title: Influence of educational attainments on long term glucose control and morbid events in patients with type 2 diabetes receiving integrated care from 15 China urban communities: The Beijing Community Diabetes Study 11.
abstract: OBJECTIVE
  To investigate the effects of educational attainment on glucose control and morbid events in patients with type 2 diabetes in Beijing communities.
  
  
  METHODS
  In this prospective multi-center study, 2866 type 2 diabetes patients receiving integrated care from 15 Beijing urban communities were investigated. Educational attainment was categorized into three levels: low, medium, and high. After a 42-month management, glucose control parameters and morbid events were analyzed.
  
  
  RESULTS
  At baseline, the percentages of patients with good glucose control (HbA1c ≤ 7.0%) in the low, medium and high educational groups were 49.09%, 54.82% and 62.59%, respectively (P<0.001). After the 42-month management, fasting plasma glucose and HbA1c values were the highest in the low educational group (7.51 ± 2.05 mmol/l and 7.20 ± 1.27%, respectively). Percentages of patients with good glucose control in the three groups were 49.6%, 55.83% and 67.23%, respectively, and the incidences of combined morbid events were 4.5%, 2.4% and 1.5%, respectively. Cox regression analysis showed that educational level was related to the incidence of combined morbid events (medium level, HR=0.572; high level, HR=0.351; P<0.05).
  
  
  CONCLUSIONS
  Educational level was associated with long-term glucose control, and seemed to be related to the incidence of combined morbid events in people with type 2 diabetes.
authors: Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
authors: Guang-Ran
authors: GR
authors: Yang
authors: Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. Electronic address: fulvic@126.com.
authors: Shen-Yuan
authors: SY
authors: Yuan
authors: Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
authors: Han-Jing
authors: HJ
authors: Fu
authors: Department of Medical Records and Statistics, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
authors: Gang
authors: G
authors: Wan
authors: Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
authors: Liang-Xiang
authors: LX
authors: Zhu
authors: Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
authors: Ming-Xia
authors: MX
authors: Yuan
authors: Cuigezhuang Community Health Service Center, Beijing, China.
authors: Yu-Jie
authors: YJ
authors: Lv
authors: Jinsong Community Health Service Center, Beijing, China.
authors: Jian-Dong
authors: JD
authors: Zhang
authors: Yuetan Community Health Service Center of Fuxing Hospital, Capital Medical University, Beijing, China.
authors: Xue-Ping
authors: XP
authors: Du
authors: Xinjiekou Community Health Service Center, Beijing, China.
authors: Yu-Ling
authors: YL
authors: Li
authors: Department of Endocrinology, Beijing Aerospace General Hospital, Beijing, China.
authors: Yu
authors: Y
authors: Ji
authors: School Hospital of Central University for Nationalities, Beijing, China.
authors: Li
authors: L
authors: Zhou
authors: Aerospace Central Hospital, Beijing, China.
authors: Yue
authors: Y
authors: Li
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000378:metabolism*; D002681:China / Q000453:epidemiology; D003131:Combined Modality Therapy; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D048909:Diabetes Complications / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D004522:Educational Status; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D054625:Healthcare Disparities; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010348:Patient Care Team; D010361:Patients / Q000523:psychology*; D016016:Proportional Hazards Models; D011446:Prospective Studies; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D019037:Urban Health Services / Q000458:organization & administration*; D055815:Young Adult
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human
keywords: Educational attainment; Glucose control; Morbid events; Type 2 diabetes