Study on Blood Glucose Control Status and Influencing Factors of Patients with Diabetic Mellitus in Guangming District of Shenzhen City
Objective To understand the current situation and influencing factors of blood glucose control through the analysis of questionnaire and physical examination results of patients with type 2 diabetes mellitus in Guangming District of Shenzhen City,and to provide reference for community prevention and treatment of diabetes mellitus.Methods A cluster random sampling method was used to select 3015 patients with type 2 diabetes mellitus who underwent physical examination in 50 community health centers in Guangming District in 2022.The personal information and related biochemical indicators of the patients were collected,and the patients were divided into the standard group and the non-standard group according to whether the blood glucose was up to standard or not.After the single factor analysis was used to screen out the statistically significant indicators,the two-class unconditional multivariate logistic regression model was included to analyze the current status and influencing factors of blood glucose control.Results The blood glucose control rate of patients with diabetic mellitus was 43.15％,and the detection rate of hyperlipidemia was 35.10％.Univariate analysis showed that there were statistically significant differences in blood glucose control among patients with different course of disease,medical insurance,central obesity,physical exercise,smoking and drinking,history of hypertension,and hyperlipidemia(P＜0.05).Multivariate Logistic regression analysis showed that the course of 5-10 years,the course of＞10 years,partial self-paid,all self-paid,occasional drinking,and regular drinking were negatively correlated with blood glucose control in patients with type 2 diabetes mellitus;no history of hypertension,occasional physical exercise,regular physical exercise,and no hyperlipidemia were positively correlated with blood glucose control in patients with type 2 diabetes mellitus(P＜0.05).Conclusion The blood glucose control rate of type 2 diabetes mellitus in Guangming District is low.According to the main influencing factors,the standardized management should be strengthened through health education,exercise diet guidance,antihypertensive,lipid-lowering and hypoglycemic treatment,so as to improve the blood glucose control and reduce the occurrence of complications.
Diabetes mellitusHealthy examinationFasting blood glucoseCommunity Health Center
万方数据
维普
