Predictors of treatment failure during the first year in newly diagnosed type 2 diabetes patients: a retrospective, observational study

Autor: Hon-Ke Sia, Chew-Teng Kor, Shih-Te Tu, Pei-Yung Liao, Yu-Chia Chang
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: PeerJ, Vol 9, p e11005 (2021)
Druh dokumentu: article
ISSN: 2167-8359
DOI: 10.7717/peerj.11005
Popis: Background Diabetes patients who fail to achieve early glycemic control may increase the future risk of complications and mortality. The aim of the study was to identify factors that predict treatment failure (TF) during the first year in adults with newly diagnosed type 2 diabetes mellitus (T2DM). Methods This retrospective cohort study conducted at a medical center in Taiwan enrolled 4,282 eligible patients with newly diagnosed T2DM between 2002 and 2017. Data were collected from electronic medical records. TF was defined as the HbA1c value >7% at the end of 1-year observation. A subgroup analysis of 2,392 patients with baseline HbA1c ≥8% was performed. Multivariable logistic regression analysis using backward elimination was applied to establish prediction models. Results Of all study participants, 1,439 (33.6%) were classified as TF during the first year. For every 1% increase in baseline HbA1c, the risk of TF was 1.17 (95% CI 1.15–1.20) times higher. Patients with baseline HbA1c ≥8% had a higher rate of TF than those with HbA1c
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