Control of risk factors for cardiovascular disease among adults with previously diagnosed type 2 diabetes mellitus: A descriptive study from a middle eastern Arab population

Jawad A. Al-Lawati, Mohammed N. Barakat, Ibrahim Al-Zakwani*, Medhat K. Elsayed, Masoud Al-Maskari, Nawar M. Al-Lawati, Ali Jaffer Mohammed

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

Abstract

Background: Despite the high burden of type 2 diabetes mellitus (T2DM) in Oman, there are scarce data from a nationally representative sample on the level of glycaemia and other cardiovascular (CVD) risk factor control. Objective: To estimate the proportion of patients with T2DM at goal for glycaemia and CVD risk factors using the Na-tional Diabetes Guidelines (NDG) and the American Diabetes Association (ADA) clinical care guidelines; and to assess the quality of selected services provided to patients with T2DM. Methods: A sample of 2,551 patients (47% men) aged ≥20 years with T2DM treated at primary health care centers was se-lected. Patient characteristics, medical history and treatment were collected from case notes, Diabetes Registers and com-puter frameworks including the use of the last 3 laboratory investigations results and blood pressure (BP) readings re-corded in 2007. Results: The overall mean age of the cohort was 54±13 years with an average median duration of diabetes of 4 (range 2 to 6) years. Over 80% of patients were overweight or obese (body mass index (BMI) of ≥25 Kg/m2). Sixty-nine percent were on oral anti-diabetic medication, 52% on anti-hypertensives and 40% on lipid lowering drugs. Thirty percent of patients were at goal for glycosylated haemoglobin level (<7%), 26% for BP (systolic/diastolic <130/80 mmHg), 55% for total cholesterol (<5.2 mmol/l), 4.5% for low-density lipoprotein cholesterol (<1.8 mmol/l), 52% for high-density lipoprotein cholesterol (>1 mmol/l for men, >1.3 mmol/l for women), and 61% for triglycerides (<1.7 mmol/l). Over 37% had micro-albuminuria and 5% had diabetic nephropathy. Conclusion: Control of hyperglycaemia and other CVD risk factor appears to be suboptimal in Omani patients with T2DM and need to be addressed in the triad of patient, physician and health system.

Original languageEnglish
Pages (from-to)133-140
Number of pages8
JournalOpen Cardiovascular Medicine Journal
Volume6
Issue number1
DOIs
Publication statusPublished - 2012
Externally publishedYes

Keywords

  • Blood pressure
  • Diabetes mellitus
  • Glycosylated hemoglobin Alc
  • High-density lipoprotein cholesterol
  • Low-density lipoprotein cholesterol
  • Oman
  • Triglycerides

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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