FACTORS ASSOCIATED WITH POOR GLYCEMIC CONTROL IN COLOMBIAN TYPE 2 DIABETIC PATIENTS

Abstract

Background And Aims: Type 2 diabetes is considered an epidemic disease, and its control is important for preventing macro- and microvascular complications. This study aimed to determine the factors associated with poor glycemic control, dened as an HbA1c level >7%, in type 2 diabetic patients in the cardiovascular risk program of the Hospital Central Policia Nacional de Colombia. Methods:This was a descriptive cross-sectional study in which univariate and multivariate analyses were performed on factors associated with poor glycemic control in type 2 diabetes patients. Results: A total of 1058 type 2 diabetic patients were included in this study. The independent factors for poor glycemic control were LDL cholesterol>100 mg/dl, OR=1.47 (95% CI 1.12 to 1.94, p=0.006); HDL<40 mg/dl in men and <50 mg/dl in women, OR=1.44 (95% CI 1.043 to 1.990, p=0.027); duration of diabetes, OR=1.066 (95% CI 1.049 to 1.084, p=0.001); albuminuria>30 mg/g creatinuria, OR=1.484 (95% CI 1.110 to 1.978, p=0.007); and IDF criteria for metabolic syndrome, OR=2.30 (95% CI 1.470 to 3.590, p=0.001), adjusted for age, smoking status, body mass index, and triglycerides. Conclusion: Metabolic syndrome is an independent factor for poor glycemic control in type 2 diabetic patients, which highlights the importance of therapeutic lifestyle changes and suggests that metabolic syndrome should be included in cardiovascular risk prevention and control programs