Cardiovascular risk factor control in a population with longstanding diabetes attending endocrinology departments

• Published in: Endocrinologia y nutricion Vol. 57; no. 10; p. 472
• Main Authors: Comi-Diaz, Cristina, Miralles-García, José M, Cabrerizo, Lucio, Pérez, María, Masramon, Xavier, De Pablos-Velasco, Pedro
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.12.2010
• Subjects: Adolescent; Adult; Aged; Antihypertensive Agents - therapeutic use; Blood Glucose - analysis; Cardiovascular Diseases - blood; Cardiovascular Diseases - epidemiology; Cardiovascular Diseases - prevention & control; Comorbidity; Creatinine - blood; Cross-Sectional Studies; Diabetes Complications - blood; Diabetes Complications - epidemiology; Diabetes Complications - prevention & control; Dyslipidemias - epidemiology; Endocrinology; Female; Glycated Hemoglobin A - analysis; Humans; Hypertension - epidemiology; Hypoglycemic Agents - therapeutic use; Hypolipidemic Agents - therapeutic use; Lipids - blood; Male; Middle Aged; Obesity - epidemiology; Outpatient Clinics, Hospital - statistics & numerical data; Risk Factors; Socioeconomic Factors; Spain - epidemiology; Young Adult
• ISSN: 1579-2021
• DOI: 10.1016/j.endonu.2010.09.003

To determine the degree of control of cardiovascular risk factors (CVRF) in a sample of patients with diabetes mellitus (DM) attending Endocrinology and Nutrition Departments in Spain. An epidemiological, cross-sectional, multicenter and observational study involving 41 Departments of Endocrinology and Nutrition in Spain. Each department selected patients with DM with over 10 years of evolution, which were treated in outpatient settings. Demographic, anthropometric, clinical and biochemical data, including medication, were collected for each participant. 1159 patients who met the inclusion criteria were recruited. 52% of the participants were patients with type 2 DM. The mean duration of DM was 19.6 years. A proportion of 37%, 44%, 27.6% and 25.5% had good control of their blood pressure (BP), low density cholesterol (LDLc), lipids and glucose, respectively, and only 4.3% did well in all factors evaluated. The percentage of poorly controlled BP was four times higher in type 2 than in type 1 DM. Obesity, low cultural level and aggregation of cardiovascular risk factors were associated with poorer control. The degree of control of CVRF in diabetic patients with long disease duration is insufficient.