Publication
Title
Optimizing diabetes care regarding cardiovascular targets at general practice level: Direct@GP
Author
Abstract
Aims The objective of this study was to assess the adherence to national guidelines on cardiovascular (CV) prevention and target attainment for patients with type 2 diabetes mellitus followed-up in general practice. Methods Non-interventional, cross-sectional survey. Results Type 2 diabetes patients remain undertreated with statins (63% treated), even so those with a cardiovascular history (80% treated). Although more patients received antihypertensive treatment (82%) compared to hypolipidemic medication (69%), the proportion of patients attaining targets for total cholesterol (TC) (35%), HDL-cholesterol (HDL-C) (65%), and LDL-cholesterol (LDL-C) (42%) exceeded far those attaining blood pressure control (13%). The primary endpoint of reaching the goal for LDL-cholesterol (<100 mg/dL; 2.59 mmol/L) was attained by 42% of patients, of which only 13% reached the more stringent target of LDL-C < 70 mg/dL (1.81 mmol/L). About half of the patients (49%) attained glycemic control (HbA1c < 7%) and 55% had triglycerides < 150 mg/dL (1.69 mmol/L). Conclusions The majority of type 2 diabetes patients are treated for hypercholesterolemia and hypertension, although, there is still under treatment, especially in patients with CV disease. Only 42% of patients were on target for LDL-cholesterol and 13% for blood pressure. Therefore, wider implementation of process and outcome indicators, which proved to be related, and continuous evaluation of their result, is needed.
Language
English
Source (journal)
Primary care diabetes. - Place of publication unknown
Publication
Place of publication unknown : 2011
ISSN
1751-9918
Volume/pages
5:1(2011), p. 19-24
ISI
000304128200003
Full text (Publisher's DOI)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 25.11.2010
Last edited 05.08.2017
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