Diabetes Metab J.  2015 Aug;39(4):307-315. 10.4093/dmj.2015.39.4.307.

Current Status of Management in Type 2 Diabetes Mellitus at General Hospitals in South Korea

Affiliations
  • 1Division of Diabetes Education Team, Department of Nursing, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
  • 2Korea Association of Diabetes Nurse Educators, Seoul, Korea. jsmercy@naver.com
  • 3Division of Diabetes Education Team, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
  • 4Department of Healthcare Management and Institute of Global Healthcare Research, Eulji University School of Medicine, Seongnam, Korea.
  • 5Division of Diabetes Education Team, Cheil General Hospital & Women's Healthcare Center, Dankook University College of Medicine, Seoul, Korea.
  • 6Department of Nursing, Dongnam Health University, Suwon, Korea.
  • 7Division of Diabetes Education Team, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
  • 8Division of Diabetes Education Team , Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 9Division of Diabetes Education Team, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 10Division of Diabetes Education Team, Inje University Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
  • 11Division of Diabetes Education Team, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 12Division of Diabetes Education Team, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 13Division of Diabetes Education Team, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
  • 14Division of Diabetes Education Team, Kwangmyung Sungae Hospital, Gwangmyeong, Korea.
  • 15Division of Diabetes Education Team, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
  • 16Diabetes Education Unit, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

BACKGROUND
In Korea, the prevalence, complications, and mortality rate of diabetes are rapidly increasing. However, investigations on the actual condition of diabetes management are very limited due to lack of nation-wide research or multicenter study. Hence, we have minutely inquired the current status of diabetes management and achievement of glucose target goal in general hospital offering education program. That way, we are able to furnish data for policy making of diabetes education and draw up guideline which may allow us to reduce the morbidity and mortality of diabetes.
METHODS
The subjects consisted of 2,610 patients with type 2 diabetes who visited the 13 general hospital in Seoul or Gyeonggi region from March 19 to May 29, 2013. General characteristics, associated diseases, complications, and management status were investigated.
RESULTS
The mean age was 61.0+/-11.6 years, body mass index was 25.0+/-3.3 kg/m2, and family history of diabetes was 50.5%. The mean duration of diabetes was 10.7+/-7.9 years and 53% received education about diabetes. The prevalence of hypertension and dyslipidemia were 59.2% and 65.5%, respectively, and 18.3% of the subjects were accompanied by liver disease. Diabetic retinopathy appeared in 31.6%, nephropathy in 28.1%, and neuropathy in 19.9% of the subjects. The mean glycosylated hemoglobin (HbA1c) level was 7.3%+/-1.3% and the achieving rate based on Korean Diabetes Association guideline (HbA1c <6.5%) was 24.8%, blood pressure (130/80 mm Hg or less) was 49.4%, and low density lipoprotein cholesterol (<100 mg/dL) was 63.6%. The reaching rate to the target level in four parameters (blood glucose, blood pressure, lipids, and body weight) was 7.8%.
CONCLUSION
The blood glucose control rate was lower than other parameters, and the implementation rate of diabetes education was only 53%. Thus more appropriate glucose control and systematic diabetes education are imperative.

Keyword

Achieving rate; Complication; Diabetes; Management status; Therapeutic goals

MeSH Terms

Blood Glucose
Blood Pressure
Body Mass Index
Cholesterol, LDL
Diabetes Mellitus, Type 2*
Diabetic Retinopathy
Dyslipidemias
Education
Glucose
Gyeonggi-do
Hemoglobin A, Glycosylated
Hospitals, General*
Humans
Hypertension
Korea*
Liver Diseases
Mortality
Policy Making
Prevalence
Seoul
Blood Glucose
Cholesterol, LDL
Glucose

Figure

  • Fig. 1 Achieving rate in metabolic targets. Four metabolic target achievement: HbA1c <7.0%, Blood pressure <130/80 mm Hg, LDL-C <100 mg/dL, BMI 18.5 to 24.9 kg/m2. HbA1c, glycosylated hemoglobin; HDL-C, high density lipoprotein cholesterol; LDL-C, low density lipoprotein cholesterol; BMI, body mass index.


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Physician-Directed Diabetes Education without a Medication Change and Associated Patient Outcomes
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Diabetes Metab J. 2017;41(3):187-194.    doi: 10.4093/dmj.2017.41.3.187.

Features of Long-Standing Korean Type 2 Diabetes Mellitus Patients with Diabetic Retinopathy: A Study Based on Standardized Clinical Data
Sejeong Park, Sang Youl Rhee, Su Jin Jeong, Kiyoung Kim, Suk Chon, Seung-Young Yu, Jeong-Taek Woo
Diabetes Metab J. 2017;41(5):393-404.    doi: 10.4093/dmj.2017.41.5.393.

Sociodemographic Factors Associated with Participation in Diabetes Education among Community-Dwelling Adults with Diabetes
Young-Hoon Lee
Yonsei Med J. 2020;61(2):169-178.    doi: 10.3349/ymj.2020.61.2.169.

Management Status of Patients with Type 2 Diabetes Mellitus at General Hospitals in Korea: A 5-Year Follow-Up Study
Jin Hee Jung, Jung Hwa Lee, Hyang Mi Jang, Young Na, Hee Sun Choi, Yeon Hee Lee, Yang Gyo Kang, Na Rae Kim, Jeong Rim Lee, Bok Rye Song, Kang Hee Sim
J Korean Diabetes. 2022;23(1):64-75.    doi: 10.4093/jkd.2022.23.1.64.


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