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KMID : 1141620210330020015
Health & Nursing
2021 Volume.33 No. 2 p.15 ~ p.26
Factors Influencing Glycemic Control among Type 2 Diabetes Mellitus Patients: The Seventh Korea National Health and Nutrition Examination Survey (2016-2018)
Lee Chang-Kwan

Abstract
Purpose: This study examined factors influencing glycemic control among type 2 diabetes mellitus (T2DM) patients using data from the seventh Korea National Health and Nutrition Examination Survey.

Methods: The subjects were 1,459 patients aged 30 years and older who with T2DM. The subjects were divided into three groups according to glycated hemoglobin A (HbA1c) values: good glycemic control group (good GCG, HbA1c<7%), insufficient GCG (7¡ÂHbA1c<8%), and poor GCG (8%¡ÃHbA1c). Univariate multiple multinomial logistic regression was used.

Results: The patients were distributed as follows: 52.7%, good GCG; 28.4%, insufficient GCG; and 18.9%, poor GCG. In the insufficient GCG, DM duration was a significant factor influencing glycemic control in T2DM. In the poor GCG, age, DM duration, hypertriglyceridemia, waist circumference and muscular exercise were significant factors influencing glycemic control in T2DM.

Conclusion: Strategies for insufficient glycemic control should include intensive glucose control interventions for patients with a DM duration over 5 years. Strategies for poor glycemic control should include intensive glucose control interventions for younger age groups, those with a DM duration >1 year, and those with hypertriglyceridemia. In addition, nursing interventions for weight loss and muscular exercise are needed.
KEYWORD
Diabetes mellitus, Type 2, Glycemic control, Glycated hemoglobin A
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