Glucose and cardiac risk factor control in individuals with type 2 diabetes

Implications for patients and providers

Deborah Chyun, Kimberly O. Lacey, Deborah M. Katten, Sandra Talley, Wendie J. Price, Janice A. Davey, Gail D'Eramo Melkus

Research output: Contribution to journalArticle

Abstract

Purpose: The purpose of this descriptive study was to describe attainment of glucose and coronary heart disease (CHD) risk factor goals and to identify factors that were associated with successful goal achievement. Methods: A cross-sectional survey enrolled 110 subjects with type 2 diabetes undergoing screening for asymptomatic myocardial ischemia. Results: Many participants had HbA1c levels ≥7% (45%), and 46% to 79% were not meeting goals for CHD risk reduction. Individual factors of age, gender, and anxiety; the illness-related factor of lipid-lowering therapy; and the family-related factor of living alone were independently associated with 1 of the 7 outcomes under study. Illness-related factors of a longer duration of diabetes were strongly associated with glucose and blood pressure control, insulin use with glucose control and waist circumference, and antihypertensive use with blood pressure, triglycerides, and body mass index. Family-related factors of higher income were significantly associated with poorer glucose control and higher body mass index, while higher levels of perceived support by family and friends were associated with a lower risk of not meeting lipid goals. However, individual factors, represented by several aspects of personal model beliefs (exercising regularly, testing glucose, and checking one's feet) and physical activity, were consistently related to lipid and weight control. Conclusions: A variety of factors were associated with control of blood glucose and CHD risk factors, suggesting that a one-size-fits-all approach to multiple risk factor reduction efforts may not result in goal attainment.

Original languageEnglish (US)
Pages (from-to)925-939
Number of pages15
JournalDiabetes Educator
Volume32
Issue number6
DOIs
StatePublished - Nov 2006

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Type 2 Diabetes Mellitus
Glucose
Coronary Disease
Risk Reduction Behavior
Lipids
Body Mass Index
Blood Pressure
Age Factors
Waist Circumference
Antihypertensive Agents
Myocardial Ischemia
Blood Glucose
Foot
Triglycerides
Anxiety
Cross-Sectional Studies
Outcome Assessment (Health Care)
Exercise
Insulin
Weights and Measures

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine
  • Public Health, Environmental and Occupational Health

Cite this

Glucose and cardiac risk factor control in individuals with type 2 diabetes : Implications for patients and providers. / Chyun, Deborah; Lacey, Kimberly O.; Katten, Deborah M.; Talley, Sandra; Price, Wendie J.; Davey, Janice A.; D'Eramo Melkus, Gail.

In: Diabetes Educator, Vol. 32, No. 6, 11.2006, p. 925-939.

Research output: Contribution to journalArticle

Chyun, Deborah ; Lacey, Kimberly O. ; Katten, Deborah M. ; Talley, Sandra ; Price, Wendie J. ; Davey, Janice A. ; D'Eramo Melkus, Gail. / Glucose and cardiac risk factor control in individuals with type 2 diabetes : Implications for patients and providers. In: Diabetes Educator. 2006 ; Vol. 32, No. 6. pp. 925-939.
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