title: Current Status of Management in Type 2 Diabetes Mellitus at General Hospitals in South Korea.
abstract: BACKGROUND
  In Korea, the prevalence, complications, and mortality rate of diabetes are rapidly increasing. However, investigations on the actual condition of diabetes management are very limited due to lack of nation-wide research or multicenter study. Hence, we have minutely inquired the current status of diabetes management and achievement of glucose target goal in general hospital offering education program. That way, we are able to furnish data for policy making of diabetes education and draw up guideline which may allow us to reduce the morbidity and mortality of diabetes.
  
  
  METHODS
  The subjects consisted of 2,610 patients with type 2 diabetes who visited the 13 general hospital in Seoul or Gyeonggi region from March 19 to May 29, 2013. General characteristics, associated diseases, complications, and management status were investigated.
  
  
  RESULTS
  The mean age was 61.0±11.6 years, body mass index was 25.0±3.3 kg/m(2), and family history of diabetes was 50.5%. The mean duration of diabetes was 10.7±7.9 years and 53% received education about diabetes. The prevalence of hypertension and dyslipidemia were 59.2% and 65.5%, respectively, and 18.3% of the subjects were accompanied by liver disease. Diabetic retinopathy appeared in 31.6%, nephropathy in 28.1%, and neuropathy in 19.9% of the subjects. The mean glycosylated hemoglobin (HbA1c) level was 7.3%±1.3% and the achieving rate based on Korean Diabetes Association guideline (HbA1c <6.5%) was 24.8%, blood pressure (130/80 mm Hg or less) was 49.4%, and low density lipoprotein cholesterol (<100 mg/dL) was 63.6%. The reaching rate to the target level in four parameters (blood glucose, blood pressure, lipids, and body weight) was 7.8%.
  
  
  CONCLUSIONS
  The blood glucose control rate was lower than other parameters, and the implementation rate of diabetes education was only 53%. Thus more appropriate glucose control and systematic diabetes education are imperative.
authors: Division of Diabetes Education Team, Department of Nursing, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. ; Korea Association of Diabetes Nurse Educators, Seoul, Korea.
authors: Jin-Hee
authors: JH
authors: Jung
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Division of Diabetes Education Team, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
authors: Jung-Hwa
authors: JH
authors: Lee
authors: Department of Healthcare Management and Institute of Global Healthcare Research, Eulji University School of Medicine, Seongnam, Korea.
authors: Jin-Won
authors: JW
authors: Noh
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Division of Diabetes Education Team, Cheil General Hospital & Women's Healthcare Center, Dankook University College of Medicine, Seoul, Korea.
authors: Jeong-Eun
authors: JE
authors: Park
authors: Department of Nursing, Dongnam Health University, Suwon, Korea.
authors: Hee-Sook
authors: HS
authors: Kim
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Division of Diabetes Education Team, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
authors: Joo-Wha
authors: JW
authors: Yoo
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Division of Diabetes Education Team , Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors: Bok-Rye
authors: BR
authors: Song
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Division of Diabetes Education Team, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
authors: Jeong-Rim
authors: JR
authors: Lee
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Division of Diabetes Education Team, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors: Myeong-Hee
authors: MH
authors: Hong
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Division of Diabetes Education Team, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
authors: Hyang-Mi
authors: HM
authors: Jang
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Division of Diabetes Education Team, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors: Young
authors: Y
authors: Na
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Division of Diabetes Education Team, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
authors: Hyun-Joo
authors: HJ
authors: Lee
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Division of Diabetes Education Team, Kwangmyung Sungae Hospital, Gwangmyeong, Korea.
authors: Jeong-Mi
authors: JM
authors: Lee
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Division of Diabetes Education Team, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
authors: Yang-Gyo
authors: YG
authors: Kang
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Diabetes Education Unit, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors: Sun-Young
authors: SY
authors: Kim
authors: Korea Association of Diabetes Nurse Educators, Seoul, Korea. ; Diabetes Education Unit, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors: Kang-Hee
authors: KH
authors: Sim
keywords: Achieving rate; Complication; Diabetes; Management status; Therapeutic goals