Current Status of Glycemic Control of Patients with Diabetes in Korea: The Fifth Korea National Health and Nutrition Examination Survey
The Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated hemoglobin (HbA1c) <6.5% and that 43.5% have an HbA1c <7%. We investigated the levels of glycemic control and the factors associated with glycemic co...
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| Published in | Diabetes & metabolism journal Vol. 38; no. 3; pp. 197 - 203 |
|---|---|
| Main Authors | , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
Korean Diabetes Association / Daehan Dangnyobyeong Hakoe
01.06.2014
Korean Diabetes Association 대한당뇨병학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2233-6079 2233-6087 2233-6087 |
| DOI | 10.4093/dmj.2014.38.3.197 |
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| Abstract | The Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated hemoglobin (HbA1c) <6.5% and that 43.5% have an HbA1c <7%. We investigated the levels of glycemic control and the factors associated with glycemic control using data from the KNHANES V (2010 to 2012).
Subjects with diabetes diagnosed by a physician or those taking antidiabetic medications were classified as individuals with known diabetes. Of 1,498 subjects aged ≥30 years with diabetes, we excluded 157 individuals who were missing HbA1c data. A total of 1,341 subjects were included in the final analysis.
The prevalence of known diabetes was 7.7% (n=1,498, estimated to be 2.32 million people). The proportions of well-controlled diabetes meeting a HbA1c goal of <6.5% and <7% were 27% and 45.6%, respectively. HbA1c increased as the duration of diabetes increased. HbA1c in subjects with a duration of diabetes ≤5 years was lower than in subjects with a duration >5 years. HbA1c in the group taking only oral hypoglycemic agents (OHAs) was significantly lower than that in the group administered only insulin or OHA and insulin in combination. In logistic regression analysis, a longer duration of diabetes, insulin use and the absence of chronic renal failure were associated with HbA1c levels >6.5%.
The level of adequate glycemic control was similar to but slightly improved compared with previous levels. The glycemic control of long-standing diabetes patients is more difficult even though they receive insulin treatment. |
|---|---|
| AbstractList | Background The Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated hemoglobin (HbA1c) <6.5% and that 43.5% have an HbA1c <7%. We investigated the levels of glycemic control and the factors associated with glycemic control using data from the KNHANES V (2010 to 2012).* Methods Subjects with diabetes diagnosed by a physician or those taking antidiabetic medications were classified as individuals with known diabetes. Of 1,498 subjects aged ≥30 years with diabetes, we excluded 157 individuals who were missing HbA1c data. A total of 1,341 subjects were included in the final analysis.* Results The prevalence of known diabetes was 7.7% (n=1,498, estimated to be 2.32 million people). The proportions of well-controlled diabetes meeting a HbA1c goal of <6.5% and <7% were 27% and 45.6%, respectively. HbA1c increased as the duration of diabetes increased. HbA1c in subjects with a duration of diabetes ≤5 years was lower than in subjects with a duration >5 years. HbA1c in the group taking only oral hypoglycemic agents (OHAs) was significantly lower than that in the group administered only insulin or OHA and insulin in combination. In logistic regression analysis, a longer duration of diabetes, insulin use and the absence of chronic renal failure were associated with HbA1c levels >6.5%.* Conclusion The level of adequate glycemic control was similar to but slightly improved compared with previous levels. The glycemic control of long-standing diabetes patients is more difficult even though they receive insulin treatment. The Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated hemoglobin (HbA1c) <6.5% and that 43.5% have an HbA1c <7%. We investigated the levels of glycemic control and the factors associated with glycemic control using data from the KNHANES V (2010 to 2012).BACKGROUNDThe Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated hemoglobin (HbA1c) <6.5% and that 43.5% have an HbA1c <7%. We investigated the levels of glycemic control and the factors associated with glycemic control using data from the KNHANES V (2010 to 2012).Subjects with diabetes diagnosed by a physician or those taking antidiabetic medications were classified as individuals with known diabetes. Of 1,498 subjects aged ≥30 years with diabetes, we excluded 157 individuals who were missing HbA1c data. A total of 1,341 subjects were included in the final analysis.METHODSSubjects with diabetes diagnosed by a physician or those taking antidiabetic medications were classified as individuals with known diabetes. Of 1,498 subjects aged ≥30 years with diabetes, we excluded 157 individuals who were missing HbA1c data. A total of 1,341 subjects were included in the final analysis.The prevalence of known diabetes was 7.7% (n=1,498, estimated to be 2.32 million people). The proportions of well-controlled diabetes meeting a HbA1c goal of <6.5% and <7% were 27% and 45.6%, respectively. HbA1c increased as the duration of diabetes increased. HbA1c in subjects with a duration of diabetes ≤5 years was lower than in subjects with a duration >5 years. HbA1c in the group taking only oral hypoglycemic agents (OHAs) was significantly lower than that in the group administered only insulin or OHA and insulin in combination. In logistic regression analysis, a longer duration of diabetes, insulin use and the absence of chronic renal failure were associated with HbA1c levels >6.5%.RESULTSThe prevalence of known diabetes was 7.7% (n=1,498, estimated to be 2.32 million people). The proportions of well-controlled diabetes meeting a HbA1c goal of <6.5% and <7% were 27% and 45.6%, respectively. HbA1c increased as the duration of diabetes increased. HbA1c in subjects with a duration of diabetes ≤5 years was lower than in subjects with a duration >5 years. HbA1c in the group taking only oral hypoglycemic agents (OHAs) was significantly lower than that in the group administered only insulin or OHA and insulin in combination. In logistic regression analysis, a longer duration of diabetes, insulin use and the absence of chronic renal failure were associated with HbA1c levels >6.5%.The level of adequate glycemic control was similar to but slightly improved compared with previous levels. The glycemic control of long-standing diabetes patients is more difficult even though they receive insulin treatment.CONCLUSIONThe level of adequate glycemic control was similar to but slightly improved compared with previous levels. The glycemic control of long-standing diabetes patients is more difficult even though they receive insulin treatment. Background: The Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated hemoglobin (HbA1c) <6.5% and that 43.5% have an HbA1c <7%. We investigated the levels of glycemic control and the factors associated with glycemic control using data from the KNHANES V (2010 to 2012). Methods: Subjects with diabetes diagnosed by a physician or those taking antidiabetic medications were classified as individuals with known diabetes. Of 1,498 subjects aged ≥30 years with diabetes, we excluded 157 individuals who were missing HbA1c data. A total of 1,341 subjects were included in the final analysis. Results: The prevalence of known diabetes was 7.7% (n=1,498, estimated to be 2.32 million people). The proportions of well-controlled diabetes meeting a HbA1c goal of <6.5% and <7% were 27% and 45.6%, respectively. HbA1c increased as the duration of diabetes increased. HbA1c in subjects with a duration of diabetes ≤5 years was lower than in subjects with a duration >5 years. HbA1c in the group taking only oral hypoglycemic agents (OHAs) was significantly lower than that in the group administered only insulin or OHA and insulin in combination. In logistic regression analysis, a longer duration of diabetes, insulin use and the absence of chronic renal failure were associated with HbA1c levels >6.5%. Conclusion: The level of adequate glycemic control was similar to but slightly improved compared with previous levels. The glycemic control of long-standing diabetes patients is more difficult even though they receive insulin treatment. KCI Citation Count: 20 BackgroundThe Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated hemoglobin (HbA1c) <6.5% and that 43.5% have an HbA1c <7%. We investigated the levels of glycemic control and the factors associated with glycemic control using data from the KNHANES V (2010 to 2012).MethodsSubjects with diabetes diagnosed by a physician or those taking antidiabetic medications were classified as individuals with known diabetes. Of 1,498 subjects aged ≥30 years with diabetes, we excluded 157 individuals who were missing HbA1c data. A total of 1,341 subjects were included in the final analysis.ResultsThe prevalence of known diabetes was 7.7% (n=1,498, estimated to be 2.32 million people). The proportions of well-controlled diabetes meeting a HbA1c goal of <6.5% and <7% were 27% and 45.6%, respectively. HbA1c increased as the duration of diabetes increased. HbA1c in subjects with a duration of diabetes ≤5 years was lower than in subjects with a duration >5 years. HbA1c in the group taking only oral hypoglycemic agents (OHAs) was significantly lower than that in the group administered only insulin or OHA and insulin in combination. In logistic regression analysis, a longer duration of diabetes, insulin use and the absence of chronic renal failure were associated with HbA1c levels >6.5%.ConclusionThe level of adequate glycemic control was similar to but slightly improved compared with previous levels. The glycemic control of long-standing diabetes patients is more difficult even though they receive insulin treatment. The Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated hemoglobin (HbA1c) <6.5% and that 43.5% have an HbA1c <7%. We investigated the levels of glycemic control and the factors associated with glycemic control using data from the KNHANES V (2010 to 2012). Subjects with diabetes diagnosed by a physician or those taking antidiabetic medications were classified as individuals with known diabetes. Of 1,498 subjects aged ≥30 years with diabetes, we excluded 157 individuals who were missing HbA1c data. A total of 1,341 subjects were included in the final analysis. The prevalence of known diabetes was 7.7% (n=1,498, estimated to be 2.32 million people). The proportions of well-controlled diabetes meeting a HbA1c goal of <6.5% and <7% were 27% and 45.6%, respectively. HbA1c increased as the duration of diabetes increased. HbA1c in subjects with a duration of diabetes ≤5 years was lower than in subjects with a duration >5 years. HbA1c in the group taking only oral hypoglycemic agents (OHAs) was significantly lower than that in the group administered only insulin or OHA and insulin in combination. In logistic regression analysis, a longer duration of diabetes, insulin use and the absence of chronic renal failure were associated with HbA1c levels >6.5%. The level of adequate glycemic control was similar to but slightly improved compared with previous levels. The glycemic control of long-standing diabetes patients is more difficult even though they receive insulin treatment. |
| Author | Choi, Sung Hee Kim, Dae Jung Won, Jong Chul Lim, Soo Kwon, Hyuk-Sang Kim, Jae Hyeon Kim, Nan Hee Jeon, Ja Young Kim, Chul Sik An, Jee Hyun Cha, Bong-Yun Ko, Seung-Hyun Song, Kee-Ho |
| AuthorAffiliation | 8 Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea 1 Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea 2 Division of Endocrinology and Metabolism, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea 4 Division of Endocrinology and Metabolism, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea 5 Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea 3 Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea 7 Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea 6 Department of Internal Medicine, Mitochondrial Research Group, Inje University Sanggye Pai |
| AuthorAffiliation_xml | – name: 6 Department of Internal Medicine, Mitochondrial Research Group, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea – name: 4 Division of Endocrinology and Metabolism, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea – name: 2 Division of Endocrinology and Metabolism, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea – name: 8 Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea – name: 1 Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea – name: 7 Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea – name: 3 Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea – name: 5 Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea |
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| References_xml | – volume: 37 start-page: 233 year: 2013 ident: 10.4093/dmj.2014.38.3.197_ref6 publication-title: Diabetes Metab J doi: 10.4093/dmj.2013.37.4.233 – volume: 99 start-page: 112 year: 2013 ident: 10.4093/dmj.2014.38.3.197_ref9 publication-title: Diabetes Res Clin Pract doi: 10.1016/j.diabres.2012.11.018 – volume: 17 start-page: 819 year: 2013 ident: 10.4093/dmj.2014.38.3.197_ref14 publication-title: Cell Metab doi: 10.1016/j.cmet.2013.04.008 – volume: 378 start-page: 169 year: 2011 ident: 10.4093/dmj.2014.38.3.197_ref2 publication-title: Lancet doi: 10.1016/S0140-6736(11)60614-4 – volume: 32 start-page: 2016 year: 2009 ident: 10.4093/dmj.2014.38.3.197_ref5 publication-title: Diabetes Care doi: 10.2337/dc08-2228 – volume: 368 start-page: 1613 year: 2013 ident: 10.4093/dmj.2014.38.3.197_ref7 publication-title: N Engl J Med doi: 10.1056/NEJMsa1213829 – volume: 23 start-page: 205 year: 2012 ident: 10.4093/dmj.2014.38.3.197_ref13 publication-title: Trends Endocrinol Metab doi: 10.1016/j.tem.2012.03.001 – volume: 287 start-page: 2570 year: 2002 ident: 10.4093/dmj.2014.38.3.197_ref3 publication-title: JAMA doi: 10.1001/jama.287.19.2570 – volume: 28 start-page: 187 year: 2007 ident: 10.4093/dmj.2014.38.3.197_ref11 publication-title: Endocr Rev doi: 10.1210/10.1210/er.2006-0038 – volume: 65 start-page: 1 year: 2005 ident: 10.4093/dmj.2014.38.3.197_ref12 publication-title: Drugs doi: 10.2165/00003495-200565010-00001 – volume: 37 start-page: 349 year: 2013 ident: 10.4093/dmj.2014.38.3.197_ref4 publication-title: Diabetes Metab J doi: 10.4093/dmj.2013.37.5.349 – ident: 10.4093/dmj.2014.38.3.197_ref1 – volume: 49 start-page: 1711 year: 2006 ident: 10.4093/dmj.2014.38.3.197_ref8 publication-title: Diabetologia doi: 10.1007/s00125-006-0316-2 – volume: 352 start-page: 837 year: 1998 ident: 10.4093/dmj.2014.38.3.197_ref10 publication-title: Lancet doi: 10.1016/S0140-6736(98)07019-6 – volume: 33 start-page: 428 year: 2010 ident: 10.4093/dmj.2014.38.3.197_ref15 publication-title: Diabetes Care doi: 10.2337/dc09-1499 – reference: 23614587 - N Engl J Med. 2013 Apr 25;368(17):1613-24 – reference: 20103558 - Diabetes Care. 2010 Feb;33(2):428-33 – reference: 9742976 - Lancet. 1998 Sep 12;352(9131):837-53 – reference: 12020339 - JAMA. 2002 May 15;287(19):2570-81 – reference: 17353295 - Endocr Rev. 2007 Apr;28(2):187-218 – reference: 15610048 - Drugs. 2005;65(1):1-13 – reference: 19675201 - Diabetes Care. 2009 Nov;32(11):2016-20 – reference: 21705072 - Lancet. 2011 Jul 9;378(9786):169-81 – reference: 23265923 - Diabetes Res Clin Pract. 2013 Feb;99(2):112-9 – reference: 22513163 - Trends Endocrinol Metab. 2012 May;23(5):205-15 – reference: 24199164 - Diabetes Metab J. 2013 Oct;37(5):349-57 – reference: 23991400 - Diabetes Metab J. 2013 Aug;37(4):233-9 – reference: 23684623 - Cell Metab. 2013 Jun 4;17(6):819-37 – reference: 16802130 - Diabetologia. 2006 Aug;49(8):1711-21 |
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| Snippet | The Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated hemoglobin... Background The Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated... BackgroundThe Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated... Background: The Korea National Health and Nutrition Examination Survey (KNHANES) III (2005) reported that 22.9% of individuals with diabetes have a glycated... |
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| SubjectTerms | Alcohol Antidiabetics Body mass index Diabetes Diabetes mellitus Family medical history Fasting Glucose Glycemic control Health insurance Hyperglycemia Insulin Kidney diseases Korea Korea National Health and Nutrition Examination Survey Males Morbidity Mortality Nutrition Original Success 내과학 |
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| Title | Current Status of Glycemic Control of Patients with Diabetes in Korea: The Fifth Korea National Health and Nutrition Examination Survey |
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