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- Title
Current Status of Management in Type 2 Diabetes Mellitus at General Hospitals in South Korea.
- Authors
Jin-Hee Jung; Myeong-Hee Hong; Hyang-Mi Jang; Young Na; Hyun-Joo Lee; Jeong-Mi Lee; Yang-Gyo Kang; Sun-Young Kim; Kang-Hee Sim; Jung-Hwa Lee; Jeong-Eun Park; Joo-Wha Yoo; Bok-Rye Song; Jeong-rim Lee; Jin-Won Noh; Hee-Sook Kim
- Abstract
Background: In Korea, the prevalence, complications, and mortality rate of diabetes are rapidly increasing. However, investigations on the actual condition of diabetes management are very limited due to lack of nation-wide research or multicenter study. Hence, we have minutely inquired the current status of diabetes management and achievement of glucose target goal in general hospital offering education program. That way, we are able to furnish data for policy m aking of diabetes education and draw up guideline which may allow us to reduce the m orbidity and mortality of diabetes. Methods: The subjects consisted of 2,610 patients with type 2 diabetes who visited the 13 general hospital in Seoul or Gyeonggi region from March 19 to May 29,2013. General characteristics, associated diseases, complications, and management status were investigated. Results: The mean age was 61.0 ± 11.6 years, body mass index was 25.0 ±3.3 kg/m2, and family history of diabetes was 50.5%. The mean duration of diabetes was 10.7 ±7.9 years and 53% received education about diabetes. The prevalence of hypertension and dyslipidemia were 59.2% and 65.5%, respectively, and 18.3% of the subjects were accompanied by liver disease. Diabetic retinopathy appeared in 31.6%, nephropathy in 28.1%, and neuropathy in 19.9% of the subjects. The mean glycosylated hemoglobin (HbAlc) level was 7.3%±1.3% and the achieving rate based on Korean Diabetes Association guideline (HbAlc <6.5%) was 24.8%, blood pressure (130/80 mm Hg or less) was 49.4%, and low density lipoprotein cholesterol (<100 mg/dL) was 63.6%. The reaching rate to the target level in four parameters (blood glucose, blood pressure, lipids, and body weight) was 7.8%. Conclusion: The blood glucose control rate was lower than other parameters, and the implementation rate of diabetes education was only 53%. Thus m ore appropriate glucose control and systematic diabetes education are imperative.
- Subjects
SOUTH Korea; PEOPLE with diabetes; HOSPITALS; DISEASE management
- Publication
Diabetes & Metabolism Journal, 2015, Vol 39, Issue 4, p307
- ISSN
2233-6079
- Publication type
Article
- DOI
10.4093/dmj.2015.39.4.307