Prevalence of adults with type 1 diabetes who meet the goals of care in daily clinical practice: A nationwide multicenter study in Brazil

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• 作者：Marilia B. Gomes ; Marisa Coral ; Roberta A. Cobas ; Sergio Atala Dib ; Luis Henrique Canani ; M¨¢rcia Nery ; Maria Cristina Foss de Freitas ; Manuel Faria ; Jo?o Soares Fel¨ªcio ; Saulo Cavalcanti da Silva ; Hermelinda Pedrosa ; Adriana Costa e Forti ; Rosangela Roginski Rea ; Antonio Carlos Pires ; Renan Montenegro Junior ; Jos¨¦ Eg¨ªdio Oliveira ; Nelson Rassi ; Carlos Antonio Negrato
• 关键词：CV ; cardiovascular ; T1DM ; type 1diabetes mellitus ; BDS ; Brazilian Diabetes Society ; sBP ; systolic blood pressure ; dBP ; diastolic blood pressure ; BMI ; body mass index ; HbA1C ; glycated hemoglobin ; T2DM ; type 2 diabetes mellitus ; FBG ; fasting blood glucose
• 刊名：Diabetes Research and Clinical Practice
• 出版年：2012
• 出版时间：July, 2012
• 年：2012
• 卷：97
• 期：1
• 页码：63-70
• 全文大小：298 K

文摘

Objective

To determine the prevalence of patients with type 1 diabetes mellitus who meet the glycemic and cardiovascular (CV) risk factors goals and the frequency of screening for diabetic complications in Brazil according to the American Diabetes Association guidelines.

Research design and methods

<p>This was a cross-sectional, multicenter study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. Data were obtained from 1774 adult patients (56.8 % females, 57.2 % Caucasians) aged 30.3 ¡À 9.8 years with diabetes duration of 14.3 ¡À 8.8 years.

Results

<p>Systolic blood pressure was at goal in 40.3 % and diastolic blood pressure was at goal in 26.6 % of hypertensive patients. LDL cholesterol and HbA1c were at the goal in 45.2 % and 13.2 % of the patients, respectively. Overweight was presented in 25.6 % and obesity in 6.9 % . Among those with more than 5 years of disease, screening for retinopathy was performed in the preceding year in 70.1 % . Nephropathy and feet complications were screened in 63.1 % and 65.1 % , respectively.

Conclusions

<p>The majority of patients did not meet metabolic control goals and a substantial proportion was not screened for diabetic complications. These issues may increase the risk of chronic complications and negatively impact public health.