[Impacts of self-management on glycaemic control among type 2 diabetic outpatients in urban China].
OBJECTIVE
To explore the influences of patients' self-management to glycaemic control among type 2 diabetic mellitus (T2DM) outpatients in urban China.


METHODS
A cross-sectional study was carried out in 1524 T2DM outpatients from 15 hospitals in 4 major cities of China. Questionnaire interview was used by trained surveyors to collect data on general characters and self-management. HbA1c test was applied to measure blood glucose in the centralized hospital in each city. Logistic regression was used to examine the association between self-management components including diet control, knowledge,blood monitoring and regular exercises and level of HbA1c.


RESULTS
1524 outpatients were enrolled in the study. Multivariate analysis showed that patients who were under diet control (OR = 0.49, 95% CI: 0.34 - 0.72), knowledgeable on DM (OR = 0.60, 95% CI: 0.46 - 0.80), compliance behavior (OR = 0.63, 95% CI: 0.40-0.98), having regular monitoring on blood glucose (< or = 4 times/month: OR = 0.66, 95% CI: 0.50 - 0.87; > 4 times/month: OR = 0.51, 95% CI: 0.36 - 0.73) and examining HbA1c (< or = 3 times per year: OR = 0.33, 95% CI: 0.23 - 0.48; 0-3 times per year: OR = 0.57, 95% CI: 0.43 - 0.74) were more likely to have a better glycaemic control measured by HbA1c.


CONCLUSIONS
Diet control, knowing diabetes, compliance behavior and regular monitoring on blood glucose and examining HbA1c can improve the glycaemic control among T2DM outpatients in urban China.
Liu
Zhaolan
Z
Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China. lzl1019@163.com
Fu
Chaowei
C
Luan
Rongsheng
R
Zhan
Siyan
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015190:Blood Glucose Self-Monitoring; D002681:China; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000523:psychology; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D012648:Self Care; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires; D014504:Urban Health; D055815:Young Adult
D006442:Glycated Hemoglobin