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- Title
Control of Glycemia and Cardiovascular Risk Factors in Patients With Type 2 Diabetes in Primary Care in Catalonia (Spain).
- Authors
Vinagre, Irene; Mata-Cases, Manel; Hermosilla, Eduard; Morros, Rosa; Fina, Fransesc; Rosell, Magdalena; Castell, Conxa; Franch-Nadal, Josep; Boívar, Bonaventura; Mauricio, Didac
- Abstract
OBJECTIVE--The objective of this study was to analyze the clinical characteristics and levels of glycemic and cardiovascular risk factor control in patients with type 2 diabetes that are in primary health care centers in Catalonia (Spain). RESEARCH DESIGN AND METHODS--This was a cross-sectional study of a total population of 3,755,038 individuals aged 31-90 years at the end of 2009. Clinical data were obtained retrospectively from electronic clinical records. RESULTS--A total of 286,791 patients with type 2 diabetes were identified (7.6%). Fifty-four percent weremen,mean (SD) age was 68.2 (11.4) years, and mean duration of disease was 6.5 (5.1) years. The mean (SD) A1C value was 7.15 (1.5)%, and 56% of the patients had A1C values ≤7%. The mean (SD) blood pressure (BP) values were 137.2 (13.8)/76.4 (8.3) mmHg, mean total cholesterol concentration was 192 (38.6) mg/dL, mean HDL cholesterol concentration was 49.3 (13.2) mg/dL, mean LDL cholesterol (LDL-C) concentration was 112.5 (32.4) mg/dL, and mean BMI was 29.6 (5) kg/m². Thirty-one percent of the patients had BP values ≤130/80mmHg, 37.9% had LDL-C values ≤100 mg/dL, and 45.4% had BMI values ≤30 kg/m². Twenty-two percent were managed exclusively with lifestyle changes. Regardingmedicated diabetic patients, 46.9, 22.9, and 2.8% were prescribed one, two, or three antidiabetic drugs, respectively, and 23.4% received insulin therapy. CONCLUSIONS--The results from this study indicate a similar or improved control of glycemia, lipids, and BP in patients with type 2 diabetes when compared with previous studies performed in Spain and elsewhere.
- Subjects
TYPE 2 diabetes; CARDIOVASCULAR diseases; GLYCEMIC index; HIGH density lipoproteins; HYPOGLYCEMIC agents
- Publication
Diabetes Care, 2012, Vol 35, Issue 4, p774
- ISSN
0149-5992
- Publication type
Article
- DOI
10.2337/dc11-1679