Tendencias sobre los parámetros del grado de control de los pacientes con diabetes tipo 2 desde el año 2010 al año 2015

INTRODUCTION: Aim: 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. METHODS: Setting: 3 cut-offs in the years 2010, 2013, and 2015. Southeast area of Madrid. DESIGN: Descriptive and cross-sectional epidemiological study. PARTICIPANTS: Patients 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 (< 140/90 mmHg), and LDL (< 100 mg/dL, if cardiovascular disease < 70 mg/dL). Data were collected from electronic records of clinical history. The Chi-square test was used. RESULTS: The 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.