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Lipid Control in Patients with Diabetes across Primary and Tertiary Government Health Sectors in Dubai: A Five-year Pattern
OBJECTIVES: A key aspect for the prevention of vascular complications in diabetes is control of hyperlipidemia, and that has always been a global challenge. The prevalence of diabetes mellitus in the UAE is estimated to be 18.98%. However, despite this high prevalence, very few studies have evaluate...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
OMJ
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642714/ https://www.ncbi.nlm.nih.gov/pubmed/31360316 http://dx.doi.org/10.5001/omj.2019.58 |
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author | Abdelgadir, Elamin Alsaeed, Maryam Hafidh, Khadija Bashier, Alaaeldin Rashid, Fauzia Altayb, Fawzi Sayyah, Fatima Farooqi, Muhammad H. Alawadi, Fatheya |
author_facet | Abdelgadir, Elamin Alsaeed, Maryam Hafidh, Khadija Bashier, Alaaeldin Rashid, Fauzia Altayb, Fawzi Sayyah, Fatima Farooqi, Muhammad H. Alawadi, Fatheya |
author_sort | Abdelgadir, Elamin |
collection | PubMed |
description | OBJECTIVES: A key aspect for the prevention of vascular complications in diabetes is control of hyperlipidemia, and that has always been a global challenge. The prevalence of diabetes mellitus in the UAE is estimated to be 18.98%. However, despite this high prevalence, very few studies have evaluated the control of lipids in patients with diabetes in our region. We sought to assess lipid control in patients with diabetes across the different sectors of the Dubai Health Authority (DHA) over five years (2012–2016). Additionally, we aimed to compare lipids control in both primary and tertiary care as well as between nationalities and diabetes types. METHODS: We conducted a retrospective analysis of the electronic medical records of all patients within the DHA over five years. All patients with diabetes were included, and evaluation of lipids panel control was done according to the American Diabetes Association standards. RESULTS: This review includes a total of 26 447 patients. The mean low-density lipoprotein (LDL) was lower in tertiary care patients across the years. Annual means of all lipid parameters were higher in primary care patients. Around 60.5% of patients achieved LDL levels < 100 mg/dL. Non-high-density lipoprotein cholesterol levels < 130 mg/dL were achieved in 67.9% of patients in tertiary care in 2012 compared to 60.9% in primary care. UAE nationals had better lipids control across the study duration compared to expatriates. CONCLUSIONS: This is the largest cohort of patients evaluated for diabetes and lipids control in the UAE and the Middle East region. The percentage of patients with diabetes across the DHA primary and tertiary health care centers achieving lipid targets is amongst the highest reported in the region and, perhaps, globally. Significantly better lipid control indices were achieved in tertiary care compared to primary care. |
format | Online Article Text |
id | pubmed-6642714 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | OMJ |
record_format | MEDLINE/PubMed |
spelling | pubmed-66427142019-07-29 Lipid Control in Patients with Diabetes across Primary and Tertiary Government Health Sectors in Dubai: A Five-year Pattern Abdelgadir, Elamin Alsaeed, Maryam Hafidh, Khadija Bashier, Alaaeldin Rashid, Fauzia Altayb, Fawzi Sayyah, Fatima Farooqi, Muhammad H. Alawadi, Fatheya Oman Med J Original Article OBJECTIVES: A key aspect for the prevention of vascular complications in diabetes is control of hyperlipidemia, and that has always been a global challenge. The prevalence of diabetes mellitus in the UAE is estimated to be 18.98%. However, despite this high prevalence, very few studies have evaluated the control of lipids in patients with diabetes in our region. We sought to assess lipid control in patients with diabetes across the different sectors of the Dubai Health Authority (DHA) over five years (2012–2016). Additionally, we aimed to compare lipids control in both primary and tertiary care as well as between nationalities and diabetes types. METHODS: We conducted a retrospective analysis of the electronic medical records of all patients within the DHA over five years. All patients with diabetes were included, and evaluation of lipids panel control was done according to the American Diabetes Association standards. RESULTS: This review includes a total of 26 447 patients. The mean low-density lipoprotein (LDL) was lower in tertiary care patients across the years. Annual means of all lipid parameters were higher in primary care patients. Around 60.5% of patients achieved LDL levels < 100 mg/dL. Non-high-density lipoprotein cholesterol levels < 130 mg/dL were achieved in 67.9% of patients in tertiary care in 2012 compared to 60.9% in primary care. UAE nationals had better lipids control across the study duration compared to expatriates. CONCLUSIONS: This is the largest cohort of patients evaluated for diabetes and lipids control in the UAE and the Middle East region. The percentage of patients with diabetes across the DHA primary and tertiary health care centers achieving lipid targets is amongst the highest reported in the region and, perhaps, globally. Significantly better lipid control indices were achieved in tertiary care compared to primary care. OMJ 2019-07 /pmc/articles/PMC6642714/ /pubmed/31360316 http://dx.doi.org/10.5001/omj.2019.58 Text en The OMJ is Published Bimonthly and Copyrighted 2019 by the OMSB. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC) 4.0 License. http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Original Article Abdelgadir, Elamin Alsaeed, Maryam Hafidh, Khadija Bashier, Alaaeldin Rashid, Fauzia Altayb, Fawzi Sayyah, Fatima Farooqi, Muhammad H. Alawadi, Fatheya Lipid Control in Patients with Diabetes across Primary and Tertiary Government Health Sectors in Dubai: A Five-year Pattern |
title | Lipid Control in Patients with Diabetes across Primary and Tertiary Government Health Sectors in Dubai: A Five-year Pattern |
title_full | Lipid Control in Patients with Diabetes across Primary and Tertiary Government Health Sectors in Dubai: A Five-year Pattern |
title_fullStr | Lipid Control in Patients with Diabetes across Primary and Tertiary Government Health Sectors in Dubai: A Five-year Pattern |
title_full_unstemmed | Lipid Control in Patients with Diabetes across Primary and Tertiary Government Health Sectors in Dubai: A Five-year Pattern |
title_short | Lipid Control in Patients with Diabetes across Primary and Tertiary Government Health Sectors in Dubai: A Five-year Pattern |
title_sort | lipid control in patients with diabetes across primary and tertiary government health sectors in dubai: a five-year pattern |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642714/ https://www.ncbi.nlm.nih.gov/pubmed/31360316 http://dx.doi.org/10.5001/omj.2019.58 |
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