Self‐perception of glycemic control among Japanese type 2 diabetic patients: accuracy of patient perception and characteristics of patients with misperception

Journal of Diabetes Investigation

Tomoko Suzuki-Saito²  Hirohide Yokokawa²  Koichi Shimada¹ 

[1] Department of Diabetes and Metabolism, Hoshi General Hospital, Fukushima, Japan;Department of Public Health, School of Medicine, Fukushima Medical University, Fukushima, Japan

关键词: Glycemic control;    Glycated hemoglobin;    Perception;   

DOI  :  10.1111/jdi.12002

来源: Wiley

【 摘 要 】

Abstract

Aims

Some diabetic patients, despite reporting a good perception of their glycemic control, actually show poor control and this misperception might well hinder successful diabetes management. This study aimed to assess patients' self-perception of glycemic control and to clarify factors associated with misperception of glycemic control status.

Methods

Baseline data from a hospital-based prospective cohort of 519 type 2 diabetic patients were analyzed. Self-perception of glycemic control and other items, including sociodemographic factors and blood test data, were determined from a self-administered questionnaire and medical records. Factors associated with misperception were examined by age group (elderly [aged ≥ 65 years] vs non-elderly [aged < 65 years]) using multiple logistic regression analysis.

Results

Among poorly controlled patients, misperception was higher in the elderly (glycated hemoglobin [HbA_1c] 7.4–8.3, 55.1%; HbA_1c >8.4, 44.8%) than in the non-elderly (HbA_1c 7.4–8.3, 20.0%; HbA_1c >8.4, 18.9%). The factors significantly associated with misperception were as follows: high lifestyle regimen adherence in both age groups (non-elderly group odds ratio [OR] 5.23; elderly group OR 5.15, respectively); high family support (OR = 7.32), failure to achieve blood pressure control (OR = 6.94) and having diabetic complications (OR = 0.06) among the non-elderly; and long duration of diabetes (OR = 4.06) among the elderly.

Conclusions

For better management of diabetes, physicians should pay attention to the patient characteristics associated with misperception among uncontrolled diabetic patients, particularly among those who are elderly.

【 授权许可】

Unknown   
© 2012 Asian Association for the Study of Diabetes and Wiley Publishing Asia Pty Ltd