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首页> 外文期刊>Therapeutic advances in endocrinology and metabolism. >Glycemic control among primary care patients with type 2 diabetes mellitus in the Gaza Strip, Palestine
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Glycemic control among primary care patients with type 2 diabetes mellitus in the Gaza Strip, Palestine

机译：巴勒斯坦加沙地带2型糖尿病初级保健患者的血糖控制

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In this study, we aimed to assess the level of good glycemic control, to determine association between adherence to antidiabetic medications and glycosylated hemoglobin (HbA1c) and to examine factors influencing good glycemic control. A cross-sectional design was employed among 369 patients with type 2 diabetes mellitus (T2DM) from four Ministry of Health health centers in 2016. A sample of 3 ml blood was taken to measure the HbA1c, and patients were asked to fill out a pretested questionnaire. Univariate and multivariate logistic regressions, to identify independent factors associated with good glycemic control, were conducted using SPSS software version 22 (IBM Corp, Armonk, NY, USA). Mean [±standard deviation (SD)] of HbA1c was 8.97 (2.02) and one fifth of patients had good glycemic control (HbA1c ? 7%). Factors associated with good glycemic control were: older age [odds ratio (OR) = 0.96, 95% confidence interval (CI): 0.933–0.988), high medication adherence (OR: 2.757, 95% CI: 1.308–4.693), and better health literacy (OR= 2.124, 95% CI: 1.917–4.921). Duration of diabetes mellitus (DM 7 years) was inversely related to good glycemic control (OR = 2.255, 95% CI: 1.189–4.276). Our study showed that glycemic control was suboptimal, and factors associated with that were: older age, high medication adherence, and better health literacy. Knowledge of these factors could be an entry toward helping patients and targeting interventions to improve glycemic control and prevent diabetes-related complications.
机译：在这项研究中，我们旨在评估良好的血糖控制水平，确定对降糖药物的依从性和糖基化血红蛋白（HbA1c）之间的关联，并检查影响良好血糖控制的因素。 2016年，卫生部四个卫生中心对369名2型糖尿病（T2DM）患者进行了横断面设计。抽取了3 ml血液样本来测量HbA1c，并要求患者填写预先测试的问卷。使用SPSS软件版本22（IBM Corp，Armonk，NY，USA）进行单变量和多变量logistic回归，以识别与良好血糖控制相关的独立因素。 HbA1c的平均[±标准偏差（SD）]为8.97（2.02），五分之一的患者血糖控制良好（HbA1c = 7％）。与良好的血糖控制相关的因素包括：年龄较大[赔率（OR）= 0.96，95％置信区间（CI）：0.933–0.988），药物依从性高（OR：2.757，95％CI：1.308–4.693），以及更好的健康素养（OR = 2.124，95％CI：1.917–4.921）。糖尿病的持续时间（DM> 7岁）与良好的血糖控制呈负相关（OR = 2.255，95％CI：1.189–4.276）。我们的研究表明，血糖控制不是最理想的，与之相关的因素包括：年龄较大，药物依从性较高和健康素养较高。这些因素的知识可能是帮助患者和针对性干预措施的入口，以改善血糖控制和预防糖尿病相关并发症。

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