The DINAMIC 2 results in Poland (II)

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 HbA_1c for the whole country was 7.37%, and 45.71% of patients had their HbA_1c up to 7%. Slight differences favouring the educated and self-controlled group were seen only with respect to the level of HbA_1c. 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 HbA_1c 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.