Yazdanpanah Leila, Shahbazian Hajieh, Shayesteh Ali Akbar, Poustchi Hossein, Ghanbari Saeed, Cheraghian Bahman, Masoumipoya Zeinab, Ahmadi Behnam, Zamani Amir Mohammad
Diabetes Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Alimentary Tract Research Center, Clinical Sciences Research Institute, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.
J Diabetes Metab Disord. 2024 Aug 13;23(2):2151-2163. doi: 10.1007/s40200-024-01483-7. eCollection 2024 Dec.
Diabetes is becoming a worldwide concern. Optimal diabetes control reduces diabetes complications.
We aimed to measure the principal diabetes care parameters to recognize the main deficits in care for patients with diabetes in the region.
This cross-sectional study is based on the Khuzestan Comprehensive Health Study (KCHS) data. Of all participants, 4673 (15.3%) were identified to have diabetes. We invited the known cases of diabetes to complete a checklist about their diabetes through face-to-face interviews, and we obtained a blood sample to measure their HbA1c.
Of all participants of the KCHS study, 312 patients with diabetes who met the inclusion criteria were identified. Mean (± SD) HbA1c was 8.5% (± 1.8), and 225 (72.1%) of the participants had poor glycemic control. About 45.2% had blood pressure less than 130/80 mmHg, and 24% had FBS lower than 130 mg/dl. Nearly 37.8% of the participants had LDL < 100 mg/dl and 40% TG < 150 mg/dl. Of all participants, 38.5% had undergone retinal examination, 13.8% had their foot examined, and 39.4% had done urine micro-albumin /Cr test. HbA1c level had a statistically significant relationship with gender (P = 0.012), occupation (P = 0.007), nephropathy (P = 0.004) and retinopathy (P < 0.001).
This study showed that less than half of the participants achieved the optimal ADA goals for diabetes care, therefore it is necessary to revise the basic protocols of diabetes care in the region to improve diabetes management.
糖尿病正成为全球关注的问题。最佳的糖尿病控制可减少糖尿病并发症。
我们旨在测量主要的糖尿病护理参数，以识别该地区糖尿病患者护理中的主要不足。
这项横断面研究基于胡齐斯坦综合健康研究（KCHS）的数据。在所有参与者中，4673人（15.3%）被确定患有糖尿病。我们邀请已知的糖尿病患者通过面对面访谈完成一份关于其糖尿病情况的清单，并采集血样以测量其糖化血红蛋白（HbA1c）。
在KCHS研究的所有参与者中，确定了312名符合纳入标准的糖尿病患者。平均（±标准差）糖化血红蛋白为8.5%（±1.8），225名（72.1%）参与者血糖控制不佳。约45.2%的人血压低于130/80 mmHg，24%的人空腹血糖低于130 mg/dl。近37.8%的参与者低密度脂蛋白（LDL）<100 mg/dl，40%的人甘油三酯（TG）<150 mg/dl。在所有参与者中，38.5%接受了视网膜检查，13.8%接受了足部检查，39.4%进行了尿微量白蛋白/肌酐测试。糖化血红蛋白水平与性别（P = 0.012）、职业（P = 0.007）、肾病（P = 0.004）和视网膜病变（P < 0.001）有统计学显著关系。
本研究表明，不到一半的参与者达到了美国糖尿病协会（ADA）糖尿病护理的最佳目标，因此有必要修订该地区糖尿病护理的基本方案，以改善糖尿病管理。
