Factors associated with glycemia and microvascular complications among James Bay Cree Indian diabetics of Quebec.

Abstract

We conducted a chart review of physician diagnosed diabetics to obtain plasma glucose levels (fasting plasma glucose and glycosylated hemoglobin) over a retrospective 30 month time span and data on the presence or absence of current renal or ophthalmic microvascular complications. Multiple logistic regression was used to determine factors associated with the presence of microvascular complications. Poor glycemic control reflected by a need of insulin therapy (odds ratio (OR) = 2.7, confidence internal (CI): 1.1, 6.7), increased serum triglyceride levels (OR = 4.5, CI: 2.0, 9.9) and duration of illness of more than five years (OR = 3.0, CI: 1.2, 7.8) were found to be associated with the presence of microangiopathies. Process of care and temporary reversion to traditional lifestyle and diet did not influence glycemic control. Our results points towards a need for an increased awareness of lipid disorders in diabetic patients and a better understanding of how social and psychological factors are related to metabolic outcomes.