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- Title
Clinical Characteristics and Degree of Glycemic and Cardiovascular Risk Factor Control in Patients with Type 1 Diabetes in Catalonia (Spain).
- Authors
Gimenez-Perez, Gabriel; Franch-Nadal, Josep; Ortega, Emilio; Mata-Cases, Manel; Goday, Albert; Real, Jordi; Rodriguez, Angel; Vlacho, Bogdan; Mauricio, Dídac; Barcelo, Alberto
- Abstract
Background: This study aims to evaluate the clinical characteristics, complications, degree of glycemic control, and cardiovascular risk factor control in patients with type 1 diabetes in Catalonia (Northwest of Spain). Methods: Cross-sectional study using a database including clinical, laboratory, and treatment data. Patients with an ICD10 diagnosis of type 1 diabetes were included, excluding those treated with glucose-lowering agents other than insulin, or treated only with basal insulin two years after diagnosis. Results: 15,008 patients were analysed. Median IQR age was 42 (31–53) years, diabetes duration 11.8 (6.8–16.0) years, 56.5% men. Median (IQR) HbA1c was 7.9% (7.1–8.8). Microvascular complications were present in 24.4% of patients, 43.6% in those with a diabetes duration >19 years. In presence of known cardiovascular disease 69.3% of patients showed an LDL-C concentration >70 mg/dL, 37% had a systolic blood pressure >135 mmHg and 22.4% were smokers. Conclusions: This study provides a reliable snapshot about the clinical situation of a large population of patients with T1D in Catalonia, which is similar to that of other western areas. The lack of adequate control of cardiovascular risk factors in a significant proportion of patients with cardiovascular disease deserves a more detailed analysis and urges the need for improvement strategies.
- Subjects
CATALONIA (Spain); SPAIN; TYPE 1 diabetes; CARDIOVASCULAR diseases risk factors; SYSTOLIC blood pressure; GLYCEMIC control; FAMILIAL hypercholesterolemia
- Publication
Journal of Clinical Medicine, 2021, Vol 10, Issue 7, p1536
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm10071536