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Cardiovascular Risk Factor Status in Hospitalized Patients With Type 2 Diabetes in China

Xiaoyun Yang1,2, Qian Liu1, Yuxin Fan1

  • 1Department of Endocrinology and Metabolism, Tianjin Medical University General Hospital, Tianjin, China.

Frontiers in Endocrinology
|August 9, 2021
PubMed

Insights

Improved control of blood glucose, blood pressure, and lipids was observed in hospitalized type 2 diabetes patients. This study highlights progress in managing cardiovascular risk factors for inpatients over a five-year period.

Area of Science:

  • Endocrinology
  • Metabolism
  • Cardiovascular Medicine

Background:

  • Effective management of blood glucose, blood pressure, and lipids is crucial for type 2 diabetes patients to prevent cardiovascular disease and other complications.
  • Previous research primarily focused on outpatient settings, yielding suboptimal control rates.
  • Limited studies have investigated risk factor control specifically in hospitalized type 2 diabetes patients.

Purpose of the Study:

  • To assess the control rates of major cardiovascular risk factors in hospitalized patients with type 2 diabetes.
  • To evaluate the prevalence of microvascular and macrovascular complications in this patient cohort.
  • To track changes in risk factor control and complication prevalence over a five-year period.

Main Methods:

  • A retrospective analysis of 3,245 hospitalized type 2 diabetes patients from 2013 to 2017.
  • Calculation of percentages of patients meeting China Diabetes Society and American Diabetes Association goals for HbA1c, blood pressure, and blood lipids.
  • Assessment of the prevalence of major microvascular and macrovascular complications.

Main Results:

  • The percentage of patients meeting Chinese Diabetes Society goals for HbA1c, blood pressure, and lipids showed improvements between 2013 and 2017.
  • Achievement of all American Diabetes Association goals (HbA1c<7%, blood pressure <140/90 mmHg, LDL-C <2.6 mmol/L) increased from 4.3% to 9.0%.
  • Prevalence of major diabetes complications remained largely stable during the study period.

Conclusions:

  • Control rates for HbA1c, blood pressure, and low-density lipoprotein cholesterol improved in hospitalized type 2 diabetes patients in Tianjin, China, from 2013 to 2017.
  • Despite improvements in risk factor control, the prevalence of diabetes complications remained stable.
  • Further efforts are needed to optimize inpatient diabetes management and reduce complication rates.
Abstract

Keywords:
cardiovascular risk factorscomplicationscontrol ratesprevalencetype 2 diabetes

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