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Metabolic control in type 2 diabetic patients treated by general practitioners and reffered to the specialists - preliminary results of the project “The Improvement of Glycaemic Control”
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Abstract
MATERIAL AND METHODS. The analysis was performed in 5812 type 2 diabetic patients included into “The Improvement of Glycaemic Control” programme and treated by general practitioners. The inclusion criteria were: treatment with oral hypoglycaemic agents in maximal doses and/or with insulin, fasting glycaemia > 150 mg/dl, 2-hour postprandial glycaemia > 200 mg/dl. Body mass index (BMI), HbA1c level, blood pressure and lipids were assessed. The patients were referred to specialists when HbA1c > 8% in order to modify antidiabetic treatment and educate.
RESULTS. The mean HbA1c value was 8,8%. HbA1c < 7% was in 18,5% patients. Mean blood pressure was 140/83 mm Hg. 32,9% patients had target values of LDL, 27,5% patients of total cholesterol, 71,1% patients of HDL and 17,6% patients of triglycerides. BMI was 32 ± 5.5 kg/m2, 7,5% patients had normal BMI, 38,5% were overweight, and 54% were obese.
CONCLUSIONS. The obtained results indicate insufficient metabolic control in type 2 diabetic patients referred by GP’s to specialists. The data point to the need of integrated, shared care which enables implementation of the assumed therapeutic aims in a full and complex way.
Abstract
MATERIAL AND METHODS. The analysis was performed in 5812 type 2 diabetic patients included into “The Improvement of Glycaemic Control” programme and treated by general practitioners. The inclusion criteria were: treatment with oral hypoglycaemic agents in maximal doses and/or with insulin, fasting glycaemia > 150 mg/dl, 2-hour postprandial glycaemia > 200 mg/dl. Body mass index (BMI), HbA1c level, blood pressure and lipids were assessed. The patients were referred to specialists when HbA1c > 8% in order to modify antidiabetic treatment and educate.
RESULTS. The mean HbA1c value was 8,8%. HbA1c < 7% was in 18,5% patients. Mean blood pressure was 140/83 mm Hg. 32,9% patients had target values of LDL, 27,5% patients of total cholesterol, 71,1% patients of HDL and 17,6% patients of triglycerides. BMI was 32 ± 5.5 kg/m2, 7,5% patients had normal BMI, 38,5% were overweight, and 54% were obese.
CONCLUSIONS. The obtained results indicate insufficient metabolic control in type 2 diabetic patients referred by GP’s to specialists. The data point to the need of integrated, shared care which enables implementation of the assumed therapeutic aims in a full and complex way.
Keywords
type 2 diabetes; metabolic control; „The Improvement of Glycaemic Control”
About this articleTitle
Metabolic control in type 2 diabetic patients treated by general practitioners and reffered to the specialists - preliminary results of the project “The Improvement of Glycaemic Control”
Journal
Issue
Vol 10, No 6 (2009): Practical Diabetology
Article type
Research paper
Pages
228-233
Published online
2010-05-11
Page views
892
Article views/downloads
4484
Bibliographic record
Diabetologia Praktyczna 2009;10(6):228-233.
Keywords
type 2 diabetes
metabolic control
„The Improvement of Glycaemic Control”
Authors
Aleksandra Szymborska-Kajanek
Teresa Koblik
Elżbieta Bandurska-Stankiewicz
Grzegorz Dzida
Zofia Ruprecht
Adam Stefański
Irena Szykowna
Agnieszka Tiuryn-Petrulewicz
Bogumił Wolnik
Dorota Zozulińska-Ziółkiewicz
Jacek Burski
Wojciech Kot