CHARACTERISTICS OF US ADULTS WITH CONTROLLED AND UNCONTROLLED TYPE 2 DIABETES

Author(s)

Morlock A, Dobrescu R
Acumen Health Research Institute, Ann Arbor, MI, USA

OBJECTIVES: To evaluate the characteristics of US adults with controlled and uncontrolled Type 2 Diabetes (T2D) and determine factors predictive of control.

METHODS: Using data from a nationally representative research survey fielded in 2017, participants with hemoglobin A1c (HbA1c) levels <7 (controlled T2D) were compared to those with HbA1c levels > RESULTS: Of 12,146 US adult participants, 10.45% reported having T2D. Of those with T2D, 80.69% reported knowing their HbA1c level and only 55.58% achieved HbA1c of less than 7. Older, married adults with a higher income were more likely to achieve HbA1c of 7 or less (age: 57.26 years vs 50.94 years, p<0.05; married: 54.54% vs 41.87%, p<0.05; median income: $56,389 vs $48,359, p<0.001). Uncontrolled T2D participants had T2D for a longer period of time (12.08 years vs 9.92 years, p<0.05). Resource utilization was higher for those with uncontrolled T2D; uncontrolled participants were more likely to have an emergency department visit (33.32% vs 22.51%, p<0.05) and/or a hospital visit (22.44% vs 13.27%, p<0.05) within the past 6 months. In a logistic model older age (OR=1.05, p<0.01), married males (OR=2.73, p=0.01) and satisfaction with the treating physician (OR=3.62, p<0.001) were more likely to achieve HbA1c less than 7. Those with hyperlipidemia (OR=0.39, p=0.02), neuropathic pain (OR=0.33, p<0.01) or taking an injectable insulin (OR=0.011, p<0.01) were more likely to have an HbA1c > CONCLUSIONS: This study describes characteristics of individuals with controlled and uncontrolled T2D. Understanding these factors may help identify patients with T2D that need more aggressive management to achieve.

Conference/Value in Health Info

2018-11, ISPOR Europe 2018, Barcelona, Spain

Value in Health, Vol. 21, S3 (October 2018)

Code

PDB134

Topic

Patient-Centered Research

Topic Subcategory

Patient-reported Outcomes & Quality of Life Outcomes

Disease

Diabetes/Endocrine/Metabolic Disorders

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