Prevalence of adults with type 1 diabetes who meet the goals of care in daily clinical practice: A nationwide multicenter study in Brazil
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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DOI：
10.1016/j.diabres.2012.02.008
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发表时间：
2012-07-01
影响因子：
5.1
通讯作者：
Negrato, Carlos Antonio
中科院分区：
文献类型：
--
作者：
Gomes, Marilia B.;Coral, Marisa;Negrato, Carlos Antonio
目的：根据美国糖尿病协会指南，确定巴西符合血糖和心血管(CV)危险因素目标的1型糖尿病患者的患病率和糖尿病并发症筛查频率。研究设计和方法：这是一项于2008年12月至2010年12月在巴西20个城市的28家公立诊所进行的横断面多中心研究。1774例成年患者(女性56.8%，高加索人57.2%)年龄30.3+/-9.8岁，糖尿病病程14.3+/-8.8年。结果：40.3%的高血压患者的收缩压和舒张压达到目标，26.6%的患者达到目标。低密度脂蛋白和糖化血红蛋白分别占45.2%和13.2%。超重占25.6%，肥胖占6.9%。在病龄超过5年的患者中，70.1%的患者在前一年进行了视网膜病变筛查。肾病和足部并发症的筛查率分别为63.1%和65.1%。结论：大多数患者没有达到代谢控制目标，有相当比例的患者没有被筛查为糖尿病并发症。这些问题可能会增加慢性并发症的风险，并对公众健康产生负面影响。(C)2012爱思唯尔爱尔兰有限公司。保留所有权利。
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: 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 +/- 9.8 years with diabetes duration of 14.3 +/- 8.8 years.Results: 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: 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. (C) 2012 Elsevier Ireland Ltd. All rights reserved.