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The assessment of the implementation of the Polish Diabetes Association recommendations in the scope of metabolic control in patients with diabetes treated in endocrinological-diabetological outpatient clinic
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Abstract
MATERIAL AND METHODS. We analyzed randomly chosen sample of 313 records of patients (151 men and 162 women; 21.4% with type 1 diabetes, 75.4% with type 2 diabetes, 3.2% with other types), treated in Endocrinological-Diabetological Outpatient Clinic in University Hospital in Bydgoszcz in 2007 year. Mean age of patients was 60.2 ± 15.3 years, diabetes duration 11 ± 8 years, BMI 28.4 ± 7.9 kg/m2. We analyzed systolic and diastolic blood pressure, HbA1c levels, triglicerydes, total cholesterol and HDL and LDL cholesterol concentrations.
RESULTS. Mean values of examined parameters and the percentage of subjects achieving therapeutic goals according to PDA recommendations in 2007 (in brackets) are: systolic blood pressure 136 ± 19 mm Hg (35.3%), diastolic blood pressure 79 ± 10 mm Hg (44.5%), HbA1c 7.5 ± 1.6% (32.2%), total cholesterol 184.2 ± 38.6 mg/dL (43.5%), HDL 49.3 ± 15.2 mg/dL (58.5% men and 67.3% women), LDL 105.5 ± 29.3 mg/dL (39.8%), triglicerydes 136.8 ± 75.3 mg/dL (69.8%). HbA1c target recommended by PDA in 2009 year, was achieved by 17.4% of patients with type 1 diabetes, 58% of subjects with type 2 and diabetes duration < 5 years and by 52.6% of subjects with type 2 and diabetes duration ≥ 5 years.
CONCLUSIONS. Our results confirm insufficient metabolic control in patients with diabetes treated in specialist care. These results indicate the need of improvement of quality of care for patients with diabetes. (Diabet. Prakt. 2010; 11, 5: 160–166)
Abstract
MATERIAL AND METHODS. We analyzed randomly chosen sample of 313 records of patients (151 men and 162 women; 21.4% with type 1 diabetes, 75.4% with type 2 diabetes, 3.2% with other types), treated in Endocrinological-Diabetological Outpatient Clinic in University Hospital in Bydgoszcz in 2007 year. Mean age of patients was 60.2 ± 15.3 years, diabetes duration 11 ± 8 years, BMI 28.4 ± 7.9 kg/m2. We analyzed systolic and diastolic blood pressure, HbA1c levels, triglicerydes, total cholesterol and HDL and LDL cholesterol concentrations.
RESULTS. Mean values of examined parameters and the percentage of subjects achieving therapeutic goals according to PDA recommendations in 2007 (in brackets) are: systolic blood pressure 136 ± 19 mm Hg (35.3%), diastolic blood pressure 79 ± 10 mm Hg (44.5%), HbA1c 7.5 ± 1.6% (32.2%), total cholesterol 184.2 ± 38.6 mg/dL (43.5%), HDL 49.3 ± 15.2 mg/dL (58.5% men and 67.3% women), LDL 105.5 ± 29.3 mg/dL (39.8%), triglicerydes 136.8 ± 75.3 mg/dL (69.8%). HbA1c target recommended by PDA in 2009 year, was achieved by 17.4% of patients with type 1 diabetes, 58% of subjects with type 2 and diabetes duration < 5 years and by 52.6% of subjects with type 2 and diabetes duration ≥ 5 years.
CONCLUSIONS. Our results confirm insufficient metabolic control in patients with diabetes treated in specialist care. These results indicate the need of improvement of quality of care for patients with diabetes. (Diabet. Prakt. 2010; 11, 5: 160–166)
Keywords
diabetes; Polish Diabetes Association recommendations; metabolic control; treatment targets
About this articleTitle
The assessment of the implementation of the Polish Diabetes Association recommendations in the scope of metabolic control in patients with diabetes treated in endocrinological-diabetological outpatient clinic
Journal
Issue
Vol 11, No 5 (2010): Practical Diabetology
Article type
Research paper
Pages
160-166
Published online
2011-02-16
Page views
790
Article views/downloads
1593
Bibliographic record
Diabetologia Praktyczna 2010;11(5):160-166.
Keywords
diabetes
Polish Diabetes Association recommendations
metabolic control
treatment targets
Authors
Anna Kamińska
Agata Bronisz
Marek Bronisz
Emilia Bonisławska
Marcin Mielcarek
Marcin Gierach
Roman Junik