PDB26 Factors Associated With Three Years of Good or Poor Hemoglobin A1C Control Among Patients With Diabetes

Introduction: Glycemic control is associated with better health outcomes among patients with diabetes. No previous research has examined the relationship between knowledge of one’s insulin dose and glycemic control. This study sought to determine if patients who accurately recalled their insulin dose achieved better glycemic control than patients who could not remember their dose. Methods: Interviews were conducted with 106 patients. Data were collected during patients’ appointments at two endocrinology clinics in Wichita, Kansas from May 29, 2018 to February 15, 2019. Adequate glycemic control was defined as an HbA1c of less than 7.5%. A multiple logistic regression model was developed to identify factors associated with glycemic control. Results: Of the 109 patients asked to participate, 105 agreed to participate in the study. About half (45%, n = 48) were male. Patients’ mean age was 50 years (SD = 17). Seventy-seven percent (n = 81) were overweight (body mass index (BMI) of 25 to 29.9) or obese (BMI >30). Patients who correctly stated their insulin dose had a mean Hemoglobin A1c (HbA1c) of 6.9% (SD = 0.98), whereas those who incorrectly stated their dose had a mean HbA1c of 9.5% (SD = 1.9; p <0.0001). Conclusions: There was a significant relationship between knowledge of one’s insulin dose and adequate glycemic control.

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Factors associated with good knowledge of foot health in a population of patients with diabetes

Endocrine Abstracts ◽

10.1530/endoabs.70.aep409 ◽

2020 ◽

Author(s):

Chaima Jemai ◽

Frigui Sinène El

Keyword(s):

Good Knowledge ◽

Foot Health ◽

Factors Associated ◽

Patients With Diabetes

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Risk Factors Associated With Hyperuricemia in Patients with Diabetes Type 2: About 190 Cases

10.36502/2020/droa.6163 ◽

2020 ◽

Vol 2 (1) ◽

pp. 12-16

Author(s):

Fennoun H ◽

Haraj NE ◽

El Aziz S ◽

Bensbaa S ◽

Chadli A

Keyword(s):

Type 2 Diabetes ◽

Heart Disease ◽

Glycemic Control ◽

Ischemic Heart Disease ◽

Diabetes Type 2 ◽

Diabetes Type ◽

Ischemic Heart ◽

Factors Associated ◽

Patients With Diabetes

Introduction: Hyperuricemia is common Type 2 diabetes at very high cardiovascular risk. Objective: Evaluate the relationship between hyperuricemia and diabetes type 2, and determine its predictive factors in this population. Patients and Methods: Retrospective study cross including 190 patients with diabetes type 2 hospitalized Service of Endocrinology of CHU Ibn Rushd Casablanca from January 2015 to December 2017. Hyperuricemia was defined as a serum uric acid concentration> 70 mg/L (men) and> 60 mg/L (women). The variables studied were the anthropometric measurements), cardiovascular factors (tobacco, hypertension, dyslipidemia), and degenerative complications (retinopathy, neuropathy, kidney failure, ischemic heart disease). The analyzes were performed by SPSS software. Results: Hyperuricemia was found in 26.5% of patients with a female predominance (76%), an average age of 55.9 years, and an average age of 12.4ans diabetes. The glycemic control was found in 84.6% of cases with mean glycated hemoglobin 8.6%. Factors associated al hyperuricemia were the blood pressure in 86% (p <0.05), dyslipidemia in 76.3% of cases (p <0.001) with hypertriglyceridemia in 48.3% of cases (p <0.02), and a hypoHDLémie 28% (p <0.001). The age, obesity, smoking, and glycemic control were associated significantly n al hyperuricemia. The research of degenerative complications of hyperuricemia has objectified renal impairment (GFR between 15 and 60ml / min) chez47% (p <0.001), it was kind of moderate in 35.8% (p <0.01) and severe in 5.1% (p <0.02), ischemic heart disease was found in 34% of cases (p <0.01). Conclusion: In our study, hyperuricemia in type 2 diabetes is common in female patients, especially with hypertension, dyslipidemia, and renal failure. Other factors such as age, obesity, smoking is not associated with hyperuricemia in type 2 diabetics.

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Factors determining chance of type 2 diabetes remission after Roux-en-Y gastric bypass surgery: a nationwide cohort study in 8057 Swedish patients

BMJ Open Diabetes Research & Care ◽

10.1136/bmjdrc-2020-002033 ◽

2021 ◽

Vol 9 (1) ◽

pp. e002033

Author(s):

Erik Stenberg ◽

Torsten Olbers ◽

Yang Cao ◽

Magnus Sundbom ◽

Anders Jans ◽

...

Keyword(s):

Type 2 Diabetes ◽

Weight Loss ◽

Gastric Bypass ◽

Metabolic Surgery ◽

First Generation ◽

Hemoglobin A1c ◽

Diabetes Remission ◽

Factors Associated ◽

Generation Immigrant

IntroductionBariatric and metabolic surgery is an effective treatment option for type 2 diabetes (T2D). Increased knowledge regarding factors associated with diabetes remission is essential in individual decision making and could guide postoperative care. Therefore, we aimed to explore factors known to affect the chance of achieving diabetes remission after bariatric and metabolic surgery and to further investigate the impact of socioeconomic factors.Research design and methodsIn this nationwide study, we assessed all patients with T2D who underwent Roux-en-Y gastric bypass (RYGB) surgery between 2007 and 2015 in the Scandinavian Obesity Surgery Registry. Remission was defined as absence of antidiabetic medication for T2D 2 years after surgery. Multivariable logistic regression was used to evaluate factors associated with diabetes remission, with missing data handled by multiple imputations.ResultsA total of 8057 patients were included. Mean age±SD was 47.4±10.1 years, mean body mass index 42.2±5.7 kg/m2, mean hemoglobin A1c 59.0±17.33, and 61.7% (n=4970) were women. Two years after surgery, 6211 (77.1%) patients achieved T2D remission. Preoperative insulin treatment (OR 0.26, 95% CI 0.22 to 0.30), first-generation immigrant (OR 0.66, 95% CI 0.57 to 0.77), duration of T2D (OR 0.89, 95% CI 0.88 to 0.90), dyslipidemia (OR 0.71, 95% CI 0.62 to 0.81), age (OR 0.97, 95% CI 0.96 to 0.97), and high glycosylated hemoglobin A1c (HbA1c) (OR 0.99, 95% CI 0.98 to 0.99) were all associated with lower T2D remission rate. In contrast, residence in a medium-sized (OR 1.39, 95% CI 1.20 to 1.61) or small (OR 1.46, 95% CI 1.25 to 1.71) town and percentage of total weight loss (OR 1.04, 95% CI 1.03 to 1.04) were associated with higher remission rates.ConclusionAmong patients with T2D undergoing RYGB surgery, increasing age, HbA1c, and diabetes duration decreased the chance of reaching diabetes remission without cut-offs, while postoperative weight loss demonstrated a positive linear association. In addition, being a first-generation immigrant and living in a large city were socioeconomic factors having a negative association.

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Necrotizing Soft-Tissue Infections in the Feet of Patients With Diabetes: Outcome of Surgical Treatment and Factors Associated With Limb Loss and Mortality

The International Journal of Lower Extremity Wounds ◽

10.1177/1534734609344106 ◽

2009 ◽

Vol 8 (3) ◽

pp. 141-146 ◽

Cited By ~ 35

Author(s):

Javier Aragón-Sánchez ◽

Yurena Quintana-Marrero ◽

Jose L. Lázaro-Martínez ◽

Maria J. Hernández-Herrero ◽

Esther García-Morales ◽

...

Keyword(s):

Surgical Treatment ◽

Soft Tissue ◽

Limb Loss ◽

Soft Tissue Infections ◽

Factors Associated ◽

Patients With Diabetes ◽

Necrotizing Soft Tissue Infections ◽

Diabetes Outcome

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17547 Transitions of Care among Patients with Diabetes in the Deep South: Factors Associated with Hospital Readmissions

Journal of Clinical and Translational Science ◽

10.1017/cts.2021.706 ◽

2021 ◽

pp. 1-2

Author(s):

Cassidi C. McDaniel ◽

Chiahung Chou

Keyword(s):

Hospital Readmissions ◽

Transitions Of Care ◽

Deep South ◽

Factors Associated ◽

Patients With Diabetes

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Risk factors associated with diabetic retinopathy in patients with diabetes mellitus type 2

BMC Research Notes ◽

10.1186/1756-0500-3-153 ◽

2010 ◽

Vol 3 (1) ◽

Cited By ~ 20

Author(s):

Irini P Chatziralli ◽

Theodoros N Sergentanis ◽

Petros Keryttopoulos ◽

Nikolaos Vatkalis ◽

Antonis Agorastos ◽

...

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Diabetic Retinopathy ◽

Diabetes Mellitus Type 2 ◽

Diabetes Mellitus Type ◽

Factors Associated ◽

Patients With Diabetes

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Prevalence of Anaemia and Its Associated Factors among Type 2 Diabetes Mellitus Patients in University of Gondar Comprehensive Specialized Hospital

Anemia ◽

10.1155/2021/6627979 ◽

2021 ◽

Vol 2021 ◽

pp. 1-5

Author(s):

Sewnet Adem Kebede ◽

Biruk Shalmeno Tusa ◽

Adisu Birhanu Weldesenbet

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Associated Factors ◽

Microvascular Complications ◽

Combined Treatment ◽

Factors Associated ◽

Specialized Hospital ◽

Patients With Diabetes

Background. Anaemia is one of the commonest blood disorders seen in patients with diabetes. In Ethiopia, chronic illnesses are tremendously raising with their complications. But very little research has been conducted, particularly on anaemia among diabetes mellitus (DM) patients. Therefore, this study aimed at assessing the prevalence of anaemia and associated factors among type 2 diabetes mellitus patients in Northwest Ethiopia. Methods. A cross-sectional study design was employed at University of Gondar Comprehensive Specialized Hospital from March 1 to April 15, 2019, among 372 type 2 diabetes mellitus patients (T2DM). Multivariable logistic regression analysis was fitted, and the corresponding adjusted odds ratio (AOR) and 95% CI were used to identify factors associated with anaemia. Level of significance was declared at the p value less than 0.05. Results. The study revealed 8.06% (95% CI: 5.68–11.31%) of the participants were anaemic. Being male (AOR = 2.74, CI: 1.02, 7.38), combined type of treatment (AOR = 8.38, CI: 1.66, 42.25), having diabetes-related microvascular complications (AOR = 3.24, CI: 1.14, 9.26), and hypertension (AOR = 0.01, CI: 0.002, 0.06) were the significant factors associated with anaemia. Conclusions. The finding of the current study revealed low prevalence of anaemia among T2DM patients. Sex, type of treatment, diabetes-related microvascular complications, and hypertension were factors associated with anaemia. Assessment of haemoglobin levels among T2DM patients may help to prevent ensuing microvascular complications. Incorporate anaemia screening into the routine assessment of diabetic complication particularly for those who are hypertensive and took combined treatment to allow early appreciation and treatment of anaemia and later improve the overall care of patients with diabetes.

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