Factors associated with therapeutic target achievement in the control of complications in consequence of diabetes: A hospital-based study in west of Iran

Autor: Towhid Babazadeh, Hamid Barzkar, Soheil Hassanipour, Hossein-Ali Nikbakht, Maryam Zeinolabedini, Saber Ghaffari-Fam
Rok vydání: 2019
Předmět:
Adult
Blood Glucose
Male
medicine.medical_specialty
Adolescent
Endocrinology
Diabetes and Metabolism
Blood sugar
030209 endocrinology & metabolism
Diabetes Complications
Young Adult
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
High-density lipoprotein
Diabetes management
Internal medicine
Diabetes mellitus
Internal Medicine
Humans
Hypoglycemic Agents
Insulin
Medicine
030212 general & internal medicine
Family history
Child
Aged
Aged
80 and over
Glycated Hemoglobin
Dose-Response Relationship
Drug
business.industry
Cholesterol
Disease Management
General Medicine
Middle Aged
Prognosis
medicine.disease
Lipids
Cross-Sectional Studies
Diabetes Mellitus
Type 1
Blood pressure
Diabetes Mellitus
Type 2
chemistry
Low-density lipoprotein
Female
business
Biomarkers
Follow-Up Studies
Zdroj: Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 13:2009-2013
ISSN: 1871-4021
DOI: 10.1016/j.dsx.2019.04.031
Popis: Background and aim The goal of diabetes management is to enhance the performance of the surveillance system to perpetuate optimal blood sugar, blood pressure and cholesterol levels in the normal values. This paper aimed to identify factors associated with therapeutic target achievement in the control of complications in consequence of diabetes. Methods In this cross-sectional study, a secondary analysis was performed on data obtained in the surveillance center of patients referred to in Makoo city, West Azerbaijan Province. The main interested variables included Fasting Blood Sugar (FBS), HbA1c, triglycerides, cholesterol, Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL) diastolic and systolic blood pressure, duration of diabetes, family history of diabetes, early and late complications of diabetes, treatment received, history of smoking. Results Average age of the patients with diabetes mellitus, insulin-dependent was 35.43 (SD = 17.25) and in patients of diabetes mellitus 53.37 (SD = 10.89), which was significantly different (p-value = 0.001). Frequency amount of fasting blood sugar in diabetes mellitus, insulin-dependent and diabetes mellitus, type II was 64.30% and 66.0%, respectively. Only 19.0% of patients with diabetes mellitus, insulin-dependent and 13.90% of diabetes mellitus, type II breached to the optimum level of blood glucose control. Conclusions This study found that a considerable proportion of subjects with diabetes mellitus, insulin-dependent and diabetes mellitus, type II did not achieve the goals of care guidelines of Iran on secondary prevention of complications related to diabetes, especially vascular complication.
Databáze: OpenAIRE
Externí odkaz: