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Application of New Cholesterol Guidelines to the Korean Adult Diabetic Patients

Bu Kyung Kim1, Hyeon Chang Kim2, Kyoung Hwa Ha3

  • 1Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.

Journal of Korean Medical Science
|November 6, 2015
PubMed

Insights

New guidelines significantly expand statin therapy eligibility for Korean diabetic patients. The study highlights a critical gap in current dyslipidemia treatment, urging for guideline development and improved patient care.

Area of Science:

  • Cardiology
  • Endocrinology
  • Public Health

Background:

  • The 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines broadened indications for statin therapy for hypercholesterolemia.
  • Current statin therapy use among diabetic patients in Korea for dyslipidemia is suboptimal.

Purpose of the Study:

  • To estimate the number of diabetic patients indicated for statin therapy in Korea using both the Third Adult Treatment Panel (ATP-III) and new ACC/AHA guidelines.
  • To compare the eligibility for statin therapy between the two guideline sets in the Korean diabetic population.

Main Methods:

  • Analysis of data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012.
  • Inclusion of diabetic patients aged 30 years and older.
  • Application of ATP-III and ACC/AHA guidelines to assess statin therapy indications.

Main Results:

  • Among 1,598 diabetic patients not on dyslipidemia medication, 65.6% met ATP-III criteria, while 94.3% met the new ACC/AHA criteria.
  • Overall, the new guidelines increased the proportion of eligible diabetic patients for statin therapy from 53.1% to 76.2% compared to ATP-III.
  • Only 19.1% of the total 1,975 diabetic patients were on dyslipidemia medication.

Conclusions:

  • The new ACC/AHA guidelines substantially increase the number of diabetic patients indicated for statin therapy in Korea.
  • A significant gap exists between current statin therapy indications and actual treatment in Korean diabetic patients.
  • Development of specific Korean guidelines and enhanced efforts are needed to ensure appropriate statin therapy for diabetic patients.

Keywords:
Cholesterol GuidelinesDiabetes MellitusDyslipidemiasKorean

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