Prevalence of diabetes, use of antidiabetic drugs and degree of glycaemic control in the province of Cadiz (2014-2016): A population-based study.

Autor: Escribano Serrano J; Unidad de Gestión Clínica de San Roque, Área de Gestión Sanitaria Campo de Gibraltar, Cádiz, España. Electronic address: Jescribanos@semergen.es., Méndez-Esteban MI; Farmacia de Atención Primaria, Área de Gestión Sanitaria Campo de Gibraltar, Cádiz, España., García-Bonilla A; Unidad de Gestión Clínica Farmacia, Distrito Jerez-Costa, Área de Gestión Sanitaria Norte de Cádiz, Cádiz, España., Márquez-Ferrando M; Servicio de Farmacia, Distrito de Atención Primaria, Bahía de Cádiz-La Janda, Cádiz, España., Casto-Jarillo C; Unidad de Gestión Clínica Laboratorio, Hospital de la Línea, Cádiz, España., Berruguilla Pérez E; Unidad de Gestión Clínica, Análisis Clínicos, Hospital Punta Europa, Algeciras, Cádiz, España., Calero Ruiz MM; Unidad de Gestión Clínica Intercentros, Laboratorio Clínico, Hospital Universitario Puerta del Mar, Cádiz, España., Gonzalez Borrachero ML; Unidad de Gestión Clínica Laboratorio Clínico, Hospital Universitario Jerez de la Frontera, Cádiz, España., Santotoribio JD; Unidad de Gestión Clínica, Laboratorios, Hospital Universitario Puerto Real, Departamento de Biomedicina, Biotecnología y Salud Pública, Cádiz, España., Michán-Doña A; Departamento de Medicina Interna, Hospital de Jerez, Universidad de Cádiz, Cádiz, España.
Jazyk: English; Spanish; Castilian
Zdroj: Revista clinica espanola [Rev Clin Esp (Barc)] 2019 May; Vol. 219 (4), pp. 177-183. Date of Electronic Publication: 2018 Dec 27.
DOI: 10.1016/j.rce.2018.10.005
Abstrakt: Background and Objective: The aim of the study was to assess the prevalence of diabetes mellitus treated pharmacologically, analyse the prescription patterns of antidiabetic drugs and assess the degree of control over the disease in the province of Cadiz.
Patients and Methods: An observational retrospective study was conducted with the databases of the public health system of the Andalusian Health Service between 2014 and 2016, inclusive. Adults with treated diabetes (ATD) were considered those older than 14 years who had consumed at least 1 package of medication from the A10 group during the corresponding year covered by the study.
Results: The prevalence of ATD varied between 8.65% and 8.83% from 2014 to 2016, respectively. Seventy-one percent of the ATD were treated with only noninsulin drugs, 11% were treated with insulin, and 18% were treated with a combination of both. For approximately one-third of the ATD, an HbA1c reading was not performed during each year. Sixty-nine percent of the assessed ATD in 2016 had an appropriate degree of control according to RedGDPS criteria (based on HbA1c and age).
Conclusion: The prevalence of pharmacologically treated diabetes in the province of Cadiz is high and appears to be increasing. The patients presented limited glycaemic control, to which inadequate follow-up in almost a third of the patients could be the major contributor.
(Copyright © 2018 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.)
Databáze: MEDLINE
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