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

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 HbA_1c concentration was 7.34 ± 1.25% and in 50% of patients HbA_1c 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). HbA_1c 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.