Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway, Malaysia.
College of Medicine and Veterinary Medicine, The University Edinburgh, Edinburgh, Scotland, UK.
Int J Public Health. 2018 Mar;63(2):193-202. doi: 10.1007/s00038-017-1072-4. Epub 2018 Jan 25.
The lack of population-based evidence on the risk factors for poor glycaemic control in diabetics, particularly in resource-poor settings, is a challenge for the prevention of long-term complications. This study aimed to identify the metabolic and demographic risk factors for poor glycaemic control among diabetics in a rural community in Malaysia.
A total of 1844 (780 males and 1064 females) known diabetics aged ≥ 35 years were identified from the South East Asia Community Observatory (SEACO) health and demographic surveillance site database.
41.3% of the sample had poor glycaemic control. Poor glycaemic control was associated with age and ethnicity, with older participants (65+) better controlled than younger adults (45-54), and Malaysian Indians most poorly controlled, followed by Malay and then Chinese participants. Metabolic risk factors were also highly associated with poor glycaemic control.
There is a critical need for evidence for a better understanding of the mechanisms of the associations between risk factors and glycaemic control.
在资源匮乏的环境下，缺乏基于人群的糖尿病患者血糖控制不良的风险因素证据，这给长期并发症的预防带来了挑战。本研究旨在确定马来西亚农村社区糖尿病患者血糖控制不良的代谢和人口统计学风险因素。
从东南亚社区观察站（SEACO）健康和人口监测站点数据库中确定了 1844 名（780 名男性和 1064 名女性）年龄≥35 岁的已知糖尿病患者。
该样本中有 41.3%的患者血糖控制不佳。血糖控制不良与年龄和种族有关，年龄较大的参与者（65 岁以上）比年轻成年人（45-54 岁）控制得更好，而马来西亚印度人控制得最差，其次是马来人和中国人。代谢风险因素也与血糖控制不良高度相关。
需要更好地了解风险因素与血糖控制之间关联的机制，这方面的证据至关重要。
