Vol 3, No 3 (2014)
Research paper
Published online: 2014-07-10

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The metabolic control in type 2 diabetic patients according to Polish Diabetes Association recommendation

Anna Kudaj-Kurowska, Iga Turek, Małgorzata Józefowska, Elżbieta Przech, Katarzyna Cypryk
Diabetologia Kliniczna 2014;3(3):92-99.

Abstract

Introduction. Treatment of diabetes should be complex and individualized to prevent chronic complications. The aim of the study was to evaluation metabolic control in type 2 diabetic patients, according to Polish Diabetes Association recommendation (2013) and to identify the factors affecting the achievement of treatment goals in patients with type 2 diabetes.

Material and methods. The study group consisted of 249 consecutively presenting type 2 diabetic patients (151 female, 98 male) treated in Wojewódzki Ośrodek Diabetologii i Chorób Metabolicznych in Łódź. Metabolic control, including HbA1c and lipids profile, BMI and blood pressure was evaluated.

Results. The mean HbA1c concentration was 7.34 ± 1.25% and in 50% of patients HbA1c was ≤ 7.0%.Total cholesterol concentration < 175 mg/dl, LDL cholesterol < 100 mg/dl, and HDL > 40 mg/dl for man and HDL > 50 mg/dl for women were state respectively in 41%, 38% and 65% patients. Normal blood pressure (< 140/90 mm Hg) was observed in 53% patients; 25% patients were overweight and 68% were obese. In studied group three and four criteria were fulfilled by 10% patients, while 22% reached any of them. Women met an average of 1.38 ± 0.93 criteria, whilemen met the criteria for 1.01 ± 0.88 (p < 0.05). HbA1c concentration correlated with diabetes duration and insulin therapy (p < 0.05).

Conclusion. Metabolic control in study population isnot sufficient. Long-term diabetes, insulin therapy and male sex are risk factors for diabetes treatment failure.