Poor glycemic control and associated factors in diabetic people attending a reference outpatient clinic in Mato Grosso, Brazil.
Mariano Martínez Espinosa, Vitesinha Rosa Dos Santos Almeida, Vagner Ferreira do Nascimento
PMID 34822237WHAT IT FOUND
47.34% of adults with type 2 diabetes at a Brazilian referral clinic had poor HbA1c control.
In adjusted analysis, poor control was associated with insulin use, abnormal fasting and after-meal glucose, no physical activity, younger age with long disease duration, living outside Cuiabá, and hypertension.
Key findings
0147.34% of the 338 analysed adults with type 2 diabetes had inadequate glycemic control.
02In crude analysis, inadequate control was more common among adults aged 59 years or younger (62.18%) than adults aged 60 years or over (34.62%).
03After adjustment, elevated HbA1c remained associated with insulin use, fasting blood glucose at or below 70 or at or above 100 mg/dL, postprandial blood glucose 180 mg/dL or higher, no physical activity, age 59 or younger with disease duration over 10 years, living outside Cuiabá, and hypertension.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
It was done in a single referral clinic, so it may not apply to primary care or other settings. It measured records at one time, so it cannot prove which factor caused poor control. Income, professional occupation and family history were not available. Some variables, such as physical activity, relied on what was recorded and had missing categories.
The easy way to misread this
Do not read these associations as proof that insulin use, abnormal glucose values, physical inactivity or hypertension caused poor control. The study was cross-sectional and based on records, so it cannot show cause, and it did not test whether changing these factors improves HbA1c.