Comorbidity and glycemia control among patients with type 2 diabetes in primary care

Catherine Hudon1,3, Martin Fortin1,3, Marie-France Dubois2, Jos&eacute; Almirall31Department of Family Medicine, 2Department of Community Health Sciences, Sherbrooke University, Sherbrooke, Quebec, Canada; 3Centre de Sant&eacute; et de Services Sociaux de Chicoutimi, Quebec, CanadaAb...

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Autores principales:	Catherine Hudon, Martin Fortin, Marie-France Dubois, Jos&eacute; Almirall
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/1dc21b8a65f04e8496536829551b5cba
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spelling	oai:doaj.org-article:1dc21b8a65f04e8496536829551b5cba2021-12-02T03:05:46ZComorbidity and glycemia control among patients with type 2 diabetes in primary care1178-7007https://doaj.org/article/1dc21b8a65f04e8496536829551b5cba2008-11-01T00:00:00Zhttp://www.dovepress.com/comorbidity-and-glycemia-control-among-patients-with-type-2-diabetes-i-a2594https://doaj.org/toc/1178-7007Catherine Hudon1,3, Martin Fortin1,3, Marie-France Dubois2, Jos&eacute; Almirall31Department of Family Medicine, 2Department of Community Health Sciences, Sherbrooke University, Sherbrooke, Quebec, Canada; 3Centre de Sant&eacute; et de Services Sociaux de Chicoutimi, Quebec, CanadaAbstract: Reports on the relationship between comorbidity and glycemia control in diabetic patients are conflicting and the method of measuring comorbidity varies widely among studies. The aim of the present study was to evaluate the relationship between diabetes control and comorbidity, taking into account all comorbidities and their severity, in a primary care setting. We performed a retrospective descriptive study based on chart review of 96 randomly selected type 2 diabetic patients. Comorbidity was measured with the cumulative illness rating scale (CIRS), an exhaustive comorbidity index. Diabetes was considered as controlled if the mean value of two measurements of glycosylated hemoglobin A (HbA1c) was less than 7%. Taking diabetes control as the dependent variable, its relationship with the CIRS score, age, sex, diabetes duration, and diabetes-related complications was explored. Diabetes control was not significantly related with the CIRS score, age, sex or diabetes severity. Diabetes duration was the only variable significantly related to diabetes control. Our study suggests that comorbidity measured with the CIRS in patients with type 2 diabetes is not a factor that prevents the achievement of a good glycemia control.Keywords: glycemia control, type 2 diabetes mellitus, comorbidity, primary care Catherine HudonMartin FortinMarie-France DuboisJos&eacute; AlmirallDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2008, Iss default, Pp 33-37 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Specialties of internal medicine RC581-951
spellingShingle	Specialties of internal medicine RC581-951 Catherine Hudon Martin Fortin Marie-France Dubois Jos&eacute; Almirall Comorbidity and glycemia control among patients with type 2 diabetes in primary care
description	Catherine Hudon1,3, Martin Fortin1,3, Marie-France Dubois2, Jos&eacute; Almirall31Department of Family Medicine, 2Department of Community Health Sciences, Sherbrooke University, Sherbrooke, Quebec, Canada; 3Centre de Sant&eacute; et de Services Sociaux de Chicoutimi, Quebec, CanadaAbstract: Reports on the relationship between comorbidity and glycemia control in diabetic patients are conflicting and the method of measuring comorbidity varies widely among studies. The aim of the present study was to evaluate the relationship between diabetes control and comorbidity, taking into account all comorbidities and their severity, in a primary care setting. We performed a retrospective descriptive study based on chart review of 96 randomly selected type 2 diabetic patients. Comorbidity was measured with the cumulative illness rating scale (CIRS), an exhaustive comorbidity index. Diabetes was considered as controlled if the mean value of two measurements of glycosylated hemoglobin A (HbA1c) was less than 7%. Taking diabetes control as the dependent variable, its relationship with the CIRS score, age, sex, diabetes duration, and diabetes-related complications was explored. Diabetes control was not significantly related with the CIRS score, age, sex or diabetes severity. Diabetes duration was the only variable significantly related to diabetes control. Our study suggests that comorbidity measured with the CIRS in patients with type 2 diabetes is not a factor that prevents the achievement of a good glycemia control.Keywords: glycemia control, type 2 diabetes mellitus, comorbidity, primary care
format	article
author	Catherine Hudon Martin Fortin Marie-France Dubois Jos&eacute; Almirall
author_facet	Catherine Hudon Martin Fortin Marie-France Dubois Jos&eacute; Almirall
author_sort	Catherine Hudon
title	Comorbidity and glycemia control among patients with type 2 diabetes in primary care
title_short	Comorbidity and glycemia control among patients with type 2 diabetes in primary care
title_full	Comorbidity and glycemia control among patients with type 2 diabetes in primary care
title_fullStr	Comorbidity and glycemia control among patients with type 2 diabetes in primary care
title_full_unstemmed	Comorbidity and glycemia control among patients with type 2 diabetes in primary care
title_sort	comorbidity and glycemia control among patients with type 2 diabetes in primary care
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/1dc21b8a65f04e8496536829551b5cba
work_keys_str_mv	AT catherinehudon comorbidityandglycemiacontrolamongpatientswithtype2diabetesinprimarycare AT martinfortin comorbidityandglycemiacontrolamongpatientswithtype2diabetesinprimarycare AT mariefrancedubois comorbidityandglycemiacontrolamongpatientswithtype2diabetesinprimarycare AT josampeacutealmirall comorbidityandglycemiacontrolamongpatientswithtype2diabetesinprimarycare
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Comorbidity and glycemia control among patients with type 2 diabetes in primary care

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