Abstract
Objective: The purpose of this study was to comprehensively evaluate and explore the current situation of comprehensive metabolic control, the factors that influence glycemic control and the relationships among these factors in patients with type 2 diabetes in a low-income population. Method: A total of 462 outpatients and inpatients with type 2 diabetes who met the national standard of low income were selected by random sampling. The Diabetes General data questionnaire, the Chinese version of Diabetes Distress Scale (DDS) and the Diabetes Knowledge and Self-Management Behavior Scale were administered, and HbA1c, blood pressure, blood lipid and BMI were examined to comprehensively evaluate the psychology, management knowledge, behavior and control status of diabetes mellitus. Then, multiple linear regression analysis was carried out. Results: The total score of the knowledge behavior was 89.57 ± 19.00, and 104 patients (22.5%) met the threshold for the Diabetes Knowledge and Self-Management Behavior Scale. Diabetes-related health knowledge and ability were negatively related to HBA1c. A total of 73.81% of patients reported diabetes-related psychological pain, and the most common dimension of which was psychological pain was the emotional burden. The total score of the DDS and scores on each dimension were positively related to HbA1c levels. Multiple linear regression showed that the main factors affecting blood glucose control were the total score of the knowledge and behavior scale, interpersonal-related pain, time of diabetes diagnosis, age, diabetic nephropathy, emotion-related pain, gender, and smoking status. Conclusion: The comprehensive metabolic control status of low-income type 2 diabetes patients is much lower than indicated by the results of 3B research. Because self-management behavior in the knowledge of diabetes is the most important factor affecting blood glucose control and there is a correlation between self-management behavior and diabetes psychology, according to the heterogeneity of diabetes, it is important to consider how to make full use of the Internet and other methods to carry out individual, accurate and effective care to promote comprehensive metabolic control among low-income patients with type 2 diabetes.