Por favor, use este identificador para citar o enlazar este ítem:
https://www.arca.fiocruz.br/handle/icict/24876
Tipo
ArtículoDerechos de autor
Acceso abierto
Colecciones
Metadatos
Mostrar el registro completo del ítem
FACTORS ASSOCIATED WITH HIGH LEVELS OF GLYCATED HAEMOGLOBIN IN PATIENTS WITH TYPE 1 DIABETES: A MULTICENTRE STUDY IN BRAZIL
Autor
Afiliación
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Escola de Nutrição. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / State University of Feira de Santana. Department of Exact Sciences. Feira de Santana, BA, Brazil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Charitable Works Foundation of Sister Dulce. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / State University of Feira de Santana. Department of Exact Sciences. Feira de Santana, BA, Brazil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Charitable Works Foundation of Sister Dulce. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil
Resumen en ingles
Long-term complications of type 1 diabetes mellitus (DM1) can be prevented with adequate glycaemic control. However, high levels of glycated haemoglobin (HbA1c) occur in 60%-90% of the patients with DM1. Thus, we aimed to investigate the role of sociodemographic, behavioural and clinical factors on the HbA1c levels of patients with DM1 in Brazil. Design, setting and participants A cross-sectional study
was conducted in ambulatory patients with DM1 aged
≥18 years from 10 Brazilian cities. Sociodemographic,
behavioural and clinical data were obtained through
interviews.
Main outcome measures HbA1c level was measured by
liquid chromatography. Hierarchical multiple variable linear
regression models were used to identify factors correlated
with high levels of HbA1c.
Results Of 979 patients with DM1, 63.8% were women,
and the mean age was 40 (SD 14.6) years. The mean
HbA1c level was 9.4% (SD 2.2%), and 89.6% of the
patients had HbA1c ≥7.0%. Factors independently
correlated with increased HbA1c levels included: lower
education, non-participation in diabetes classes/lecture
during the year before, having a self-perception of poor
adherence to diet and insulin, not having private medical
care and not measuring the HbA1c levels in the prior
year. Of note, poor adherence to diet and insulin were the
independent factors most strongly associated with high
levels of HbA1c (mean increment in HbA1c levels of 0.88%
and 1.25%, respectively).
Conclusion Poor glycaemic control, which is common
among Brazilian patients with DM1, is associated with
lower education, self-perception of insufficient adherence
to diet and insulin and inadequate monitoring of HbA1c
levels. Specific actions, particularly those targeting
improving adherence to diet and insulin, may contribute to successful management of patients with DM1.
Compartir