Glucose and cardiac risk factor control in individuals with type 2 diabetes: Implications for patients and providers
Glucose and cardiac risk factor control in individuals with type 2 diabetes: Implications for patients and providers
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DOI：
10.1177/0145721706295016
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发表时间：
2006-11-01
影响因子：
3.9
通讯作者：
Melkus, Gail D.
中科院分区：
文献类型：
--
作者：
Chyun, Deborah;Lacey, Kimberly O.;Melkus, Gail D.
本描述性研究的目的是描述血糖和冠心病（CHD）危险因素目标的实现，并确定与成功实现目标相关的因素。方法横断面调查纳入了110例接受无症状心肌缺血筛查的2型糖尿病受试者。结果许多参与者HbA 1c水平>= 7%（45%），46%至79%的人没有达到降低冠心病风险的目标。性别和焦虑;疾病-年龄、降脂治疗相关因素和独居家庭相关因素与研究的7个结局中的1个独立相关。糖尿病病程较长的疾病相关因素与血糖和血压控制、胰岛素使用与血糖控制和腰围、抗高血压药物使用与血压、甘油三酯和体重指数密切相关。高收入的家庭相关因素与血糖控制较差和体重指数较高显著相关，而家人和朋友的支持水平较高与未达到血脂目标的风险较低相关。然而，个人因素，代表个人模型的信念（经常锻炼，测试血糖，检查自己的脚）和体力活动的几个方面，始终与血脂和体重control.CONCLUSIONSA各种因素与血糖和冠心病危险因素的控制，这表明一个尺寸适合所有的方法，以减少多个危险因素的努力可能不会导致目标的实现。
PURPOSEThe purpose of this descriptive study was to describe attainment of glucose and coronary heart disease (CHD) risk factor goals and to identify factors that were associated with successful goal achievement.METHODSA cross-sectional survey enrolled 110 subjects with type 2 diabetes undergoing screening for asymptomatic myocardial ischemia.RESULTSMany participants had HbA1c levels >= 7% (45%), and 46% to 79% were not meeting goals for CHD risk reduction. gender, and anxiety; the illness-Individual factors of age, related factor of lipid-lowering therapy; and the family-related factor of living alone were independently associated with 1 of the 7 outcomes under study. Illness-related factors of a longer duration of diabetes were strongly associated with glucose and blood pressure control, insulin use with glucose control and waist circumference, and antihypertensive use with blood pressure, triglycerides, and body mass index. Family-related factors of higher income were significantly associated with poorer glucose control and higher body mass index, while higher levels of perceived support by family and friends were associated with a lower risk of not meeting lipid goals. However, individual factors, represented by several aspects of personal model beliefs (exercising regularly, testing glucose, and checking one's feet) and physical activity, were consistently related to lipid and weight control.CONCLUSIONSA variety of factors were associated with control of blood glucose and CHD risk factors, suggesting that a one-size-fits-all approach to multiple risk factor reduction efforts may not result in goal attainment.