Multifaceted Determinants for Achieving Glycemic Control The International Diabetes Management Practice Study (IDMPS)
DC Field | Value | Language |
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dc.contributor.author | Chan, Juliana C. N. | - |
dc.contributor.author | Gagliardino, Juan Jose | - |
dc.contributor.author | Baik, Sei Hyun | - |
dc.contributor.author | Chantelot, Jean-Marc | - |
dc.contributor.author | Ferreira, Sandra R. G. | - |
dc.contributor.author | Hancu, Nicolae | - |
dc.contributor.author | Ilkova, Hasan | - |
dc.contributor.author | Ramachandran, Ambady | - |
dc.contributor.author | Aschner, Pablo | - |
dc.date.accessioned | 2021-09-08T20:14:17Z | - |
dc.date.available | 2021-09-08T20:14:17Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2009-02 | - |
dc.identifier.issn | 0149-5992 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/120668 | - |
dc.description.abstract | OBJECTIVE - The International Diabetes Mellitus Practice Study is a 5-year survey documenting changes in diabetes treatment practice in developing regions. RESEARCH DESIGN AND METHODS - Logistic regression analysis was used to identify factors for achieving A1C <7% in 11,799 patients (1,898 type 1 diabetic and 9,901 type 2 diabetic) recruited by 937 physicians from 1.7 countries in Eastern Europe (n = 3,519), Asia (n = 5,888), Latin America (n = 2,116), and Africa (n = 276). RESULTS - Twenty-two percent of type 1 diabetic and 36% of type 2 diabetic patients never had A1C measurements. in those with values for A1C, blood pressure, and LDL cholesterol, 7.5% of type 1 diabetic (n = 696) and 3.6% of type 2 diabetic (n = 3,896) patients attained all three recommended targets (blood pressure <130/80 mmHg, LDL cholesterol <100 mg/dl, and A1C <7%). Self-monitoring of blood glucose was the only predictor for achieving the A1C goal in type 1 diabetes (odds ratios: Asia 2.24, Latin America 3.55, and Eastern Europe 2.42). In type 2 diabetes, short disease duration (Asia 0.97, Latin America 0.97, and Eastern Europe 0.82) and treatment With few oral glucose-lowering drugs (Asia 0,64, Latin America 0.76, and Eastern Europe 0,62) were predictors, Other region-specific factors included lack of microvascular complications and old age in Latin America and Asia; health insurance coverage and specialist care in Latin America; lack of obesity and self-adjustment of insulin dosages in Asia; and training by a diabetes educator, self-monitoring of blood glucose in Patients who self-adjusted insulin, and lack of macrovascular complications in Eastern Europe. CONCLUSIONS - in developing countries, factors pertinent to Patients, doctors, and health care systems all impact on glycemic control. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | AMER DIABETES ASSOC | - |
dc.subject | RISK | - |
dc.subject | INTERVENTION | - |
dc.title | Multifaceted Determinants for Achieving Glycemic Control The International Diabetes Management Practice Study (IDMPS) | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Baik, Sei Hyun | - |
dc.identifier.doi | 10.2337/dc08-0435 | - |
dc.identifier.scopusid | 2-s2.0-61849093724 | - |
dc.identifier.wosid | 000263018700004 | - |
dc.identifier.bibliographicCitation | DIABETES CARE, v.32, no.2, pp.227 - 233 | - |
dc.relation.isPartOf | DIABETES CARE | - |
dc.citation.title | DIABETES CARE | - |
dc.citation.volume | 32 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 227 | - |
dc.citation.endPage | 233 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Endocrinology & Metabolism | - |
dc.relation.journalWebOfScienceCategory | Endocrinology & Metabolism | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | INTERVENTION | - |
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