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- Title
The association between glycemic, lipids and blood pressure control among Israeli diabetic patients.
- Authors
A. Elis; L. Rosenmann; G. Chodick; A.D. Heymann; E. kokia; V. Shalev
- Abstract
Background: It is recommended that in diabetes mellitus patients all risk factors for cardiovascular disease should be controlled. Aim: To evaluate the rate of reaching all glycemic, lipids and blood pressure target levels among diabetic patients in Israel and to analyze demographic and clinical parameters associated with it. Design: A cross-sectional study. Methods: The study was conducted in Maccabi Healthcare Services, Israels second largest health maintenance organization. All patients (n = 41 936), older than 20 years, who were listed on Maccabi Healthcare Services diabetes mellitus computerized database and had all three study parameters (HbA1c, LDL-C and blood pressure levels during 2005) were eligible for the study. The rate of reaching HbA1c Results: Only 13% of all study patients achieved all three target levels. The parameters which were significantly associated with goal achievement were compliance to medical treatment for all three parameters (OR 1.56, 95% CI 1.44–1.69, P = 0.0001), male gender (OR 1.42, 95% CI 1.31–1.54, P = 0.0001), comorbidity with ischemic heart disease (OR 1.23, 95% CI 1.13–1.34, P = 0.0001), and >12 visits per year to family physician (OR 1.10, 95% CI 1.02–1.19, P = 0.012). Conclusion: Non-compliance with treatment and sub-optimal follow-up by family physicians are associated with increased risk of failure to control major risk factor among diabetic patients.
- Subjects
PEOPLE with diabetes; RESEARCH; DIABETES; COMORBIDITY
- Publication
QJM: An International Journal of Medicine, 2008, Vol 101, Issue 4, p275
- ISSN
1460-2725
- Publication type
Article
- DOI
10.1093/qjmed/hcm150