Smith K J, Rabasa-Lhoret R, Strychar I, Karelis A D, Clyde M, Levasseur J, Pinaroc C, Pedneault M, Schmitz N
Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
Institut de Recherches Cliniques de Montréal, Montréal, Québec, Canada.
Exp Clin Endocrinol Diabetes. 2014 Apr;122(4):236-9. doi: 10.1055/s-0034-1367005. Epub 2014 Mar 12.
The aim of this study was to assess differences in cardiovascular risk and performance of self-care activities in people who rated their diabetes control as good or poor.
A sub-sample of 77 participants who took part in the Evaluation of Diabetes Treatment telephone interview were invited into a clinic to complete a series of laboratory examinations. Self-rated diabetes control was validated using the following laboratory markers: HbA1c, total cholesterol/HDL cholesterol ratio and LDL cholesterol. Differences in blood pressure and BMI were also assessed. Finally, all participants also completed the Summary of Self-Care activities questionnaire.
Those people who rated their diabetes control as fair or poor had a significantly higher BMI, HbA1c levels, total cholesterol/HDL-cholesterol ratio and systolic blood pressure. When asked about self-care activities in the past week, those people who reported their diabetes control was fair/poor had spent significantly fewer days following a general diet and exercising.
People with poor self-rated diabetes control have unfavourable cardiovascular risk and decreased performance of self-care activities.
本研究旨在评估自我评定糖尿病控制良好或较差的人群在心血管风险及自我护理活动表现方面的差异。
邀请参与糖尿病治疗评估电话访谈的77名参与者子样本到诊所完成一系列实验室检查。使用以下实验室指标验证自我评定的糖尿病控制情况：糖化血红蛋白、总胆固醇/高密度脂蛋白胆固醇比值和低密度脂蛋白胆固醇。还评估了血压和体重指数的差异。最后，所有参与者还完成了自我护理活动总结问卷。
自我评定糖尿病控制为中等或较差的人群，其体重指数、糖化血红蛋白水平、总胆固醇/高密度脂蛋白胆固醇比值和收缩压显著更高。当被问及过去一周的自我护理活动时，那些报告糖尿病控制为中等/较差的人遵循常规饮食和锻炼的天数明显较少。
自我评定糖尿病控制较差的人群存在不利的心血管风险，且自我护理活动表现下降。
