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Thailand diabetes registry project: prevalence of vascular complications in long-standing type 2 diabetes.
J Med Assoc Thai. 2006 Aug; 89 Suppl 1:S54-9.JM

Abstract

OBJECTIVE

To explore the nature of diabetic complications in type 2 diabetic patients who had had diabetes for longer than 15 years (long-DM), compared to those with duration of less than 15 years (short-DM).

MATERIAL AND METHOD

Patients studied were adult type 2 diabetic patients registered to the Diabetes Registry Project, a nationwide cross-sectional study of diabetes mellitus in Thailand. Information collected included demographic data, age at diagnosis of diabetes, blood pressure, body mass index, fasting plasma glucose, HbA(1c), serum creatinine, and major diabetic vascular complications, including diabetic retinopathy (DR), albuminuria or renal insufficiency (diabetic nephropathy; DN), myocardial infarction (MI), stroke, peripheral arterial disease (PAD), foot ulcer and amputation.

RESULTS

There were 9284 patients, consisting of 2244 (24.17%) subjects with long-DM (mean +/- SD, mean duration of DM21.3 +/- 5.8 years), and 7040 subjects with short-DM (mean duration 7.0 +/- 3.9 years). The long-DM group was older than the short-DM group (65.5 +/- 10.3 vs. 58.2 +/- 12.6 year-old, p less than 0.0001), and had higher HbA(1c) (8.5 vs. 8.0%, p = 0.009). The prevalence of diabetic complications in the long-DM group was higher than that in the short-DM group (DN 49.4% vs. 33.9%, DR 54.3% vs. 22.8%; MI 9.4% vs. 3.5%, PAD 17.3% vs. 5.5%, foot ulcer 13.4% vs. 5.3%, stroke 9.4% vs. 7.0% and amputation 5.5% vs 2.0%; allp values less than 0.01). The duration of DM significantly affected the risk of diabetic complications after adjustment for age, hypertension, and levels of glycemic control.

CONCLUSION

Diabetic duration was independently associated with increased risk of having diabetes-related complications without threshold. Monitoring of complications in patients having long-standing diabetes is warranted in order to provide appropriate management.

Authors+Show Affiliations

Department of Medicine, Faculty of Medicine, Prince of Songkla University, Sonkhla 90110, Thailand. Irattana@medicine.psu.ac.thNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

17717878

Citation

Leelawattana, Rattana, et al. "Thailand Diabetes Registry Project: Prevalence of Vascular Complications in Long-standing Type 2 Diabetes." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 89 Suppl 1, 2006, pp. S54-9.
Leelawattana R, Pratipanawatr T, Bunnag P, et al. Thailand diabetes registry project: prevalence of vascular complications in long-standing type 2 diabetes. J Med Assoc Thai. 2006;89 Suppl 1:S54-9.
Leelawattana, R., Pratipanawatr, T., Bunnag, P., Kosachunhanun, N., Suwanwalaikorn, S., Krittiyawong, S., Chetthakul, T., Plengvidhya, N., Benjasuratwong, Y., Deerochanawong, C., Mongkolsomlit, S., Ngarmukos, C., & Rawdaree, P. (2006). Thailand diabetes registry project: prevalence of vascular complications in long-standing type 2 diabetes. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 89 Suppl 1, S54-9.
Leelawattana R, et al. Thailand Diabetes Registry Project: Prevalence of Vascular Complications in Long-standing Type 2 Diabetes. J Med Assoc Thai. 2006;89 Suppl 1:S54-9. PubMed PMID: 17717878.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Thailand diabetes registry project: prevalence of vascular complications in long-standing type 2 diabetes. AU - Leelawattana,Rattana, AU - Pratipanawatr,Thongchai, AU - Bunnag,Pongamorn, AU - Kosachunhanun,Natapong, AU - Suwanwalaikorn,Sompongse, AU - Krittiyawong,Sirinate, AU - Chetthakul,Thanya, AU - Plengvidhya,Nattachet, AU - Benjasuratwong,Yupin, AU - Deerochanawong,Chaicharn, AU - Mongkolsomlit,Sirima, AU - Ngarmukos,Chardpraorn, AU - Rawdaree,Petch, PY - 2007/8/25/pubmed PY - 2007/10/17/medline PY - 2007/8/25/entrez SP - S54 EP - 9 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 89 Suppl 1 N2 - OBJECTIVE: To explore the nature of diabetic complications in type 2 diabetic patients who had had diabetes for longer than 15 years (long-DM), compared to those with duration of less than 15 years (short-DM). MATERIAL AND METHOD: Patients studied were adult type 2 diabetic patients registered to the Diabetes Registry Project, a nationwide cross-sectional study of diabetes mellitus in Thailand. Information collected included demographic data, age at diagnosis of diabetes, blood pressure, body mass index, fasting plasma glucose, HbA(1c), serum creatinine, and major diabetic vascular complications, including diabetic retinopathy (DR), albuminuria or renal insufficiency (diabetic nephropathy; DN), myocardial infarction (MI), stroke, peripheral arterial disease (PAD), foot ulcer and amputation. RESULTS: There were 9284 patients, consisting of 2244 (24.17%) subjects with long-DM (mean +/- SD, mean duration of DM21.3 +/- 5.8 years), and 7040 subjects with short-DM (mean duration 7.0 +/- 3.9 years). The long-DM group was older than the short-DM group (65.5 +/- 10.3 vs. 58.2 +/- 12.6 year-old, p less than 0.0001), and had higher HbA(1c) (8.5 vs. 8.0%, p = 0.009). The prevalence of diabetic complications in the long-DM group was higher than that in the short-DM group (DN 49.4% vs. 33.9%, DR 54.3% vs. 22.8%; MI 9.4% vs. 3.5%, PAD 17.3% vs. 5.5%, foot ulcer 13.4% vs. 5.3%, stroke 9.4% vs. 7.0% and amputation 5.5% vs 2.0%; allp values less than 0.01). The duration of DM significantly affected the risk of diabetic complications after adjustment for age, hypertension, and levels of glycemic control. CONCLUSION: Diabetic duration was independently associated with increased risk of having diabetes-related complications without threshold. Monitoring of complications in patients having long-standing diabetes is warranted in order to provide appropriate management. SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/17717878/Thailand_diabetes_registry_project:_prevalence_of_vascular_complications_in_long_standing_type_2_diabetes_ L2 - http://www.diseaseinfosearch.org/result/2243 DB - PRIME DP - Unbound Medicine ER -