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BIBTEX RIS

Prevalence of adults with type 1 diabetes who meet the goals of care in daily clinical practice: A nationwide multicenter study in Brazil

2012; Elsevier BV; Volume: 97; Issue: 1 Linguagem: Inglês

10.1016/j.diabres.2012.02.008

ISSN

1872-8227

Autores

Marília Brito Gomes, Marisa Helena César Coral, Roberta Arnoldi Cobas, Sérgio Atala Dib, Luís Henrique Santos Canani, Márcia Nery, Maria Cristina Foss‐Freitas, Manuel dos Santos Faria, João Soares Felício, Saulo Cavalcanti da Silva, Hermelinda Cordeiro Pedrosa, Adriana Costa e Forti, Rosângela Réa, António Pires, Renan Magalhães Montenegro, José Egídio Paulo de Oliveira, Nelson Rassi, Carlos Antônio Negrato,

Tópico(s)

Diabetes and associated disorders

Resumo

ObjectiveTo determine the prevalence of patients with type 1 diabetes mellitus who meet the glycemic and cardiovascular (CV) risk factors goals and the frequency of screening for diabetic complications in Brazil according to the American Diabetes Association guidelines.Research design and methodsThis was a cross-sectional, multicenter study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. Data were obtained from 1774 adult patients (56.8% females, 57.2% Caucasians) aged 30.3 ± 9.8 years with diabetes duration of 14.3 ± 8.8 years.ResultsSystolic blood pressure was at goal in 40.3% and diastolic blood pressure was at goal in 26.6% of hypertensive patients. LDL cholesterol and HbA1c were at the goal in 45.2% and 13.2% of the patients, respectively. Overweight was presented in 25.6% and obesity in 6.9%. Among those with more than 5 years of disease, screening for retinopathy was performed in the preceding year in 70.1%. Nephropathy and feet complications were screened in 63.1% and 65.1%, respectively.ConclusionsThe majority of patients did not meet metabolic control goals and a substantial proportion was not screened for diabetic complications. These issues may increase the risk of chronic complications and negatively impact public health.

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