TY - JOUR
T1 - Control of risk factors for cardiovascular disease among adults with previously diagnosed type 2 diabetes mellitus
T2 - A descriptive study from a middle eastern Arab population
AU - Al-Lawati, Jawad A.
AU - Barakat, Mohammed N.
AU - Al-Zakwani, Ibrahim
AU - Elsayed, Medhat K.
AU - Al-Maskari, Masoud
AU - Al-Lawati, Nawar M.
AU - Mohammed, Ali Jaffer
PY - 2012
Y1 - 2012
N2 - 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.
AB - 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.
KW - Blood pressure
KW - Diabetes mellitus
KW - Glycosylated hemoglobin Alc
KW - High-density lipoprotein cholesterol
KW - Low-density lipoprotein cholesterol
KW - Oman
KW - Triglycerides
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U2 - 10.2174/1874192401206010133
DO - 10.2174/1874192401206010133
M3 - Article
C2 - 23166566
AN - SCOPUS:84870995606
SN - 1874-1924
VL - 6
SP - 133
EP - 140
JO - Open Cardiovascular Medicine Journal
JF - Open Cardiovascular Medicine Journal
IS - 1
ER -