Management of patients with type 2 diabetes and cardiovascular disease in primary care

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A Zebrafish Model of Diabetes Mellitus and Metabolic Memory
10:03

A Zebrafish Model of Diabetes Mellitus and Metabolic Memory

Published on: February 28, 2013

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Andrew Marson1, Natalie Raffoul2, Rawa Osman3

  • 1BSc, PhD, Clinical Product Lead, NPS MedicineWise, NSW.

Australian Journal of General Practice
|March 31, 2021
PubMed

Insights

Many patients with diabetes and cardiovascular disease (CVD) are not receiving optimal risk factor management in Australian general practices. This highlights a need for improved medication prescribing and risk factor monitoring to reduce CVD deaths.

Area of Science:

  • General Practice
  • Cardiovascular Disease
  • Diabetes Management

Background:

  • Cardiovascular disease (CVD) accounts for a significant proportion of deaths in individuals with diabetes or pre-diabetes in Australia.
  • Effective management of cardiovascular risk factors is crucial for this high-risk population.

Purpose of the Study:

  • To examine the current management of cardiovascular risk factors in general practice for patients with both type 2 diabetes and CVD.
  • To identify potential areas for improvement in patient care and risk reduction strategies.

Main Methods:

  • A cross-sectional study utilizing data from 33,559 adult patients with type 2 diabetes and CVD.
  • Data were sourced from the MedicineInsight general practice data program as of November 1, 2018.

Main Results:

  • One-third of patients lacked records for all three recommended cardiovascular risk-reducing medications.
  • Suboptimal monitoring and achievement of diabetes and cardiovascular risk factor targets were observed.
  • Many patients on metformin-based therapy received glucose-lowering drugs lacking proven cardiovascular benefits.

Conclusions:

  • General practices have opportunities to optimize the management of patients with diabetes and CVD.
  • Utilizing datasets like MedicineInsight can aid in identifying patients who require proactive recall for improved care.
Abstract

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