Health Policy Manag.
2016 Jun;26(2):125-134. 10.4332/KJHPA.2016.26.2.125.
Factors Associated with Poor Glycemic Control among Patients with Type 2 Diabetes Mellitus: The Fifth Korea National Health and Nutrition Examination Survey (2010-2012)
- Affiliations
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- 1Non Commissioned Officer Academy, Iksan, Korea.
- 2Health Insurance Policy Research Institute, National Health Insurance Service, Wonju, Korea.
- 3Department of Nursing, Daegu Health College, Daegu, Korea.
- 4Graduate School of Public Health, Yonsei University, Seoul, Korea.
- 5Department of Health Policy and Management, Yonsei University Graduate School of Public Health, Seoul, Korea. wchung@yuhs.ac
- KMID: 2326663
- DOI: http://doi.org/10.4332/KJHPA.2016.26.2.125
Abstract
- BACKGROUND
Glycemic control is an effective way to reduce the cardiovascular complications of diabetes, but more than half of the adults with diabetes in Korea are improperly controlling their glycemic levels. The purpose of this study is to identify the factors associated with poor glycemic control in type 2 diabetes patients.
METHODS
This study analyzed 1,261 subjects ≥30 years old diagnosed with type 2 diabetes who participated in the fifth Korean National Health and Nutrition Examination Survey (2010-2012). Poor glycemic control rates were defined as hemoglobin A1c (HbA1c) level ≥7%. To shed light on the causes of poor glycemic control, socio-demographics, diabetes severity, health status, and health behavior factors were adjusted and logistic regression was done.
RESULTS
Of the total 1,261 patients, 53.0% of patients with type 2 diabetes had HbA1c ≥7%. After running a logistic regression model, the odds ratio of poor glycemic control was higher in high school graduates than elementary school graduates; in people living in Chungcheong and Jeolla/Jeju than those living in Seoul; in the group with diabetes for over 5 years had diabetes less than 5 years; in a group with insulin and oral hypoglycemic agent treatment than non-treatment; in a group with hypertriglyceridemia than without hypertriglyceridemia; and in the group with slept less than 6 hours slept 7-8 hours.
CONCLUSION
We need a comprehensive public health policy to reduce the poor glycemic control rates in type 2 diabetes patients. We should recognize the education levels, duration of diabetes, diabetes treatment, hypertriglyceridemia, and sleep duration were associated with poor glycemic control.
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