Glycemic Control Rate in Type 2 Diabetes Mellitus Patients at a Public Referral Hospital in Rio de Janeiro, Brazil: Demographic and Clinical Factors

Abstract

Background: The aim of the study was to determine the rate of satisfactory glycemic control among patients with type 2 diabetes (T2D) followed up at a tertiary referral hospital in Brazil. Methods: A retrospective and observational study was conducted between September 2014 and September 2015, by collecting data from medical records. Results: Data were obtained from 1,001 patients. The majority of patients were women (68%), with a median age of 61 years old (21 - 95). The median duration of disease was 10 years (1 - 58). Satisfactory glycemic control rate was found in 51% of patients. The strongest factors related to good control were: younger age (P < 0.001); absence of a T2D family history (P = 0.04), obesity (P < 0.001), overweight (P < 0.001), and absence of current alcohol consumption (P = 0.006); presence of fewer comorbidities (P = 0.01), chronic kidney disease (P = 0.004), and the treatment using only oral antidiabetic drugs (OADs) (P < 0.001). Conclusions: The majority of patients obtained an adequate glycemic control rate, particularly among those using only OAD. Younger age, a negative family history of T2D, normal body mass index, absence of current alcohol consumption, presence of fewer comorbidities, and chronic kidney disease were associated with better glycemic control. J Endocrinol Metab. 2017;7(2):61-67 doi: https://doi.org/10.14740/jem390w