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

被引:63
作者
Gomes, Marilia B. [1 ]
Coral, Marisa [2 ]
Cobas, Roberta A. [1 ]
Dib, Sergio Atala [4 ]
Canani, Luis Henrique [5 ]
Nery, Marcia [6 ]
Foss de Freitas, Maria Cristina [7 ]
Faria, Manuel
Felicio, Joao Soares [8 ]
da Silva, Saulo Cavalcanti [9 ]
Pedrosa, Hermelinda [10 ]
Costa e Forti, Adriana [11 ]
Rea, Rosangela Roginski [12 ]
Pires, Antonio Carlos [13 ]
Montenegro Junior, Renan
Oliveira, Jose Egidio [14 ]
Rassi, Nelson [15 ]
Negrato, Carlos Antonio [3 ]
机构
[1] State Univ Hosp Rio de Janeiro, Diabet Unit, Dept Internal Med, Rio De Janeiro, Brazil
[2] Fed Univ Hosp Santa Catarina, Endocrinol Unit, Dept Internal Med, Florianopolis, SC, Brazil
[3] Baurus Diabet Assoc, Dept Internal Med, Sao Paulo, Brazil
[4] Fed Univ Sao Paulo State, Diabet Unit, Sao Paulo, Brazil
[5] Fed Univ Hosp Porto Alegre, Porto Alegre, RS, Brazil
[6] Univ Hosp Sao Paulo, Diabet Unit, Sao Paulo, Brazil
[7] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Internal Med, Sao Paulo, Brazil
[8] Fed Univ Hosp Joao Barreto, Belem, Para, Brazil
[9] Hosp Santa Casa Belo Horizonte, Endocrinol Unit, Belo Horizonte, MG, Brazil
[10] Taguatinga Reg Hosp, Brasilia, DF, Brazil
[11] Univ Fed Ceara, Diabet & Hypertens Res Ctr, Fortaleza, Ceara, Brazil
[12] Fed Univ Hosp Parana, Curitiba, Parana, Brazil
[13] Sao Jose do Rio Preto Med Sch, Diabet Unit, Sao Paulo, Brazil
[14] Fed Univ Hosp Rio de Janeiro, Rio De Janeiro, Brazil
[15] Gen Hosp Goiania, Goiania, Go, Brazil
关键词
Type; 1; diabetes; Glycemic control; Cardiovascular risk factors; Chronic complications; PITTSBURGH EPIDEMIOLOGY; HYPERTENSION; ASSOCIATION; PROGRESSION; POPULATION; GLUCOSE;
D O I
10.1016/j.diabres.2012.02.008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:63 / 70
页数:8
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