• Atencion primaria · Oct 2018

    [Trends in the level of control of patients with type 2 diabetes from 2010 to 2015].

    • Ana María Herrero Gil, Javier Pinillos Robles, Patricia Sabio Repiso, José Luis Martín Maldonado, Gerardo Garzón González, and Ángel Gil de Miguel.
    • Universidad Rey Juan Carlos, Madrid, España. Electronic address: ana_herrero85@hotmail.com.
    • Aten Primaria. 2018 Oct 1; 50 (8): 459466459-466.

    IntroductionAim: To examine the trend in the level of control of glycated haemoglobin (HbA1c), blood pressure (BP), and LDL-cholesterol (LDL) in patients with type 2 diabetes mellitus between 2010 and 2015.MethodsSetting: 3 cut-offs in the years 2010, 2013, and 2015. Southeast area of Madrid.DesignDescriptive and cross-sectional epidemiological study.ParticipantsPatients diagnosed and registered with type 2 diabetes. N=41,096 (2010), n=49,658 (2013), n=6,674 (2015) MAIN MEASUREMENTS: Measurement or not in the last year of HbA1c, BP, and LDL. Control of HbA1c (<7% individual targeting), BP (<140/90mmHg), and LDL (<100mg/dL, if cardiovascular disease <70mg/dL). Data were collected from electronic records of clinical history. The Chi-square test was used.ResultsThe percentages of patients with each parameter measured in 2010, 2013 and 2015 were: HbA1c: 36.4%, 37.0%, 62.0% (P<.001); BP: 33.2%, 43.3%, 65.0% (P<.001); LDL: 32.9%, 33.2%, 43.5% (P<.001). The percentages of patients with each parameter measured and controlled in 2010, 2013, and 2015 were: HbA1c: 59.6%, 59.1%, 79.6% (P<.001); BP: 74.9%, 67.4%, 79.2% (P<.001); LDL: 41.8%, 58.3%, 58.8% (P<.001) CONCLUSION: In the 2010-2015 period, a sustained but insufficient trend of better control of HbA1c, BP and LDL was observed in patients with diabetes. The frequency of the measurements of these parameters improved more than the control of them. It seems that efforts to improve care for the patient with diabetes pay off, but they still have to be maintained.Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

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