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在沙特阿拉伯阿巴市的基层医疗保健中心,2 型糖尿病患者中与未控制空腹血糖相关的因素。

Factors related to the uncontrolled fasting blood sugar among type 2 diabetic patients attending primary health care center, Abha city, Saudi Arabia.

机构信息

Department of Family and Community Medicine, King Khalid University, Abha, Saudi Arabia.

Specialist Family Medicine, Burjeel Marina Health Promotion Center, Abu Dhabi, United Arab Emirates.

出版信息

Int J Clin Pract. 2021 Jul;75(7):e14168. doi: 10.1111/ijcp.14168. Epub 2021 Mar 28.

Abstract

OBJECTIVE

To identify risk factors related to uncontrolled fasting blood sugar among type 2 diabetic patients.

METHODOLOGY

A systematic random sampling technique was followed to include 450 diabetic patients attending Al-Qabil Primary Health Care Center in Abha City, Saudi Arabia. Collected data comprised sociodemographic characteristics (age, gender, height, weight, education, employment, body mass index, and smoking), while disease-related characteristics included duration of diabetes, fasting blood sugar control, hypertension, and regularity of follow up visits.

RESULTS

Fasting blood sugar was uncontrolled among 76.9% of selected patients with type 2 diabetes mellitus. Overweight and obesity were present among 81.6%. Significant risk factors for uncontrolled blood sugar included older age, male gender (P = .037), illiteracy (P = .020), being employed (P = .003), longer duration of disease (P = .023), hypertension (P = .010), and smoking (P = .001).

CONCLUSIONS

Prevalence of uncontrolled fasting blood sugar is high among patients with type 2 diabetes mellitus. Risk factors associated with uncontrolled fasting blood sugar include older age, male gender, illiteracy, being employed, longer duration of disease, hypertension, smoking, and obesity. Therefore, for better control of blood sugar among diabetics, it is recommended to control the blood pressure and body weight of diabetics and avoid smoking.

摘要

目的

确定 2 型糖尿病患者空腹血糖控制不佳的相关危险因素。

方法

采用系统随机抽样技术,选取沙特阿拉伯阿巴市 Al-Qabil 初级保健中心的 450 名糖尿病患者。收集的数据包括社会人口学特征(年龄、性别、身高、体重、教育程度、就业状况、体重指数和吸烟情况),而与疾病相关的特征包括糖尿病病程、空腹血糖控制情况、高血压和随访规律。

结果

在所选择的 2 型糖尿病患者中,有 76.9%的患者空腹血糖控制不佳。超重和肥胖的比例为 81.6%。空腹血糖控制不佳的显著危险因素包括年龄较大、男性(P =.037)、文盲(P =.020)、就业(P =.003)、疾病病程较长(P =.023)、高血压(P =.010)和吸烟(P =.001)。

结论

2 型糖尿病患者空腹血糖控制不佳的比例较高。与空腹血糖控制不佳相关的危险因素包括年龄较大、男性、文盲、就业、疾病病程较长、高血压、吸烟和肥胖。因此,为了更好地控制糖尿病患者的血糖,建议控制糖尿病患者的血压和体重,避免吸烟。

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