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논문 기본 정보

자료유형
학술저널
저자정보
Kim Hyunah (College of Pharmacy Sookmyung Women’s University Seoul Korea.) Jung Da Young (Department of Biostatistics Clinical Research Coordinating Center Catholic Medical Center The Catho) Lee Seung-Hwan (Division of Endocrinology and Metabolism Department of Internal Medicine Seoul St. Mary’s Hospital) Cho Jae-Hyoung (Division of Endocrinology and Metabolism Department of Internal Medicine Seoul St. Mary’s Hospital) Yim Hyeon Woo (Department of Preventive Medicine College of Medicine The Catholic University of Korea Seoul Korea.) Kim Hun-Sung (Division of Endocrinology and Metabolism Department of Internal Medicine Seoul St. Mary’s Hospital)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.37 No.38
발행연도
2022.10
수록면
1 - 12 (12page)
DOI
10.3346/jkms.2022.37.e281

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Background: We evaluated patients visiting a tertiary university hospital due to a diagnosis of diabetes with a goal of achieving blood glucose control and evaluated blood glucose persistence over 7 years according to the change in blood glucose evident at 3 months after the first visit. Methods: Patients treated from 2009 to 2013 were categorized into four groups according to the change in HbA1c levels during the first 3 months of follow-up (Best_group, ≥ 1.6% decrease; Better_group, 0.5–1.5% decrease; Neutral_group, maintained at −0.4% to +0.4%; Worse_group, ≥ 0.5% increase). Each patient’s blood glucose control status was then monitored for 7 years. The incidence of stroke and acute coronary syndrome during this period was confirmed. Results: Overall, 9,776 patients were included. HbA1c values were lower in the Best_group than in the other groups at all time points (all P < 0.001). The rate of reaching targets of < 6.5% or < 7.0% HbA1c decreased over time; the rate at which the estimated glomerular filtration rate decreased to < 30 or < 60 mL/min/1.73m2 increased over time (all trends, P < 0.01). Conclusion: Blood glucose control status in the first 3 months after initiating hospital care enabled estimation of the patient’s glycemic control status for the next 7 years. In cases with poor initial blood glucose control, a new or more active method of blood glucose control should be sought.

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