Effects of follow-up management on blood glucose control and mortality in patients with diabetes
Objective To analyze the effects of follow-up management on blood glucose control and mortality in patients with diabetes,providing scientific evidence for comprehensive prevention and control of diabetes.Methods The baseline information was collected,and follow-up management was conducted for diabetic patients participating in the early screening and comprehensive intervention project for high-risk cardiovascular populations in Fujian Province from 2016 and 2022.The association between the frequency of follow-up management and all-cause mortality was analyzed using the Cox proportional hazards model,while the competing risks model was employed to assess the relationship between follow-up management frequency and cardiovascular disease-related mortality.Results A total of 7 889 diabetic patients participated in the study.After participating in follow-up management,the median fasting blood glucose of diabetic patients decreased from 7.8(7.1,9.3)mmol/L to 7.3(6.1,8.9)mmol/L.The awareness rate of diabetes increased from 57.78％to 68.30％,the treatment rate increased from 48.90％to 50.82％,and the control rate increased from 17.39％to 44.08％.After multivariable adjustment,compared to the non-participation group,the high-frequency follow-up management group exhibited a significantly reduced risk of all-cause mortality(HR=0.08,95％CI:0.05-0.15)and cardiovascular disease-related mortality(HR=0.13,95％CI:0.06-0.27),with statistically significant differences(P＜0.05).Conclusions Active participation in follow-up management has benefits for blood glucose control and the reduction of the risk of all-cause mortality and attributed cardiovascular disease mortality in patients with diabetes.
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