Analysis Of Risk Factors For Type 2 Diabetes In Haikou City And Effect Of General Medical Management

Objectives: 1.Understand the prevalence of type 2 diabetes mellitus(T2DM)and its related risk factors in Haikou residents,and provide more targeted measures for the prevention and treatment of T2 DM in Haikou city.2.Discuss the effect of the specialized regular medical care + general medical care management model on T2 DM management in Haikou City.Method: 1.Randomly sample 1280 residents from the four administrative districts of Haikou City,collect the gender,age,education level,body mass index(BMI),whether they suffer from T2 DM,whether they have hypertension,and whether they have abnormalities in total cholesterol(TC)And other data to analyze the prevalence of T2 DM and related risk factors of Haikou residents.2.Randomly select 200 T2 DM patients from the four administrative districts of Haikou City and randomly group them,of which 100 are used as a control group and managed by specialty conventional medicine + self-management mode;the other 100 are used as experimental groups and used specialty conventional medicine + general practice Medical management model management.Both groups were followed up for 1 year,collecting fasting blood glucose(FPG),2h postprandial blood glucose(2h PG),glycated hemoglobin(Hb A1c),TC,BMI,urinary albumin / creatinine ratio(ACR),can improve diabetic foot(DF)The patient’s self-management level,whether it can improve treatment compliance,satisfaction and other indicators for statistical analysis,compare the effectiveness of the two management models.Results: 1.Among the 1280 residents sampled,there were 119 T2 DM patients with a prevalence rate of 9.3%.According to multi-factor unconditional logistic regression analysis,it was found that T2 DM in Haikou residents was related to age,BMI,daily exercise status,family history of diabetes,combined hypertension and combined TC abnormalities(P <0.05),and was related to gender,smoking,drinking,and education There was no significant correlation between vegetable intake and red meat intake(P> 0.05).2.After 1 year of follow-up,the experimental group had better control effect on FPG,2h PG and Hb A1 c in T2 DM patients than the control group(P<0.05);the control group on T2 DM related risk factors BMI and TC was better than the control group(P < 0.05);ACR value comparison between the two groups after 1year,the experimental group was significantly lower than the control group(P <0.05);treatment compliance and satisfaction of the two groups of patients,the experimental group was significantly better than the control group(P <0.01);Comparison of the self-management level of DF between the two groups of patients,the experimental group was significantly better than the control group(P <0.01).Conclusions:1.The prevalence of T2 DM in Haikou is roughly 9.3%,which is lower than the national average of 10.4%.2.The risk factors for T2 DM in Haikou residents include old age,high BMI,low exercise,high blood pressure,abnormal TC and family history of diabetes,gender,education level,whether insufficient vegetable intake,excessive red meat intake,smoking No obvious correlation with drinking.3.The management of T2 DM patients using the specialty conventional medicine +general medicine management model can better control FPG,2h PG,Hb A1 c,TC,BMI,ACR and other indicators;can improve the self-management level of DF patients and can improve patient treatment Compliance and satisfaction.4.Specialized routine medical care + general practice medical management model is worthy of widespread promotion for the management of T2 DM patients.