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[Control of cardiovascular risk factors in type 2 diabetes in a specialized diabetic clinic]

B Pérez-Pevida1, N Varela, S Pérez Rodríguez

  • 1Departamento de Endocrinología y Nutrición. Clínica Universidad de Navarra, Pamplona, España.. bppevida@unav.es.

Anales Del Sistema Sanitario De Navarra
|December 8, 2017
PubMed
Abstract

Insights

Patients with type 2 diabetes mellitus (T2DM) attending a specialized clinic achieved good control of key risk factors. This suggests specialized care may improve management of glycated haemoglobin (HbA1c), blood pressure (BP), and LDL cholesterol.

Area of Science:

  • Endocrinology
  • Metabolic Diseases
  • Cardiovascular Risk Management

Background:

  • Effective management of type 2 diabetes mellitus (T2DM) requires control of glycaemic and cardiovascular risk factors (CVRFs).
  • Suboptimal achievement of CVRF targets is common in T2DM patients.
  • This study assesses CVRF control in T2DM patients attending a specialized diabetes clinic.

Purpose of the Study:

  • To evaluate the degree of control of CVRF target goals in T2DM patients.
  • To assess the proportion of T2DM patients achieving individualized targets for HbA1c, LDL cholesterol, and blood pressure.
  • To explore the potential impact of specialized diabetes care on CVRF control.

Main Methods:

  • Retrospective analysis of 137 T2DM patients with at least one year of follow-up at a specialized diabetes unit.
  • Collection of clinical characteristics, complications, and treatments.
  • Classification of patients based on achievement of individualized targets for HbA1c, LDL cholesterol, and blood pressure, considering comorbidities and diabetes duration.

Main Results:

  • A substantial majority of patients achieved individualized targets: 83.9% for HbA1c, 76.6% for blood pressure, and 67.2% for LDL cholesterol.
  • 68% of patients concurrently met all three main targets (HbA1c, LDL cholesterol, and blood pressure).
  • The study population consisted of 137 patients, predominantly male (75%), with an average age of 67 years and a mean diabetes duration of 12.7 years.

Conclusions:

  • A significant proportion of T2DM patients attending a specialized diabetes unit achieved target levels for HbA1c, LDL cholesterol, and blood pressure.
  • The findings suggest that intensive, individualized care provided by specialized diabetes units may contribute to better CVRF control in T2DM.
  • Specialized diabetes care models show promise for improving comprehensive risk factor management in T2DM.
Keywords:
Type 2 diabetes mellitus. Cardiovascular risk factors. HbA1c. LDL-cholesterol. Blood pressure.

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