Table 2

Impact of individual concordant and discordant conditions on diabetes control goal achievement, adjusted, OR (95% CI), with prevalence of conditions, among patients with diabetes age 18–75

Prevalence % (n=23 430)HgbA1c controlLDL controlBP control
OR (95% CI)p ValueOR (95% CI)p ValueOR (95% CI)p Value
Lack of control goal achievement
 Obesity220.9 (0.8 to 0.97)0.00600.9 (0.85 to 0.97)0.0050
 Depression150.9 (0.8 to 0.9)0.0010
 Anxiety disorders8.00.8 (0.8 to 0.9)0.0010
 CNS/PNS disorders*7.80.8 (0.7 to 0.9)0.0000
 Congestive heart failure5.00.8 (0.7 to 0.9)0.0060
 Skin ulcer4.80.8 (0.7 to 0.9)0.0010
 Degenerative eye problem4.30.7 (0.6 to 0.8)0.0000
 Substance use disorders0.80.6 (0.43 to 0.8)0.0010
Mixed lack of achievement and achievement
 Hypertension741.1 (1.04 to 1.2)0.00301.2 (1.1 to 1.3)0.00000.6 (0.55 to 0.6)0.0000
Control goal achievement
 Hyperlipidemia771.1 (1.1 to 1.2)0.00001.3 (1.2 to 1.3)0.00001.3 (1.17 to 1.3)0.0000
 Osteoarthritis161.2 (1.1 to 1.3)0.0000
 Coronary atherosclerosis141.3 (1.2 to 1.4)0.00001.5 (1.4 to 1.6)0.00001.3 (1.21 to 1.4)0.0000
 Allergic rhinitis111.2 (1.1 to 1.3)0.0000
 Cancer7.61.3 (1.1 to 1.4)0.0000
 Cardiac dysrhythmia7.31.2 (1.05 to 1.3)0.0040
 Kidney and vesicoureteral disorders†4.81.2 (1.05 to 1.4)0.0090
 Gout or other crystal arthropathy4.41.2 (1.1 to 1.4)0.0050
 Benign prostatic hypertrophy4.11.3 (1.1 to 1.6)0.00101.2 (1.05 to 1.4)0.0090
 Bipolar disorder3.71.2 (1.1 to 1.4)0.0090
 Rheumatoid arthritis1.51.6 (1.3 to 2.1)0.0000
 Schizophrenia and psychotic disorders1.11.7 (1.2 to 2.2)0.0010
 Aneurysm0.71.9 (1.2 to 3)0.0060
 Epilepsy0.72.1 (1.4 to 3.1)0.0000
 Myocardial infarction§0.52.0 (1.2 to 3.2)0.0080
 Parkinson’s disease0.42.8 (1.4 to 5.4)0.00202.4 (1.47 to 3.9)0.0000
  • Adjusted for age, sex, race, insurance, number of face-to-face office visits in the baseline year, patient rural–urban commuting area, per cent with diabetes in patient’s county, per cent of Medicare patients with diabetes in patient’s county who achieved HbA1c testing, per cent below poverty line in patient’s zip code, per cent without high school education in patient’s zip code, health system.

  • All 62 conditions were included in the model. Only conditions with significant associations at p value<0.01 are listed in the table. All conditions are mutually exclusive.

  • *Excludes malignancies, multiple sclerosis and epilepsy.

  • †Excludes kidney failure.

  • §Within past 2 years.

  • CNS/PNS, central nervous system and peripheral nervous system; HbA1c, glycated haemoglobin.