Glycemic and blood pressure control in an asian malay population with diabetes and diabetic retinopathy

Archives of Ophthalmology
Olivia S HuangTien Y Wong

Abstract

To examine the prevalence of and factors associated with suboptimal glycemic and blood pressure (BP) control in a Malay population with diabetes mellitus in Singapore. The Singapore Malay Eye Study was a population-based survey of 3280 Malay individuals (78.7% response rate) aged 40 to 80 years. Diabetes was defined as a nonfasting glucose level of 200 mg/dL or greater, use of diabetic medication, or physician diagnosis. Diabetic retinopathy (DR) was graded from retinal photographs using the modified Airlie House classification. Optimal control was defined as a hemoglobin A(1c) level of less than 7% and BP of 130/80 mm Hg or lower. In participants with diabetes (n = 768), only 26.9% had optimal glycemic and 13.4% optimal BP control, respectively. In those with DR (n = 272), rates of optimal glycemic and BP control were even lower (17.4% and 10.3%, respectively). After adjusting for age, sex, socioeconomic status, and other factors, compared with participants with optimal glycemic control, those with suboptimal control were younger (P = .005), more likely to be unaware of their diabetes status (P < .001), and taking medication for diabetes (P < .001) and had higher levels of total cholesterol (P = .009) and DR (P < .001). After ...Continue Reading

Citations

May 25, 2012·Middle East African Journal of Ophthalmology·Rajiv Khandekar
Apr 22, 2011·Journal of Human Hypertension·M BhargavaT Y Wong
Jul 3, 2013·The American Journal of Medicine·Linong JiUNKNOWN CCMR-3B STUDY Investigators
Jan 30, 2018·Asia-Pacific Journal of Ophthalmology·Jacqueline ChuaCharumathi Sabanayagam
May 10, 2016·Nature Reviews. Disease Primers·Tien Y WongRafael Simó
Mar 19, 2013·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Shwu-Jiuan SheuHing-Chung Lam
Dec 12, 2018·Advanced Drug Delivery Reviews·Cheng Hu, Weiping Jia

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