Aging
Navigate
Submit an Article
Research Paper|Volume 12, Issue 14|pp 14066—14079

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

Yun Yu1,3, Kaipeng Xie2, Qinglin Lou1, Hui Xia1, Dan Wu1, Lingli Dai1, Cuining Hu1, Kunlin Wang1, Shan Shan1, Yun Hu3, Wei Tang1
  • 1Department of Endocrinology and Metabolism, Geriatric Hospital of Nanjing Medical University, Nanjing, China
  • 2Nanjing Maternity and Child Health Care Institute, Nanjing Maternity and Child Health Care Hospital, Women's Hospital of Nanjing Medical University, Nanjing, China
  • 3Division of Geriatrics, Drum Tower Clinical Medical College of Nanjing Medical University, Nanjing, China
* Equal contribution
Received: November 6, 2019Accepted: May 20, 2020Published: July 22, 2020
https://doi.org/10.18632/aging.103358

Copyright: © 2020 Yu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY 3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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 P <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 (ORHbA1c = 2.27; ORTC = 1.41; ORHDL-C = 1.51; ORTG = 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.