Research Paper Volume 12, Issue 14 pp 14066—14079
The achievement of comprehensive control targets among type 2 diabetes mellitus patients of different ages
- 1 Department of Endocrinology and Metabolism, Geriatric Hospital of Nanjing Medical University, Nanjing, China
- 2 Nanjing Maternity and Child Health Care Institute, Nanjing Maternity and Child Health Care Hospital, Women's Hospital of Nanjing Medical University, Nanjing, China
- 3 Division of Geriatrics, Drum Tower Clinical Medical College of Nanjing Medical University, Nanjing, China
Received: November 6, 2019 Accepted: May 20, 2020 Published: July 22, 2020
https://doi.org/10.18632/aging.103358How to Cite
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.