ECE2015 Eposter Presentations Diabetes (complications & therapy) (143 abstracts)
Achievement of recommended glucose, lipid, and blood pressure targets in patients with type 2 diabetes mellitus
Ines Barka , Ines Slim , Senda Ouerdeni , Koussay Ach , Amel Maaroufi , Yosra Hasni , Maha Kacem , Molka Chaieb & Larbi Chaieb
Department of Endocrinology, Farhat Hached University Hospital, Sousse, Tunisia.
Background: Patients with type 2 diabetes mellitus (T2DM) have a greater risk for cardiovascular morbidity and mortality than those without T2DM. This risk is even further aggravated if they also suffer from hypertension and/or dyslipidaemia. However, better cardiovascular outcome can be reached by tight control of blood glucose, serum lipids, and blood pressure (BP).
Patients and methods: One hundred and nineteen patients were consecutively enrolled. Well-controlled metabolic parameters are defined as follows: HbA1c <7.0%, BP <140/90, and LDL cholesterol (LDL-c) <2.6 mmol/l. For all patients, anthropometric measurements and metabolic risk factors were carried.
Results: A total of 119 subjects (61 men and 58 women) were included. The mean age was 58.0±10.6 years old. Of these patients, 60% had hypertension. The mean value of HbA1c was 8.8±2.3% and glycaemic control was optimal (HBA1c <7%) in 20.0±4.1%. Mean values of systolic BP and diastolic BP were 135±16 and 76±12 mmHg respectively. BP therapeutic goal was achieved in 50±5% of patients. The mean value of LDL-c was 2.7±1 mmol/l. We noticed that 48.3% of patients had LDL-c <2.6 mmo/l. All three targets were achieved only by 5% of patients (n=6).
Conclusion: Even if targets of assessed metabolic parameters are known to be important to achieve in diabetic patients in order to reduce cardiovascular risk, our results shows that few individuals had achieved goals; especially oh HbA1c compared to lipids and BP goals. An urgent action is needed to increase the proportion of these individuals achieving recommended glycaemic goals by adapting lifestyle measures and medications and also by using motivational interviewing to insure therapeutic adherence.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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