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Undertreatment of cardiovascular risk factors among persons with diabetes in the United States.
Diabetes Res Clin Pract. 2007 Jul; 77(1):126-33.DR

Abstract

OBJECTIVE

We examined the extent of control of cardiovascular risk factors and distance from goal for those with uncontrolled levels in a recent sample of U.S. adults with diabetes.

METHODS

In the cross-sectional National Health and Nutrition Examination Survey 2001-2002, 532 (projected to 15.2 million) or 7.3% of adults aged >/=18 years had diabetes. Use of antihypertensive, antidiabetic and antidyslipidemic medications was examined. We determined the proportion of subjects not at goal for blood pressure (BP), lipids and glycosylated hemoglobin (A1C) and examined the distance from goal for those not under control.

RESULTS

Overall, 50.2% of subjects with diabetes were not at goal for A1C, 64.6% for low density lipoprotein-cholesterol (LDL-C), 52.3% for high density lipoprotein-cholesterol (HDL-C), 48.6% for triglycerides and 53.0% BP. Only 5.3% of men and 12.7% of women with diabetes were simultaneously at goal for A1C, LDL-C and BP. Even among those on treatment, most were not at goal for these parameters. Women were more likely to have LDL-C and HDL-C not at goal than men. Non-Hispanic Blacks were more often not at goal for BP and LDL-C. Mean distances from targets were 36mg/dL for LDL-C, 18mmHg for systolic BP, 6mmHg for diastolic BP and 2.0% for A1C in patients not at goal.

CONCLUSIONS

Many U.S. adults with diabetes have sub-optimal control of cardiovascular risk factors and remain far from target goals for BP, lipids and A1C, even if on treatment.

Authors+Show Affiliations

Heart Disease Prevention Program, Division of Cardiology, Department of Medicine, University of California, Irvine, CA 92697, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17118478

Citation

Malik, Shaista, et al. "Undertreatment of Cardiovascular Risk Factors Among Persons With Diabetes in the United States." Diabetes Research and Clinical Practice, vol. 77, no. 1, 2007, pp. 126-33.
Malik S, Lopez V, Chen R, et al. Undertreatment of cardiovascular risk factors among persons with diabetes in the United States. Diabetes Res Clin Pract. 2007;77(1):126-33.
Malik, S., Lopez, V., Chen, R., Wu, W., & Wong, N. D. (2007). Undertreatment of cardiovascular risk factors among persons with diabetes in the United States. Diabetes Research and Clinical Practice, 77(1), 126-33.
Malik S, et al. Undertreatment of Cardiovascular Risk Factors Among Persons With Diabetes in the United States. Diabetes Res Clin Pract. 2007;77(1):126-33. PubMed PMID: 17118478.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Undertreatment of cardiovascular risk factors among persons with diabetes in the United States. AU - Malik,Shaista, AU - Lopez,Victor, AU - Chen,Roland, AU - Wu,Wei, AU - Wong,Nathan D, Y1 - 2006/11/21/ PY - 2006/08/10/received PY - 2006/10/17/accepted PY - 2006/11/23/pubmed PY - 2007/7/24/medline PY - 2006/11/23/entrez SP - 126 EP - 33 JF - Diabetes research and clinical practice JO - Diabetes Res Clin Pract VL - 77 IS - 1 N2 - OBJECTIVE: We examined the extent of control of cardiovascular risk factors and distance from goal for those with uncontrolled levels in a recent sample of U.S. adults with diabetes. METHODS: In the cross-sectional National Health and Nutrition Examination Survey 2001-2002, 532 (projected to 15.2 million) or 7.3% of adults aged >/=18 years had diabetes. Use of antihypertensive, antidiabetic and antidyslipidemic medications was examined. We determined the proportion of subjects not at goal for blood pressure (BP), lipids and glycosylated hemoglobin (A1C) and examined the distance from goal for those not under control. RESULTS: Overall, 50.2% of subjects with diabetes were not at goal for A1C, 64.6% for low density lipoprotein-cholesterol (LDL-C), 52.3% for high density lipoprotein-cholesterol (HDL-C), 48.6% for triglycerides and 53.0% BP. Only 5.3% of men and 12.7% of women with diabetes were simultaneously at goal for A1C, LDL-C and BP. Even among those on treatment, most were not at goal for these parameters. Women were more likely to have LDL-C and HDL-C not at goal than men. Non-Hispanic Blacks were more often not at goal for BP and LDL-C. Mean distances from targets were 36mg/dL for LDL-C, 18mmHg for systolic BP, 6mmHg for diastolic BP and 2.0% for A1C in patients not at goal. CONCLUSIONS: Many U.S. adults with diabetes have sub-optimal control of cardiovascular risk factors and remain far from target goals for BP, lipids and A1C, even if on treatment. SN - 0168-8227 UR - https://www.unboundmedicine.com/medline/citation/17118478/Undertreatment_of_cardiovascular_risk_factors_among_persons_with_diabetes_in_the_United_States_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0168-8227(06)00487-6 DB - PRIME DP - Unbound Medicine ER -