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Title: Younger adult type 2 diabetic patients have poorer glycaemic control: A cross-sectional study in a primary care setting in Singapore
Authors: Quah, J.H.M.
Liu, Y.P.
Luo, N. 
How, C.H.
Tay, E.G.
Keywords: Diabetes mellitus type 2
Hemoglobin A glycosylated
Primary health care
Issue Date: 3-Jun-2013
Citation: Quah, J.H.M., Liu, Y.P., Luo, N., How, C.H., Tay, E.G. (2013-06-03). Younger adult type 2 diabetic patients have poorer glycaemic control: A cross-sectional study in a primary care setting in Singapore. BMC Endocrine Disorders 13 : -. ScholarBank@NUS Repository.
Abstract: Background: The aim was to study the glycaemic control of type 2 diabetic patients, and to identify factors associated with unacceptable glycaemic control (defined as HbA1c >8.0%).Methods: Analysis of data collected in a cross-sectional survey of type 2 diabetic patients in eight SingHealth Polyclinics in January 2009. HbA1c value was measured on the day of the survey, while information on patient and diabetic characteristics was obtained through a questionnaire. Odds ratio of having unacceptable glycaemic control was estimated for selected variables using multiple logistic regression models.Results: A total of 688 patients were included in the analysis. The mean (± standard deviation) and median (range) HbA1c levels were 7.6% (± 1.35) and 7.3% (5.0% to 14.0%), respectively. 25.4% of the patients had an unacceptable HbA1c level of >8.0% and the odds of this were higher (p < 0.05) in patients with the following characteristics: younger age, longer diabetes duration, presence of insulin treatment, and poorer compliance to medication.Conclusion: Younger adult patients were found to have poorer glycaemic control, and hence targeted educational and behaviour modification programmes would be required to effectively manage this group of patients. © 2013 Quah et al.; licensee BioMed Central Ltd.
Source Title: BMC Endocrine Disorders
ISSN: 14726823
DOI: 10.1186/1472-6823-13-18
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