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Undiagnosed Diabetes and Prediabetes in Patients with Chronic Coronary Syndromes—An Alarming Public Health Issue

Dysglycemia is a public health challenge for the coming decades, especially in patients with chronic coronary syndromes (CCS). We want to assess the prevalence of undiagnosed diabetes mellitus (DM) and prediabetes, as well as identify factors associated with the development of dysglycaemia in patien...

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Autores principales: Drobek, Natalia, Sowa, Paweł, Jankowski, Piotr, Haberka, Maciej, Gąsior, Zbigniew, Kosior, Dariusz, Czarnecka, Danuta, Pająk, Andrzej, Szostak-Janiak, Karolina, Krzykwa, Agnieszka, Setny, Małgorzata, Kozieł, Paweł, Paniczko, Marlena, Jamiołkowski, Jacek, Kowalska, Irina, Kamiński, Karol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124594/
https://www.ncbi.nlm.nih.gov/pubmed/34063006
http://dx.doi.org/10.3390/jcm10091981
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author Drobek, Natalia
Sowa, Paweł
Jankowski, Piotr
Haberka, Maciej
Gąsior, Zbigniew
Kosior, Dariusz
Czarnecka, Danuta
Pająk, Andrzej
Szostak-Janiak, Karolina
Krzykwa, Agnieszka
Setny, Małgorzata
Kozieł, Paweł
Paniczko, Marlena
Jamiołkowski, Jacek
Kowalska, Irina
Kamiński, Karol
author_facet Drobek, Natalia
Sowa, Paweł
Jankowski, Piotr
Haberka, Maciej
Gąsior, Zbigniew
Kosior, Dariusz
Czarnecka, Danuta
Pająk, Andrzej
Szostak-Janiak, Karolina
Krzykwa, Agnieszka
Setny, Małgorzata
Kozieł, Paweł
Paniczko, Marlena
Jamiołkowski, Jacek
Kowalska, Irina
Kamiński, Karol
author_sort Drobek, Natalia
collection PubMed
description Dysglycemia is a public health challenge for the coming decades, especially in patients with chronic coronary syndromes (CCS). We want to assess the prevalence of undiagnosed diabetes mellitus (DM) and prediabetes, as well as identify factors associated with the development of dysglycaemia in patients with CCS. In total, 1233 study participants (mean age 69 ± 9 years), who, between 6 and 18 months earlier were hospitalized for acute coronary syndrome or elective revascularization, were examined (71.4% men). The diagnosis of DM, impaired fasting glucose (IFG), impaired glucose tolerance (IGT) have been made according to World Health Organization (WHO) criteria. Based on the oral glucose tolerance test (OGTT) results, DM has been newly diagnosed in 28 (5.1%, mean age 69.9 ± 8.4 years) patients, 75% were male (n = 21). Prediabetes has been observed in 395 (72.3%) cases. IFG was found in 234 (42.9%) subjects, 161 (29.5%) individuals had IGT. According to multinomial logistic regression, body mass index (BMI) and high-density lipoprotein cholesterol (HDL-C) should be considered when assessing risk of development of dysglycaemia after discharge from the hospital. Among people with previously diagnosed DM, a significantly higher percentage were willing to change their lifestyles after the index event compared to other patients. Patients with chronic coronary syndromes suffer a very high frequency of dysglycaemia. Most patients with chronic coronary syndromes, especially those with high BMI or low HDL-C, should be considered for screening for dysglycemia using OGTT within the first year after hospitalization. A higher percentage of patients who were aware of their diabetic status changed their lifestyles, which added the benefit of timely diagnosis and treatment of diabetes.
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spelling pubmed-81245942021-05-17 Undiagnosed Diabetes and Prediabetes in Patients with Chronic Coronary Syndromes—An Alarming Public Health Issue Drobek, Natalia Sowa, Paweł Jankowski, Piotr Haberka, Maciej Gąsior, Zbigniew Kosior, Dariusz Czarnecka, Danuta Pająk, Andrzej Szostak-Janiak, Karolina Krzykwa, Agnieszka Setny, Małgorzata Kozieł, Paweł Paniczko, Marlena Jamiołkowski, Jacek Kowalska, Irina Kamiński, Karol J Clin Med Article Dysglycemia is a public health challenge for the coming decades, especially in patients with chronic coronary syndromes (CCS). We want to assess the prevalence of undiagnosed diabetes mellitus (DM) and prediabetes, as well as identify factors associated with the development of dysglycaemia in patients with CCS. In total, 1233 study participants (mean age 69 ± 9 years), who, between 6 and 18 months earlier were hospitalized for acute coronary syndrome or elective revascularization, were examined (71.4% men). The diagnosis of DM, impaired fasting glucose (IFG), impaired glucose tolerance (IGT) have been made according to World Health Organization (WHO) criteria. Based on the oral glucose tolerance test (OGTT) results, DM has been newly diagnosed in 28 (5.1%, mean age 69.9 ± 8.4 years) patients, 75% were male (n = 21). Prediabetes has been observed in 395 (72.3%) cases. IFG was found in 234 (42.9%) subjects, 161 (29.5%) individuals had IGT. According to multinomial logistic regression, body mass index (BMI) and high-density lipoprotein cholesterol (HDL-C) should be considered when assessing risk of development of dysglycaemia after discharge from the hospital. Among people with previously diagnosed DM, a significantly higher percentage were willing to change their lifestyles after the index event compared to other patients. Patients with chronic coronary syndromes suffer a very high frequency of dysglycaemia. Most patients with chronic coronary syndromes, especially those with high BMI or low HDL-C, should be considered for screening for dysglycemia using OGTT within the first year after hospitalization. A higher percentage of patients who were aware of their diabetic status changed their lifestyles, which added the benefit of timely diagnosis and treatment of diabetes. MDPI 2021-05-05 /pmc/articles/PMC8124594/ /pubmed/34063006 http://dx.doi.org/10.3390/jcm10091981 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Drobek, Natalia
Sowa, Paweł
Jankowski, Piotr
Haberka, Maciej
Gąsior, Zbigniew
Kosior, Dariusz
Czarnecka, Danuta
Pająk, Andrzej
Szostak-Janiak, Karolina
Krzykwa, Agnieszka
Setny, Małgorzata
Kozieł, Paweł
Paniczko, Marlena
Jamiołkowski, Jacek
Kowalska, Irina
Kamiński, Karol
Undiagnosed Diabetes and Prediabetes in Patients with Chronic Coronary Syndromes—An Alarming Public Health Issue
title Undiagnosed Diabetes and Prediabetes in Patients with Chronic Coronary Syndromes—An Alarming Public Health Issue
title_full Undiagnosed Diabetes and Prediabetes in Patients with Chronic Coronary Syndromes—An Alarming Public Health Issue
title_fullStr Undiagnosed Diabetes and Prediabetes in Patients with Chronic Coronary Syndromes—An Alarming Public Health Issue
title_full_unstemmed Undiagnosed Diabetes and Prediabetes in Patients with Chronic Coronary Syndromes—An Alarming Public Health Issue
title_short Undiagnosed Diabetes and Prediabetes in Patients with Chronic Coronary Syndromes—An Alarming Public Health Issue
title_sort undiagnosed diabetes and prediabetes in patients with chronic coronary syndromes—an alarming public health issue
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124594/
https://www.ncbi.nlm.nih.gov/pubmed/34063006
http://dx.doi.org/10.3390/jcm10091981
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