{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:22:28Z","timestamp":1765887748375},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,11,26]],"date-time":"2015-11-26T00:00:00Z","timestamp":1448496000000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The prevalence of type 2 diabetes in China is increasing rapidly. Appropriate management of glycemia, blood pressure and dyslipidemia in this population is a major public health concern.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to assess metabolic control including glycated hemoglobin A<jats:sub>1c<\/jats:sub> (HbA<jats:sub>1c<\/jats:sub>), blood pressure (BP) and low density lipoprotein cholesterol (LDL\u2010c), in a large sample of patients with type 2 diabetes in China and to identify factors that correlated with the achievement of HbA1c, BP and LDL\u2010c goals (ABCs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A nationwide survey was conducted in 50 medical centres across China from April to July of 2010. Baseline information on demographics, medical history, HbA<jats:sub>1c<\/jats:sub>, BP and LDL\u2010c levels were measured in 5961 patients with type 2 diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age, body mass index (BMI) and HbA<jats:sub>1c<\/jats:sub> were 59.5\u2009\u00b1\u20091.3\u00a0years, 24.5\u2009\u00b1\u20094.1\u00a0kg\/m<jats:sup>2<\/jats:sup> and 8.3\u2009\u00b1\u20092.2%, respectively. With respect to generally accepted ABC treatment goals, 35.2% of participants had HbA<jats:sub>1c<\/jats:sub> &lt;7%; 35.5% had BP\u2009&lt;\u2009140\/80\u00a0mmHg, and 45.1% had LDL\u2010c\u2009&lt;\u2009100\u00a0mg\/dl. The proportion of patients who met all three targets was only 5.4%. Logistic regression revealed that smoking (<jats:italic>P<\/jats:italic>=0.000), higher BMI (<jats:italic>P<\/jats:italic>=0.001) and insulin use (<jats:italic>P<\/jats:italic>=0.000) were statistically significant predictors of failing to meet ABC targets.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The percentage of Chinese patients with type 2 diabetes who met recommended targets for HbA<jats:sub>1c<\/jats:sub>, BP and LDL\u2010c in 2010 was low. Smoking, higher BMI and insulin use were the strongest determinants of failing to meet ABC targets. 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