YAKUN WANG1, NINGYUAN FANG2
1Huamu Community Health Center of Shanghai Pudong New Area, Shanghai, 201204 China - 2Department of Geriatrics, Renji Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai 200127, China
Introduction: previous studies have shown that to normalize blood glucose is able to delay the occurrence of complications. This study aimed to investigate the role of self-management in the blood glucose control of type 2 diabetes mellitus (T2DM) patients and explore the relationship of self-management with risk factors of chronic complications of T2DM.
Materials and methods: a survey was conducted in 900 DM patients in the Huamu Community Health Center in Shanghai in Deptember 2014, and the individual background, past medical history, self-management of DM were collected. Moreover, these patients received physical examination and laboratory examination.
Results: excise and medication in self-management were negatively related to glycated hemoglobin (P<0.05), special diet and excise in self-management were negatively associated with systolic blood pressure (P<0.05), and general diet and excise in self- management were negatively related to urinary microalbumin to creatinine ratio (P<0.05). The self-management has no relationship with total cholesterol and low-density lipoprotein cholesterin. Logistic regression analysis showed good excise (OR 0.929, 95% CI 0.877-0.983) and medication (OR 0.932, 95% CI 0.886-0.981) in self-management were helpful for the normalization of blood gluco- se, and good excise was able to reduce the risk for microalbuminuria (OR 0.918, 95% CI 0.861-0.979).
Conclusion: the effective self-management of DM desires to be generalized in clinical practice. To improve the self-manage- ment in T2DM patients is helpful to control blood glucose and blood pressure and delay the microalbuminuria progression.
Type 2 diabetes mellitus, self-management, A1c, UACR