Determinants of fasting plasma glucose and glycosylated hemoglobin among low income latinos with poorly controlled type 2 diabetes

Grace Kollannoor-Samuel, Jyoti Chhabra, Maria Luz Fernandez, Sonia Vega-Lopez, Sofia Segura Pérez, Grace Damio, Mariana C. Calle, Darrin D'Agostino, Rafael Pérez-Escamilla

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Abstract

The objective of this study was to identify demographic, socio-economic, acculturation, lifestyle, sleeping pattern, and biomedical determinants of fasting plasma glucose (FPG) and glycosylated hemoglobin (HbA1c), among Latinos with type 2 diabetes (T2D). Latino adults (N = 211) with T2D enrolled in the DIALBEST trial were interviewed in their homes. Fasting blood samples were also collected in the participants' homes. Because all participants had poor glucose control, above-median values for FPG (173 mg/dl) and HbA1c (9.2%) were considered to be indicative of poorer glycemic control. Multivariate analyses showed that receiving heating assistance (OR: 2.20; 95% CI: 0.96-4.96), and having a radio (3.11, 1.16-8.35), were risk factors for higher FPG levels, and lower income (10.4, 1.54-69.30) was a risk factor for higher HbA1c levels. Lower carbohydrate intake during the previous day (0.04; 0.005-0.37), as well as regular physical activity (0.30; 0.13-0.69), breakfast (2.78; 1.10-6.99) and dinner skipping (3.9; 1.03-14.9) during previous week were significantly associated with FPG concentrations. Being middle aged (2.24, 1.12-4.47), 30-60 min of sleep during the day time (0.07, 0.01-0.74) and having medical insurance (0.31, 0.10-0.96) were predictors of HbA1c. Results suggest that contemporaneous lifestyle behaviors were associated with FPG and contextual biomedical factors such as health care access with HbA1c. Lower socio-economic status indicators were associated with poorer FPG and HbA1c glycemic control.

Original languageEnglish (US)
Pages (from-to)809-817
Number of pages9
JournalJournal of Immigrant and Minority Health
Volume13
Issue number5
DOIs
StatePublished - Oct 2011

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Glycosylated Hemoglobin A
Hispanic Americans
Type 2 Diabetes Mellitus
Fasting
Glucose
Life Style
Economics
Acculturation
Breakfast
Insurance
Radio
Heating
Meals
Sleep
Multivariate Analysis
Carbohydrates
Demography
Exercise
Delivery of Health Care

Keywords

  • Fasting plasma glucose
  • Glycosylated hemoglobin
  • Hispanics
  • Low income Latinos
  • Type 2 diabetes

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Determinants of fasting plasma glucose and glycosylated hemoglobin among low income latinos with poorly controlled type 2 diabetes. / Kollannoor-Samuel, Grace; Chhabra, Jyoti; Fernandez, Maria Luz; Vega-Lopez, Sonia; Pérez, Sofia Segura; Damio, Grace; Calle, Mariana C.; D'Agostino, Darrin; Pérez-Escamilla, Rafael.

In: Journal of Immigrant and Minority Health, Vol. 13, No. 5, 10.2011, p. 809-817.

Research output: Contribution to journalArticle

Kollannoor-Samuel, G, Chhabra, J, Fernandez, ML, Vega-Lopez, S, Pérez, SS, Damio, G, Calle, MC, D'Agostino, D & Pérez-Escamilla, R 2011, 'Determinants of fasting plasma glucose and glycosylated hemoglobin among low income latinos with poorly controlled type 2 diabetes', Journal of Immigrant and Minority Health, vol. 13, no. 5, pp. 809-817. https://doi.org/10.1007/s10903-010-9428-3
Kollannoor-Samuel, Grace ; Chhabra, Jyoti ; Fernandez, Maria Luz ; Vega-Lopez, Sonia ; Pérez, Sofia Segura ; Damio, Grace ; Calle, Mariana C. ; D'Agostino, Darrin ; Pérez-Escamilla, Rafael. / Determinants of fasting plasma glucose and glycosylated hemoglobin among low income latinos with poorly controlled type 2 diabetes. In: Journal of Immigrant and Minority Health. 2011 ; Vol. 13, No. 5. pp. 809-817.
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