Glycemic control and associated factors among type 2 diabetes mellitus patients: a cross-sectional study of Azar cohort population
Abstract Background Despite the growing prevalence of diabetes and its complications, there is a dearth of data regarding factors associated with glycemic control. Therefore, in this cross-sectional study, we aimed to identify factors influencing glycemic control in patients with type 2 diabetes mel...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | BMC Endocrine Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12902-023-01515-y |
| _version_ | 1827581560234180608 |
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| author | Masoud Faghieh Dinavari Sarvin Sanaie Kimia Rasouli Elnaz Faramarzi Roghayeh Molani-Gol |
| author_facet | Masoud Faghieh Dinavari Sarvin Sanaie Kimia Rasouli Elnaz Faramarzi Roghayeh Molani-Gol |
| author_sort | Masoud Faghieh Dinavari |
| collection | DOAJ |
| description | Abstract Background Despite the growing prevalence of diabetes and its complications, there is a dearth of data regarding factors associated with glycemic control. Therefore, in this cross-sectional study, we aimed to identify factors influencing glycemic control in patients with type 2 diabetes mellitus (T2DM) in the Iranian population. Methods This cross-sectional study was conducted among the Azar cohort population and the glycemic control status of patients with T2DM was investigated. Possible risk factors including age, sex, marital status, educational level, smoking status, sleep duration, family history of diabetes and hypertension, socioeconomic status, physical activity level, and co-existence of other chronic diseases and their relationship with glycemic control status were also assessed. Multivariate logistic regression analysis was used to identify determinants of glycemic control. Results Among 1,710 T2DM patients (60.2% female), the overall prevalence of poor glycemic control was 56.8%. In the unadjusted logistic regression analysis model, a low wealth score index significantly increased the risk of poor glycemic control (OR: 1.49;1.10–2.02). Variables significantly associated with poor glycemic control even after adjusting for confounding factors were first-degree family history of diabetes (OR: 1.34; 1.08–1.65), and sleep duration (OR: 1.29 ;1.02–1.62 for 6.6-8 h/d; OR:1.42;1.10–1.88 for > 8 h/d). Interestingly, we found that the co-existence of ≥ 3 chronic diseases with diabetes decreased the risk of poor glycemic control. Conclusions In the current study, most of the patients with T2DM had uncontrolled glycemic control. Due to the individual and social costs of diabetes complications, it is necessary to suggest tailored and effective interventions for controlling blood glucose levels in people with diabetes. |
| first_indexed | 2024-03-08T22:38:08Z |
| format | Article |
| id | doaj.art-34974e01cdc54ac1a283957c93df7296 |
| institution | Directory Open Access Journal |
| issn | 1472-6823 |
| language | English |
| last_indexed | 2024-03-08T22:38:08Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Endocrine Disorders |
| spelling | doaj.art-34974e01cdc54ac1a283957c93df72962023-12-17T12:20:11ZengBMCBMC Endocrine Disorders1472-68232023-12-0123111110.1186/s12902-023-01515-yGlycemic control and associated factors among type 2 diabetes mellitus patients: a cross-sectional study of Azar cohort populationMasoud Faghieh Dinavari0Sarvin Sanaie1Kimia Rasouli2Elnaz Faramarzi3Roghayeh Molani-Gol4Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical SciencesResearch Center for Integrative Medicine in Aging, Aging Research Institute, Tabriz University of Medical SciencesStudent Research Committee, Tabriz University of Medical SciencesLiver and Gastrointestinal Diseases Research Center, Tabriz University of Medical SciencesStudent Research Committee, Tabriz University of Medical SciencesAbstract Background Despite the growing prevalence of diabetes and its complications, there is a dearth of data regarding factors associated with glycemic control. Therefore, in this cross-sectional study, we aimed to identify factors influencing glycemic control in patients with type 2 diabetes mellitus (T2DM) in the Iranian population. Methods This cross-sectional study was conducted among the Azar cohort population and the glycemic control status of patients with T2DM was investigated. Possible risk factors including age, sex, marital status, educational level, smoking status, sleep duration, family history of diabetes and hypertension, socioeconomic status, physical activity level, and co-existence of other chronic diseases and their relationship with glycemic control status were also assessed. Multivariate logistic regression analysis was used to identify determinants of glycemic control. Results Among 1,710 T2DM patients (60.2% female), the overall prevalence of poor glycemic control was 56.8%. In the unadjusted logistic regression analysis model, a low wealth score index significantly increased the risk of poor glycemic control (OR: 1.49;1.10–2.02). Variables significantly associated with poor glycemic control even after adjusting for confounding factors were first-degree family history of diabetes (OR: 1.34; 1.08–1.65), and sleep duration (OR: 1.29 ;1.02–1.62 for 6.6-8 h/d; OR:1.42;1.10–1.88 for > 8 h/d). Interestingly, we found that the co-existence of ≥ 3 chronic diseases with diabetes decreased the risk of poor glycemic control. Conclusions In the current study, most of the patients with T2DM had uncontrolled glycemic control. Due to the individual and social costs of diabetes complications, it is necessary to suggest tailored and effective interventions for controlling blood glucose levels in people with diabetes.https://doi.org/10.1186/s12902-023-01515-yGlycemic controlT2DMDiabetesBlood sugarAzar cohort |
| spellingShingle | Masoud Faghieh Dinavari Sarvin Sanaie Kimia Rasouli Elnaz Faramarzi Roghayeh Molani-Gol Glycemic control and associated factors among type 2 diabetes mellitus patients: a cross-sectional study of Azar cohort population BMC Endocrine Disorders Glycemic control T2DM Diabetes Blood sugar Azar cohort |
| title | Glycemic control and associated factors among type 2 diabetes mellitus patients: a cross-sectional study of Azar cohort population |
| title_full | Glycemic control and associated factors among type 2 diabetes mellitus patients: a cross-sectional study of Azar cohort population |
| title_fullStr | Glycemic control and associated factors among type 2 diabetes mellitus patients: a cross-sectional study of Azar cohort population |
| title_full_unstemmed | Glycemic control and associated factors among type 2 diabetes mellitus patients: a cross-sectional study of Azar cohort population |
| title_short | Glycemic control and associated factors among type 2 diabetes mellitus patients: a cross-sectional study of Azar cohort population |
| title_sort | glycemic control and associated factors among type 2 diabetes mellitus patients a cross sectional study of azar cohort population |
| topic | Glycemic control T2DM Diabetes Blood sugar Azar cohort |
| url | https://doi.org/10.1186/s12902-023-01515-y |
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