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To explore the association between adherence to community-based health management and glycemic control in individuals with type 2 diabetes mellitus(T2DM).
The study encompassed 2 171 T2DM patients engaged in community health management in Huai’an District, Jiangsu Province. Adherence across five domains—medication, diet, exercise, self-monitoring, and hospital medical check-ups—was evaluated using the Diabetes Regimen Adherence Questionnaire. Adherence was classified as good or poor based on median scores, while glycemic control was defined by HbA1c levels below 7.0%. Logistic regression models were utilized to assess the association between health management adherence and glycemic control.
After adjusting for confounding factors, the OR for achieving glycemic control among patients with good adherence in medication, diet, exercise, self-monitoring, hospital medical check-ups, and overall adherence were 1.402(95% CI:1.173-1.677), 1.231(95% CI:1.030-1.471), 0.985(95% CI:0.821-1.183), 0.968(95% CI:0.806-1.162), 1.107(95% CI:0.924-1.326) and1.050(95% CI:0.880-1.252), respectively, compared to those with poor adherence. In a subsequent analysis excluding patients with concurrent hypertension, coronary heart disease, stroke, and tumors, the OR were 1.987(95% CI:1.321-2.990) for medication, 1.606(95% CI:1.077-2.397) for diet, 1.282(95% CI:0.867-1.895) for exercise, 1.378(95% CI:0.910-2.085) for self-monitoring, 1.663(95% CI:1.126-2.456) for hospital medical check-ups, and 1.593(95% CI:1.077-2.354) for overall adherence.
Improved adherence to community health management significantly enhances glycemic control in T2DM patients, with substantial improvements observed through meticulous adherence to medication and dietary guidelines.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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