Longitudinal trend of fasting blood glucose and related factors in patients with type 2 diabetes
Background: Control of diabetes plays an important role in improving complications and disabilities and quality of life. This study aimed to evaluate the 3-year changes in fasting blood glucose (FBG) values and its related factors in patients with type 2 diabetes. Methods: In this retrospective coho...
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doaj-7999994e755847f9b2117967f74ee1d52021-01-08T03:43:42ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132020-01-0111117717710.4103/ijpvm.IJPVM_195_18Longitudinal trend of fasting blood glucose and related factors in patients with type 2 diabetesZahra KhatirnamaniEnayatollah BakhshiArash NaghipourRobab TeymouriSamaneh HosseinzadehBackground: Control of diabetes plays an important role in improving complications and disabilities and quality of life. This study aimed to evaluate the 3-year changes in fasting blood glucose (FBG) values and its related factors in patients with type 2 diabetes. Methods: In this retrospective cohort study, 500 patients with type 2 diabetes covered by the National Diabetic Prevention and Care Plan during 2013–2016 were selected based on random cluster systematic sampling. A linear mixed model was used to study changes in FBG levels and their related factors. The data were analyzed using the R3.2.0 software. Results: The patients' mean age was 47.7 years. Among these patients, 58.6% were female, 19.8% had a history of smoking. High FBG was associated with high disease duration, high body mass index (BMI), low age, normal BMI at baseline, insulin therapy, smoking, and family history of diabetes. Trend of FBG in follow-up was decreasing. Conclusions: Given that patients who received insulin therapy had higher mean FBG, it is recommended to examine their insulin dose and modifications should be made in terms of the patients' needs during their continuous follow-up. Weight loss during follow-up and cessation of smoking indicate a favorable prognosis of disease. More attention should be paid to younger patients in care. Patients are encouraged to start treatment and care at the same time diagnose.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2020;volume=11;issue=1;spage=177;epage=177;aulast=Khatirnamaniblood glucosebody mass indexdiabetes mellitus type 2insulinsmoking |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Zahra Khatirnamani Enayatollah Bakhshi Arash Naghipour Robab Teymouri Samaneh Hosseinzadeh |
spellingShingle |
Zahra Khatirnamani Enayatollah Bakhshi Arash Naghipour Robab Teymouri Samaneh Hosseinzadeh Longitudinal trend of fasting blood glucose and related factors in patients with type 2 diabetes International Journal of Preventive Medicine blood glucose body mass index diabetes mellitus type 2 insulin smoking |
author_facet |
Zahra Khatirnamani Enayatollah Bakhshi Arash Naghipour Robab Teymouri Samaneh Hosseinzadeh |
author_sort |
Zahra Khatirnamani |
title |
Longitudinal trend of fasting blood glucose and related factors in patients with type 2 diabetes |
title_short |
Longitudinal trend of fasting blood glucose and related factors in patients with type 2 diabetes |
title_full |
Longitudinal trend of fasting blood glucose and related factors in patients with type 2 diabetes |
title_fullStr |
Longitudinal trend of fasting blood glucose and related factors in patients with type 2 diabetes |
title_full_unstemmed |
Longitudinal trend of fasting blood glucose and related factors in patients with type 2 diabetes |
title_sort |
longitudinal trend of fasting blood glucose and related factors in patients with type 2 diabetes |
publisher |
Wolters Kluwer Medknow Publications |
series |
International Journal of Preventive Medicine |
issn |
2008-7802 2008-8213 |
publishDate |
2020-01-01 |
description |
Background: Control of diabetes plays an important role in improving complications and disabilities and quality of life. This study aimed to evaluate the 3-year changes in fasting blood glucose (FBG) values and its related factors in patients with type 2 diabetes. Methods: In this retrospective cohort study, 500 patients with type 2 diabetes covered by the National Diabetic Prevention and Care Plan during 2013–2016 were selected based on random cluster systematic sampling. A linear mixed model was used to study changes in FBG levels and their related factors. The data were analyzed using the R3.2.0 software. Results: The patients' mean age was 47.7 years. Among these patients, 58.6% were female, 19.8% had a history of smoking. High FBG was associated with high disease duration, high body mass index (BMI), low age, normal BMI at baseline, insulin therapy, smoking, and family history of diabetes. Trend of FBG in follow-up was decreasing. Conclusions: Given that patients who received insulin therapy had higher mean FBG, it is recommended to examine their insulin dose and modifications should be made in terms of the patients' needs during their continuous follow-up. Weight loss during follow-up and cessation of smoking indicate a favorable prognosis of disease. More attention should be paid to younger patients in care. Patients are encouraged to start treatment and care at the same time diagnose. |
topic |
blood glucose body mass index diabetes mellitus type 2 insulin smoking |
url |
http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2020;volume=11;issue=1;spage=177;epage=177;aulast=Khatirnamani |
work_keys_str_mv |
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