Korean J Adult Nurs.  2019 Jun;31(3):235-248. 10.7475/kjan.2019.31.3.235.

Factors Influencing Glycemic Control among Type 2 Diabetes Mellitus Patients: The Sixth Korea National Health and Nutrition Examination Survey (2013~2015)

  • 1Professor, College of Nursing, Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University, Jinju, Korea. mogu@gnu.ac.kr


This study was conducted to examine factors influencing glycemic control among type 2 Diabetes Mellitus (T2DM) patients using data from the sixth Korea National Health and Nutrition Examination Survey (2013~2015).
The subjects were 1,181 patients aged 30 years and older who were diagnosed with T2DM. The subjects were divided into three groups according to the glycated hemoglobin (HbA1c) values: good Glycemic Control Group (good GCT, HbA1c<7%), insufficient GCT (7≤HbA1c <8%), and poor GCT (8%≥HbA1c). Multivariate multinomial logistic regression was used to examine the association of socio-demographic, diabetes-related, health status, weight control, health behavior, and psychological factors with glycemic control among T2DM patients.
The patients were distributed as follows: 44.1% in the good GCT, 29.1% in the insufficient GCT, and 26.8% in the poor GCT. In the insufficient GCT, DM duration, DM treatment, weight change, and smoking were significant factors influencing glycemic control with T2DM. In the poor GCT, age, DM duration, DM treatment, and hypertension were significant factors influencing glycemic control with T2DM.
Strategies for the insufficient GCT should include intensive glucose control interventions for patients with DM for over 1 year, combined therapy of oral hypoglycemic agents and insulin. In addition, it is necessary to actively perform nursing interventions for weight loss. Strategies for the poor GCT should include intensive glucose control interventions for younger age groups, more than 5 years of DM, combined therapy of oral hypoglycemic agents and insulin, and those without hypertension.

MeSH Terms

Blood Glucose
Diabetes Mellitus, Type 2*
Health Behavior
Hemoglobin A, Glycosylated
Hypoglycemic Agents
Logistic Models
Nutrition Surveys*
Weight Loss
Blood Glucose
Hypoglycemic Agents


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