Factors influencing good blood glucose control in elderly diabetic patients
Objective To investigate blood glucose management in elderly diabetic patients and the factors that affected achieving high rates of achieving it.Methods The quality of blood glucose control by elderly diabetic patients who visited five community health service centers in Beijing in June 2022 was surveyed retrospectively using a questionnaire.Participants were divided into the high-quality group and not high-quality groups by the criteria of glycosylated hemoglobin(HbA1c)＜7％without hypoglycemia and weight gain.Single factor analysis and multiple-stepwise Logistic regression analysis were used to identify the relative risk of factors affecting the achievement of good glucose management.Results A total of 287 valid questionnaires were collected,including 80 cases(27.9％)in the high-quality group and 207 cases(72.1％)in the not high-quality group.There were significant differences in sex,course of disease,occurrence of hypoglycemia,number of chronic complications,medication,alcohol consumption,dietary changes,missed medication doses,prolonged outpatient visit intervals,and depressive mood between the two groups(P＜0.05).Multivariate stepwise logistic regression analysis showed that insulin use,missed medication≥1 time/week,and prolonged outpatient visit intervals were independent risk factors for good control(P＜0.05).Conclusions The percentage of elderly diabetes patients with good blood glucose control was low.Factors affecting the rate included insulin use,medication compliance,and prolonged outpatient visit intervals.
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