Association of ABC (HbA1c, blood pressure, LDL-cholesterol) goal attainment with depression and health-related quality of life among adults with type 2 diabetes

Abstract

AimsTo determine the relationship between ABC goal attainment, depression, and health-related quality of life (HRQoL) among a national sample of patients with type 2 diabetes (T2DM). MethodsA retrospective, cross-sectional analysis was performed examining 808 non-pregnant patients ≥20years old with T2DM from the National Health and Nutrition Examination Survey (NHANES) 2007–2012. ABC goals were defined as HbA1c<7%, BP<130/80mm Hg, and LDL-C<100mg/dL. Patient characteristics associated with ABC goal attainment were examined. ResultsOverall, 23.7% of participants achieved simultaneous ABC goals. Severe depression was significantly associated with lower rates of ABC goal attainment compared to those with no depression (5.0% vs. 25.4%, p=0.048). ABC goal attainment rates were lower among females, Hispanic and non-Hispanic black minority groups, and patients with a duration of diabetes over five years, while increased visits with health care professionals were significantly associated with meeting all three ABC goals for patients with T2DM. ConclusionsThe relationship between simultaneous ABC goal attainment, depression and HRQoL is complex. Patients with T2DM unable to meet ABC goals may benefit from increased contact with health care professionals.