestational Diabetes Mellitus Predicting the Needs for Insulin Therapy.International journal of endocrinology · 2016Article
- Impact of Demographic, Socioeconomic, and Psychological Factors on Glycemic Self-Management in Adults with Type 2 Diabetes Mellitus.Frontiers in public health · 2016Review
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundType 2 diabetes mellitus (T2DM) is a poorly controlled epidemic worldwide that demands active research into mitigation of the factors that are associated with poor control.
aimsThe study was to determine the factors associated with suboptimal glycemic control. MATERIALS AND
methodsElectronic medical records of 263 adult patients with T2DM in our suburban internal medicine office were reviewed. Patients were divided into two groups: Group 1 [optimal diabetes control with glycosylated hemoglobin (HbA1c) of 7% or less] and Group 2 (suboptimal diabetes control with HbA1c greater than 7%). The influence of factors such as age, gender, race, social history, comorbid conditions, gestational diabetes, family history of diabetes, diabetes management, statin use, aspirin use, angiotensin convertase enzyme inhibitor (ACE-I) or angiotensin receptor blocker (ARB) use, body mass index (BMI), blood pressures, lipid profile, and urine microalbumin level were analyzed in the two groups.
resultsIn the suboptimal diabetes control group (N = 119), the majority (86.6%) of the patients were 41-80 years old. Factors associated with the suboptimal control were male gender [odds ratio (OR) 2.6, 95% confidence interval (CI), 1.579-4.321], Asian ethnicity (OR 1.4, 95% CI, 0.683-3.008), history of peripheral arterial disease (PAD; OR 3.9, 95% CI, 1.017-14.543), history of congestive heart failure (CHF; OR 3.9, 95% CI, 1.017-14.543), elevated triglycerides (OR 1.004, 95% CI, 1.000-1.007), and elevated urine microalbumin level of 30 mg/24 h or above (OR 4.5, 95% CI, 2.446-8.380). Patients with suboptimal diabetes control had a 3.8 times greater odds (95% CI, 1.493-6.885) of receiving the insulin and oral hypoglycemic agent together.
conclusionsIn adult patients with T2DM, male gender, Asian ethnicity, CHF, PAD, management with insulin along with oral hypoglycemic agents, hypertriglyceridemia, and microalbuminuria were associated with suboptimal control.
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