ABC control of diabetes: Survey data from National Diabetes Health Promotion Centers in Taiwan

Yu, Neng-Chun; Su, Hsiu-Yueh; Tsai, Shih-Tzer; Lin, Boniface J.; Shiu, Ruei-Shiang; Hsieh, Yu-Chuan; Sheu, Wayne Huey-Herng

doi:10.1016/j.diabres.2009.02.020

« Previous Next »Diabetes Research and Clinical Practice
Volume 84, Issue 2 , Pages 194-200, May 2009

ABC control of diabetes: Survey data from National Diabetes Health Promotion Centers in Taiwan

Neng-Chun Yu
- Yu Neng-Chun Diabetes Clinic, I-Lan County, Taiwan
Hsiu-Yueh Su
- Department of Nutrition, Taipei Medical University Hospital, School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan
Shih-Tzer Tsai
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
Boniface J. Lin
- Department of Medicine, Cardinal Tien Hospital, Xindian, Taipei County, Taiwan
Ruei-Shiang Shiu
- Division of Adult and Elderly Health, Bureau of Health Promotion, Department of Health, Taiwan
Yu-Chuan Hsieh
- Division of Adult and Elderly Health, Bureau of Health Promotion, Department of Health, Taiwan
Wayne Huey-Herng Sheu
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan
- College of Medicine, National Yang-Ming University, Taipei, Taiwan
- Institute of Medical Technology, National Chung-Hsing University, Taichung, Taiwan
- Corresponding author at: Department of Internal Medicine, Taichung Veterans General Hospital, No. 160, Section 3, Chung Kang Road, Taichung 40705, Taiwan. Tel.: +886 4 23741300; fax: +886 4 23741318.

Received 11 October 2008; received in revised form 3 February 2009; accepted 19 February 2009. published online 31 March 2009.

Abstract

We undertook nationwide surveys to evaluate the status of diabetes control in 7541 diabetes subjects among 114 accredited Diabetes Health Promotion Centers in Taiwan in 2006, focusing on characteristics of those who attained the “ABC” goals (n=310). The mean age was 62.8±12.4 years (mean±SD), BMI 25.9±0.4kg/m² and HbA1c levels 7.9±1.7%. The percentage of subjects whose HbA1c levels met ADA goals was less than 7% (A), and both SBP and DBP less than 130/80mmHg (B), total cholesterol less than 160mg/dl or LDL cholesterol levels less than 100mg/dl (C) were 32.4%, 30.9% and 35.3%, respectively. Overall, the percentage of examined diabetic subjects who fulfilled current recommended ABC goals was 4.1% (95% CI, 3.66–4.56%). Results of logistic regression analysis that indicated factors significantly associated with ABC goals are diagnosis of type 1 diabetes (p=0.025), BMI less than 23kg/m² (p=0.022) and subjects not requiring insulin (p=0.006). In conclusion, only 4.1% of subjects reached all ABC goals. Diabetic individuals with diagnosis of type 1 diabetes, lesser BMI and those not using insulin were more likely to attain all ABC goals.