Predictors of poor glycaemic control in older patients with type 2 diabetes mellitus
We assessed the predictors of poor glycaemic control among older patients with type 2 diabetes mellitus (T2DM) in Malaysia.This cross-sectional study used the data of 21,336patients aged ≥ 60years with T2DM from the Adult Diabetes Control and Management Registry 2008–2009.Predictors of poor glycaemi...
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| Format: | Article |
| Language: | English |
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Universiti Malaysia Sarawak, (UNIMAS)
2015
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| Online Access: | http://ir.unimas.my/id/eprint/9674/ http://ir.unimas.my/id/eprint/9674/1/Predictors%20of%20poor%20glycaemic%20control%20in%20older%20patients%20with%20type%202%20diabetes%20mellitus%20%28abstract%29.pdf |
| _version_ | 1848836620740984832 |
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| author | Theng, Cheong Ai Syed Alwi, Syed Abdul Rahman Lee, Ping Yein Chew, Boon How |
| author_facet | Theng, Cheong Ai Syed Alwi, Syed Abdul Rahman Lee, Ping Yein Chew, Boon How |
| author_sort | Theng, Cheong Ai |
| building | UNIMAS Institutional Repository |
| collection | Online Access |
| description | We assessed the predictors of poor glycaemic control among older patients with type 2 diabetes mellitus (T2DM) in Malaysia.This cross-sectional study used the data of 21,336patients aged ≥ 60years with T2DM from the Adult Diabetes Control and Management Registry 2008–2009.Predictors of poor glycaemic control were: age groups60–69years (odds ratio [OR] 1.96, 95% confidence interval [CI] 1.66–2.33) and 70–79years (OR 1.43, 95% CI 1.20–1.71); Malay (OR 1.53, 95% CI 1.41–1.66) and Indian (OR 1.32, 95% CI 1.19–1.46) ethnicities; T2DM durations of 5–10years (OR 1.46, 95% CI 1.35–1.58) and > 10years (OR 1.75, 95% CI 1.59–1.91); the use of oral antidiabetic agents only (OR 5.86, 95% CI 3.32–10.34), insulin only (OR 17.93, 95%CI 9.91–32.43), and oral antidiabetic agents and insulin (OR 29.42, 95% CI 16.47–52.53); and elevated blood pressure (OR 1.10, 95% CI 1.01–1.20), low-density lipoprotein cholesterol (OR 1.48, 95% CI 1.38–1.59) and triglycerides (OR 1.61,95% CI 1.51–1.73). Hypertension (OR 0.71, 95% CI 0.64–0.80), hypertension and dyslipidaemia (OR 0.68, 95%CI 0.61–0.75), pre-obesity (OR 0.89, 95% CI 0.82–0.98) and obesity (OR 0.76, 95% CI 0.70–0.84) were less likely to be associated with poor glycaemic control.Young-old and middle-old age groups (i.e.< 80years), Malay and Indian ethnicities, longer T2DM duration, the use of pharmacological agents, and elevated blood pressure and lipid levels were associated with poor glycaemic control. The presence of comorbidities, pre-obesity and obesity were less likely to be associated with poor glycaemic control. |
| first_indexed | 2025-11-15T06:26:40Z |
| format | Article |
| id | unimas-9674 |
| institution | Universiti Malaysia Sarawak |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T06:26:40Z |
| publishDate | 2015 |
| publisher | Universiti Malaysia Sarawak, (UNIMAS) |
| recordtype | eprints |
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| spelling | unimas-96742016-10-21T06:39:31Z http://ir.unimas.my/id/eprint/9674/ Predictors of poor glycaemic control in older patients with type 2 diabetes mellitus Theng, Cheong Ai Syed Alwi, Syed Abdul Rahman Lee, Ping Yein Chew, Boon How RA0421 Public health. Hygiene. Preventive Medicine We assessed the predictors of poor glycaemic control among older patients with type 2 diabetes mellitus (T2DM) in Malaysia.This cross-sectional study used the data of 21,336patients aged ≥ 60years with T2DM from the Adult Diabetes Control and Management Registry 2008–2009.Predictors of poor glycaemic control were: age groups60–69years (odds ratio [OR] 1.96, 95% confidence interval [CI] 1.66–2.33) and 70–79years (OR 1.43, 95% CI 1.20–1.71); Malay (OR 1.53, 95% CI 1.41–1.66) and Indian (OR 1.32, 95% CI 1.19–1.46) ethnicities; T2DM durations of 5–10years (OR 1.46, 95% CI 1.35–1.58) and > 10years (OR 1.75, 95% CI 1.59–1.91); the use of oral antidiabetic agents only (OR 5.86, 95% CI 3.32–10.34), insulin only (OR 17.93, 95%CI 9.91–32.43), and oral antidiabetic agents and insulin (OR 29.42, 95% CI 16.47–52.53); and elevated blood pressure (OR 1.10, 95% CI 1.01–1.20), low-density lipoprotein cholesterol (OR 1.48, 95% CI 1.38–1.59) and triglycerides (OR 1.61,95% CI 1.51–1.73). Hypertension (OR 0.71, 95% CI 0.64–0.80), hypertension and dyslipidaemia (OR 0.68, 95%CI 0.61–0.75), pre-obesity (OR 0.89, 95% CI 0.82–0.98) and obesity (OR 0.76, 95% CI 0.70–0.84) were less likely to be associated with poor glycaemic control.Young-old and middle-old age groups (i.e.< 80years), Malay and Indian ethnicities, longer T2DM duration, the use of pharmacological agents, and elevated blood pressure and lipid levels were associated with poor glycaemic control. The presence of comorbidities, pre-obesity and obesity were less likely to be associated with poor glycaemic control. Universiti Malaysia Sarawak, (UNIMAS) 2015 Article NonPeerReviewed text en http://ir.unimas.my/id/eprint/9674/1/Predictors%20of%20poor%20glycaemic%20control%20in%20older%20patients%20with%20type%202%20diabetes%20mellitus%20%28abstract%29.pdf Theng, Cheong Ai and Syed Alwi, Syed Abdul Rahman and Lee, Ping Yein and Chew, Boon How (2015) Predictors of poor glycaemic control in older patients with type 2 diabetes mellitus. Singapore medical Journal, 56 (5). pp. 284-290. ISSN 00375675 http://www.researchgate.net/publication/274258012_Predictors_of_poor_glycaemic_control_in_older_persons_with_type_2_diabetes_mellitus doi: 10.11622/smedj.2015055 |
| spellingShingle | RA0421 Public health. Hygiene. Preventive Medicine Theng, Cheong Ai Syed Alwi, Syed Abdul Rahman Lee, Ping Yein Chew, Boon How Predictors of poor glycaemic control in older patients with type 2 diabetes mellitus |
| title | Predictors of poor glycaemic control in older patients with type 2 diabetes mellitus |
| title_full | Predictors of poor glycaemic control in older patients with type 2 diabetes mellitus |
| title_fullStr | Predictors of poor glycaemic control in older patients with type 2 diabetes mellitus |
| title_full_unstemmed | Predictors of poor glycaemic control in older patients with type 2 diabetes mellitus |
| title_short | Predictors of poor glycaemic control in older patients with type 2 diabetes mellitus |
| title_sort | predictors of poor glycaemic control in older patients with type 2 diabetes mellitus |
| topic | RA0421 Public health. Hygiene. Preventive Medicine |
| url | http://ir.unimas.my/id/eprint/9674/ http://ir.unimas.my/id/eprint/9674/ http://ir.unimas.my/id/eprint/9674/ http://ir.unimas.my/id/eprint/9674/1/Predictors%20of%20poor%20glycaemic%20control%20in%20older%20patients%20with%20type%202%20diabetes%20mellitus%20%28abstract%29.pdf |