Vol 4, No 2 (2003): Practical Diabetology
Research paper
Published online: 2003-04-28

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The DINAMIC 2 results in Poland (II)

Jacek Sieradzki, Teresa Kasperska-Czyżyk, Władysław Grzeszczak, Marcin Szczepański oraz Zespół Badaczy DINAMIC
Diabetologia Praktyczna 2003;4(2):103-110.

Abstract

The aim of the study was to evaluate the results of complex treatment including education, self-control, normalisation of glycemia and blood pressure in patients with type 2 diabetes. We also analysed modes of treatment and pharmacotherapy. The study population consisted of 2636 patients randomly chosen in 293 offices of family physicians all over Poland. Of them 59.48% underwent education whereas 33.27% implemented self-control. Most diabetic patients (52.24%) received one oral agent, which was most frequently gliklazyd (58.95%). Mean HbA1c for the whole country was 7.37%, and 45.71% of patients had their HbA1c up to 7%. Slight differences favouring the educated and self-controlled group were seen only with respect to the level of HbA1c. Arterial hypertension was found in 56.7% and 66.2% received treatment lowering blood pressure. Only 5.16% had their arterial blood pressure below 130/80 mm Hg. Of antihypertensive agents ACE inhibitors were most frequently used.
Of note is a large proportion of patients who did not fulfil the criteria of diabetes control. As for the level of HbA1c the results in Poland are not bad as compared with other countries. Of concern is a small emphasis on hypertension treatment. Summing up, it should be noted that not only multifactorial approach to treatment of type 2 diabetes is important, but also it is necessary to take into account carbohydrate and lipid parameters, and first of all blood pressure control.

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