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The prevalence of uncontrolled diabetes mellitus in patients with type 2 diabetes: a multicenter cross-sectional study

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Abstract

Purpose

The prevalence of diabetes is increasing worldwide. Studies have shown that poor blood sugar control is associated with the complications of diabetes, we aimed to determine the prevalence of uncontrolled diabetes mellitus (UDM) and its related factors.

Methods

This multicenter cross-sectional study was conducted in 2021 on type 2 diabetic patients in three cities; Rasht (in Gillan province), Borujerd (in Lorestan province), and Khodabandeh (in Zanjan province). A predesigned checklist was used to extract the basic characteristics of participants, their hemoglobin A1C, and other required data from their medical records. The prevalence of uncontrolled diabetes was reported with a 95% Confidence Interval.

Results

In this study, the medical records of 460 patients with type 2 diabetes were included. The mean and standard deviation (SD) of the age of participants was 59.17 (11.59), and 73.2% (337) of participants were female. The prevalence of UDM in Rasht, Borujerd, and Khodabandeh was 58.27%, 69.38%, and 45.65% respectively. The prevalence of UDM in obese patients was 64.78% (57.03, 71.82). Based on the results of the adjusted model, an increase in diastolic blood pressure was significantly associated with UDM, meaning each unit increase in diastolic blood pressure was associated with a 3% increase in UDM (95% CI: 1.01, 1.06), adjusted for age, gender and education.

Conclusion

According to these results, the prevalence of UDM among patients with diabetes is high. Diastolic blood pressure and low level of education were associated with UDM in diabetic patients.

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Acknowledgements

We would like to thank the deputies of health in Lorestan, Gilan, and Zanjan universities of medical sciences who collaborated in the data collection process.

Funding

This study supported by the Hamadan university of Medical sciences (No. 9905213288).

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Authors and Affiliations

  1. Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran

    Monir Lorestanifar, Masoomeh Mosayebi Molasaraei, Reyhaneh Jashaninejad & Saman Khoshmanesh

  2. Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran

    Monir Lorestanifar, Masoomeh Mosayebi Molasaraei, Reyhaneh Jashaninejad & Saman Khoshmanesh

  3. Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran

    Reyhaneh Jashaninejad

  4. Department of Epidemiology, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran

    Amin Doosti-Irani

Authors
  1. Monir Lorestanifar
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Correspondence to Amin Doosti-Irani.

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Lorestanifar, M., Mosayebi Molasaraei, M., Jashaninejad, R. et al. The prevalence of uncontrolled diabetes mellitus in patients with type 2 diabetes: a multicenter cross-sectional study. J Diabetes Metab Disord 22, 787–792 (2023). https://doi.org/10.1007/s40200-023-01201-9

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