[ESCRYTO study. Diabetes without cardiovascular disease and level of control].

Autor:	Gómez García MC; Unidad de Gestión Clínica Vélez-Norte, Vélez, Málaga, España. Electronic address: carlu91@gmail.com., Millaruelo Trillo JM; Centro de Salud Torrero La Paz, Zaragoza, España., Avila Lachica L; Consultorio Almachar, Unidad de Gestión Clínica Vélez-Norte, Almachar, Málaga, España., Cos-Claramunt FX; CAP Sant Martí, Atenció Primària, Institut Catalá de la Salut, Barcelona, España., Franch-Nadal J; Centro de Salud de Raval Sud, Barcelona, España; Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Madrid, España., Cortés Gil X; Departamento Médico, Almirall S.A., Barcelona, España.
Jazyk:	Spanish; Castilian
Zdroj:	Semergen [Semergen] 2020 May - Jun; Vol. 46 (4), pp. 261-269. Date of Electronic Publication: 2019 Dec 23.
DOI:	10.1016/j.semerg.2019.11.006
Abstrakt:	Background and Objectives: Diabetes is a significant risk factor for the development of cardiovascular disease, which is the main cause of death. The purpose of this study was to determine the level of glycaemic control in patients with type 2 diabetes without cardiovascular disease in Spain. The data used includes the most recent determination of glycosylated haemoglobin, as well as the pattern of antidiabetic treatment, the incidence of episodes of severe hypoglycaemia in the last 6 months, and the level of control of cardiovascular risk factors, and gender. Patients and Methods: A national, multicentre, and cross-sectional epidemiological study in which 800 doctors associated with the GDPS network participated. Results: Of the total of 1,059 patients, 57% male, with a mean age of 62.7 years in men vs. 65.2 in women (P<.001). The mean onset of diabetes was 9.4±7.5 years. The mean HbA1C was 7.0% in men vs. 7.1% in women (P=.039), with the control objective of <7% being observed in 47.2%. There were 65% patients on treatment with metformin, and 62.4% on DPP-4 inhibitors, and basal insulin: 14.2%. Incidence of severe hypoglycemias in the last 6 months was 1.9%. The women had worse glycaemic control, total cholesterol, LDL cholesterol, abdominal obesity, and glomerular filtration levels. Conclusions: The glycaemic control is worse in women even if adjusted for age and time of onset of diabetes (P=.043), and for the number of hypoglycaemic agents (P=.015). The level of control is also worse in women for dyslipidaemia, abdominal obesity, and glomerular filtration. A preventive strategy promoted from Primary care on healthy lifestyles and controlling all vascular risk factors is essential. (Copyright © 2019 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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