The current management situation of type 2 diabetes mellitus patients over 40 years old in Nanjing

Abstract

Objective To explore the current situation of type 2 diabetes mellitus (T2DM) patients over 40 years old management in Nanjing. Methods A cross-sectional, community-based study was conducted in Nanjing from June to November, 2011. Among 10 300 Chinese aged 40-79 years, 1 393 pre-existing T2DM and 900 newly diagnosed T2DM cases met eligibility criteria for enrollment. The level of HbA1c, blood pressure and LDL-C were compared. Results The prevalence of T2DM among Nanjing residents was 23.28% (2 293/9 850).The HbA1c-target-rate of pre-existing T2DM patients with ages from 40 to 50 years was three times of newly diagnosed T2DM patients with the same age group, while there were no significant differences of blood pressure and LDL-C between the two groups. In 51-60 years age group, there were no significant differences of HbA1c, blood pressure and LDL-C between pre-existing T2DM and newly diagnosed T2DM patients (OR=0.649, 95%CI was 0.487-0.865). In 61-79 years age group, patients with pre-existing T2DM had higher risk of elevated HbA1c level compared with those with newly diagnosed T2DM (OR=0.474, 95%CI was 0.333-0.674). Conclusions Elder diabetics are less benefited from current managements of diabetes. The major challenge might be the low glucose-target-rate among the patients over 50 years old. In future, to greatly elevate the glucose-target-rate, we should address the improvement of diabetes management among the diabetics over 50 years old, especially among the patients over 60 years old. Key words: Blood pressure; Nanjing city; Community residents; HbA1C; LDL-C