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Screening cardiovascular risk factors of diabetes patients in the primary diabetes clinics

To evaluate the atherosclerotic cardiovascular diseases (ASCVD) risk factors in type 2 diabetes patients from the primary diabetes clinics for further comprehensive intervention in China. A cross-sectional study was conducted in 5 primary diabetes chain hospitals in Beijing, Lanzhou, Harbin, Chengdu...

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Autores principales: An, Lingwang, Wang, Yanlei, Cao, Chenxiang, Chen, Tao, Zhang, Yonghong, Chen, Linhui, Ren, Shuhong, Tang, Manni, Ma, Fenglian, Li, Xianglan, Yuan, Shuang, Zhao, Wenhui, Lee, Yaujiunn, Xiao, Jianzhong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8322505/
https://www.ncbi.nlm.nih.gov/pubmed/34397707
http://dx.doi.org/10.1097/MD.0000000000026722
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author An, Lingwang
Wang, Yanlei
Cao, Chenxiang
Chen, Tao
Zhang, Yonghong
Chen, Linhui
Ren, Shuhong
Tang, Manni
Ma, Fenglian
Li, Xianglan
Yuan, Shuang
Zhao, Wenhui
Lee, Yaujiunn
Xiao, Jianzhong
author_facet An, Lingwang
Wang, Yanlei
Cao, Chenxiang
Chen, Tao
Zhang, Yonghong
Chen, Linhui
Ren, Shuhong
Tang, Manni
Ma, Fenglian
Li, Xianglan
Yuan, Shuang
Zhao, Wenhui
Lee, Yaujiunn
Xiao, Jianzhong
author_sort An, Lingwang
collection PubMed
description To evaluate the atherosclerotic cardiovascular diseases (ASCVD) risk factors in type 2 diabetes patients from the primary diabetes clinics for further comprehensive intervention in China. A cross-sectional study was conducted in 5 primary diabetes chain hospitals in Beijing, Lanzhou, Harbin, Chengdu, and Taiyuan in continuous patients with type 2 diabetes from March 2016 to December 2019. The data collected at the first visit were analyzed, and proportions of patients reached the targets (glycosylated hemoglobin [HbA(1)c] < 7%, blood pressure < 130/80 mm Hg, and low-density lipoprotein cholesterol [LDL-C] < 2.6mmol/l) were calculated. The clinical characteristics and the associated factors with achievement in HbA(1)c, blood pressure, and LDL-C targets were analyzed. A total of 20,412 participants, including 11,353 men (55.6%), with an average age of (59.4 ± 10.4) years were enrolled. Nearly 95% diabetes had one or more ASCVD risk factors other than hyperglycemia. The control rates of HbA(1)c, blood pressure, and LDL-C were 26.5%, 27.8%, and 42.6%, respectively. Only 4.1% patients achieved all 3 targets. Nearly 95% patients had one or more ASCVD risk factors other than hyperglyciemia. Diabetes duration, family history, and overweight/obesity were associated with the number of aggregated ASCVD risk factors. The patients with older age, no overweight/obesity, not smoking, less ASCVD risk factors, and having special diabetes care insurance (Chengdu) were associated with a higher control rates. To deal with poor control status, global management of ASCVD risk factors, weight loss, and smoking cessation must be emphasized in the primary diabetes care settings. Special diabetes care insurance should be advocated. Current ClinicalTrial.gov protocol ID NCT03707379. Date of Registration: October 16, 2018. https://clinicaltrials.gov.
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spelling pubmed-83225052021-08-02 Screening cardiovascular risk factors of diabetes patients in the primary diabetes clinics An, Lingwang Wang, Yanlei Cao, Chenxiang Chen, Tao Zhang, Yonghong Chen, Linhui Ren, Shuhong Tang, Manni Ma, Fenglian Li, Xianglan Yuan, Shuang Zhao, Wenhui Lee, Yaujiunn Xiao, Jianzhong Medicine (Baltimore) 4400 To evaluate the atherosclerotic cardiovascular diseases (ASCVD) risk factors in type 2 diabetes patients from the primary diabetes clinics for further comprehensive intervention in China. A cross-sectional study was conducted in 5 primary diabetes chain hospitals in Beijing, Lanzhou, Harbin, Chengdu, and Taiyuan in continuous patients with type 2 diabetes from March 2016 to December 2019. The data collected at the first visit were analyzed, and proportions of patients reached the targets (glycosylated hemoglobin [HbA(1)c] < 7%, blood pressure < 130/80 mm Hg, and low-density lipoprotein cholesterol [LDL-C] < 2.6mmol/l) were calculated. The clinical characteristics and the associated factors with achievement in HbA(1)c, blood pressure, and LDL-C targets were analyzed. A total of 20,412 participants, including 11,353 men (55.6%), with an average age of (59.4 ± 10.4) years were enrolled. Nearly 95% diabetes had one or more ASCVD risk factors other than hyperglycemia. The control rates of HbA(1)c, blood pressure, and LDL-C were 26.5%, 27.8%, and 42.6%, respectively. Only 4.1% patients achieved all 3 targets. Nearly 95% patients had one or more ASCVD risk factors other than hyperglyciemia. Diabetes duration, family history, and overweight/obesity were associated with the number of aggregated ASCVD risk factors. The patients with older age, no overweight/obesity, not smoking, less ASCVD risk factors, and having special diabetes care insurance (Chengdu) were associated with a higher control rates. To deal with poor control status, global management of ASCVD risk factors, weight loss, and smoking cessation must be emphasized in the primary diabetes care settings. Special diabetes care insurance should be advocated. Current ClinicalTrial.gov protocol ID NCT03707379. Date of Registration: October 16, 2018. https://clinicaltrials.gov. Lippincott Williams & Wilkins 2021-07-30 /pmc/articles/PMC8322505/ /pubmed/34397707 http://dx.doi.org/10.1097/MD.0000000000026722 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle 4400
An, Lingwang
Wang, Yanlei
Cao, Chenxiang
Chen, Tao
Zhang, Yonghong
Chen, Linhui
Ren, Shuhong
Tang, Manni
Ma, Fenglian
Li, Xianglan
Yuan, Shuang
Zhao, Wenhui
Lee, Yaujiunn
Xiao, Jianzhong
Screening cardiovascular risk factors of diabetes patients in the primary diabetes clinics
title Screening cardiovascular risk factors of diabetes patients in the primary diabetes clinics
title_full Screening cardiovascular risk factors of diabetes patients in the primary diabetes clinics
title_fullStr Screening cardiovascular risk factors of diabetes patients in the primary diabetes clinics
title_full_unstemmed Screening cardiovascular risk factors of diabetes patients in the primary diabetes clinics
title_short Screening cardiovascular risk factors of diabetes patients in the primary diabetes clinics
title_sort screening cardiovascular risk factors of diabetes patients in the primary diabetes clinics
topic 4400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8322505/
https://www.ncbi.nlm.nih.gov/pubmed/34397707
http://dx.doi.org/10.1097/MD.0000000000026722
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