Type 2 & other diabetes

Achievement of Guideline-Recommended Targets in Diabetes Care in China : A Nationwide Cross-Sectional Study

Ann Intern MedPublished Cross-sectional study

Authors' conclusion

Achievement of guideline-recommended diabetes care targets in Chinese adults with self-reported diabetes was exceedingly low. The findings highlight the need for immediate national health actions to improve diabetes care.

Study context

Population
Adults with self-reported diabetes, national sample, China, 2015 to 20173,531 with dietary data
Participants
8,401 adults
Outcome
Proportions achieving ABC (individualized HbA1c; BP <130/80 mm Hg; LDL-C <2.6 or <1.8 mmol/L by atherosclerotic CVD), BMI <24 kg/m², lifestyle and dietary targets of the Chinese diabetes guidelines
Methodological detailsnationwide survey
  • Nationwide survey

Main finding

As reported in the abstract

Proportion achieving guideline targets
HbA1c target
64.1% (95% CI, 61.4% to 66.8%)
BP target
22.2% (CI, 20.2% to 24.1%)
LDL-C target
23.9% (CI, 21.9% to 25.9%)
Body mass index (BMI) <24 kg/m²
32.2% (CI, 30.3% to 34.2%)
Not smoking
75.8% (CI, 73.9% to 77.7%)
Not drinking
66.7% (CI, 64.4% to 69.1%)
Leisure time activity
17.9% (CI, 15.8% to 20.1%)
Sleep duration 7–8 h
52.0% (CI, 49.6% to 54.3%)
Carbohydrate target
39.1% (CI, 36.0% to 42.2%)
Protein target
20.1% (CI, 16.9% to 23.3%)
Fat target
20.5% (CI, 17.6% to 23.4%)
Sodium target
9.0% (CI, 7.0% to 10.9%)
Fiber target
2.5% (CI, 1.3% to 3.6%)
All 3 ABC targets
4.4% (CI, 3.5% to 5.2%)
All 4 lifestyle targets
5.1% (CI, 4.3% to 6.0%)
All 5 dietary targets
4 participants

Observational data: associations, not effects.

Original publication

Achievement of Guideline-Recommended Targets in Diabetes Care in China : A Nationwide Cross-Sectional Study. Ann Intern Med. Published 1 August 2023. doi:10.7326/m23-0442

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