Glucose, Lipid, and Blood Pressure Control in Australian Adults With Type 2 Diabetes

Kemp, T; Barr, Elizabeth L.M.; Zimmet, Paul; Cameron, Adrian J.; Welborn, T.; Colagiuri, Stephen; Phillips, Patrick J.; Shaw, Jonathan E.

doi:10.2337/diacare.28.6.1490

Cited by 92 publications

(69 citation statements)

References 15 publications

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“…Nevertheless, combined with appropriate treatment to each patient, other measures such as encouraging physical activity and following an individualized nutrition plan should be encouraged and evaluated, because these actions contribute effectively to the improvement of DM glycemic control (8) . Also, as shown by the data, the lower proportion of subjects that achieved the target of BP was similar to other investigations (5)(6) . But, in another study, 83% of subjects had BP <130/80mmHg (20) .…”

Section: Discussionsupporting

confidence: 91%

“…Although the overall assessment of these indicators are recommended to analyze the outcomes of diabetes care, experts point out the importance of valuing the control of hemoglobin A1c, LDL-C and BP in the prevention of complications associated with type 2 diabetes mellitus (T2DM) (3,4) . In addition, the evidences indicate that a large number of people with T2DM does not reach the recommended targets for these indicators (5,6) . The aforementioned scenario can also be found in the Brazilian context, considering that multicenter study, 13 endocrinology outpatient services in eight Brazilian cities, showed that the normal parameters of hemoglobin A1c, LDL-C and BP are rarely achieved in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

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Avaliação de resultados em um serviço de atenção secundária para pacientes com Diabetes mellitus

et al. 2012

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Objective: To evaluate the outcome component in a secondary care service for users with Diabetes mellitus type 2 (DM2), adopting control of arterial blood pressure (ABP), glycated hemoglobin and low density lipoprotein as indicators. Methods: A retrospective chart review involving the analysis of these indicators, obtained in the years between 2007 and 2009, based on the consultation of 108 medical records of users from a secondary care service, conducted in the evaluation of health care. Results: The results showed that 30.3% of the users reached the goal for glycated hemoglobin, 48.1% for arterial blood pressure, and 42.3% for the low density lipoprotein. Conclusion: The data evaluated were similar to those found in other international and national investigations, with a large proportion of the users with DM2 studied, presenting with control of hemoglobin A1c levels, ABP and LDL-C, lower than those recommended in the consensus. Keywords: Health evaluation; Diabetes mellitus, type 2/nursing; Quality indicators, health care RESUMOObjetivo: Avaliar o componente resultado em um serviço de atenção secundária a usuários com Diabetes mellitus tipo 2, tomando como indicadores os controles de pressão arterial, hemoglobina glicada e lipoproteína de baixa densidade. Métodos: Estudo do tipo documental e retrospectivo envolvendo a análise desses indicadores, obtidos nos anos entre 2007 e 2009, com base na consulta de 108 prontuários de usuários de um serviço de atenção secundária, realizada na avaliação de cuidados em saúde. Resultados: Os resultados evidenciaram que 30,3% dos usuários alcançaram a meta para a hemoglobina glicada, 48,1%, para a pressão arterial e 42,3%, para a lipoproteína de baixa densidade. Conclusão: Os dados avaliados foram semelhantes aos encontrados em outras investigações internacionais e nacionais, com grande proporção de usuários com DM2 estudados, apresentando controle dos níveis hemoglobina A1c, PA e LDL-C, aquém do preconizado nos consensos. Descritores: Avaliação em saúde; Diabetes mellitus tipo 2/enfermagem; Indicadores de qualidade em assistência à saúde RESUMEN Objetivo: Evaluar el componente resultado en un servicio de atención secundaria a usuarios con Diabetes mellitus tipo 2, tomando como indicadores los controles de presión arterial, hemoglobina glicada y lipoproteína de baja densidad. Métodos: Estudio de tipo documental y retrospectivo que involucró el análisis de esos indicadores, obtenidos en los años entre 2007 y 2009, con base en la consulta de 108 historias clínicas de usuarios de un servicio de atención secundaria, realizada en la evaluación de cuidados en salud. Resultados: Los resultados evidenciaron que el 30,3% de los usuarios alcanzaron la meta para la hemoglobina glicada, 48,1%, para la presión arterial y el 42,3%, para la lipoproteína de baja densidad. Conclusión: los datos evaluados fueron semejantes a los encontrados en otras investigaciones internacionales y nacionales, con gran proporción de usuarios con DM2 estudiados, que presentaban control de los niveles h...

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Avaliação de resultados em um serviço de atenção secundária para pacientes com Diabetes mellitus

et al. 2012

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“…However, standards of diabetes care in Australia are not too dissimilar to those seen in other developed countries. For example, the proportions of adults with diabetes in Australia who were not meeting HbA 1c , blood pressure, and lipid treatment goals were similar to, or a little better than, those in the U.S. (36,37).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Excess Risk of Dying From Infectious Causes in Those With Type 1 and Type 2 Diabetes

et al. 2015

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OBJECTIVETo investigate infection-related mortality in individuals with type 1 and type 2 diabetes. RESEARCH DESIGN AND METHODSA total of 1,108,982 individuals with diabetes who were registered with the Australian Diabetes register between 2000 and 2010 were linked to the National Death Index. Mortality outcomes were defined as infection-related A-B death (ICD codes A99-B99), pneumonia (J12-J189), septicemia (A40 and A41), and osteomyelitis (M86). RESULTSDuring a median follow-up of 6.7 years, there were 2,891, 2,158, 1,248, and 147 deaths from infection-related A-B causes, pneumonia, septicemia, or osteomyelitis, respectively. Crude mortality rates from infections A-B were 0.147 and 0.431 per 1,000 person-years in type 1 and type 2 diabetes, respectively. Standardized mortality ratios (SMRs) were higher in type 1 and type 2 diabetes for all outcomes after adjustment for age and sex. For infection-related A-B mortality, SMRs were 4.42 (95% CI 3.68-5.34) and 1.47 (1.42-1.53) for type 1 and type 2 diabetes (P < 0.001), respectively. For pneumonia in type 1 diabetes, SMRs were approximately 5 and 6 in males and females, respectively, while the excess risk was ∼20% for type 2 (both sexes). For septicemia, SMRs were approximately 10 and 2 for type 1 and type 2 diabetes, respectively, and similar by sex. For osteomyelitis in type 1 diabetes, SMRs were 16 and 58 in males and females, respectively, and ∼3 for type 2 diabetes (both sexes). CONCLUSIONSAlthough death owing to infection is rare, we confirm that patients with diabetes have an increased mortality from a range of infections, compared with the general population, and that the increased risk appears to be greater for type 1 than type 2 diabetes.Individuals with type 1 and type 2 diabetes are widely considered to be more prone to infections than those without diabetes (1). Evidence to support this hypothesis can be traced back as far as 1915 when Lichty noted a range of acute infections in patients with diabetes who subsequently died (2). Several decades later, two wellcited studies showed that bacteremia and bacteriuria are more common in adult women with diabetes versus those without (1,3). The factors thought to explain the excess risk of infections in these women were microvascular complications such as

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“…In a national population-based survey of Australian adults with DM2, the proportion of subjects reaching targets for HbA1c (< 7%), total cholesterol (< 210 mg/dL) and blood pressure (< 140/90 mmHg) were 57%, 53% and 46%, respectively; all three targets were only reached by 13% of the subjects (or 2% considering the more stringent ADA 2004 criteria) [61].…”

Section: Discussionmentioning

confidence: 99%

Outpatient Diabetic Care in a Public Central Hospital: Patient Characteristics, Therapeutic Regimens and Results

Martins¹

2014

J Endocrinol Metab

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Glucose, Lipid, and Blood Pressure Control in Australian Adults With Type 2 Diabetes

Cited by 92 publications

References 15 publications

Avaliação de resultados em um serviço de atenção secundária para pacientes com Diabetes mellitus

Avaliação de resultados em um serviço de atenção secundária para pacientes com Diabetes mellitus

Excess Risk of Dying From Infectious Causes in Those With Type 1 and Type 2 Diabetes

Outpatient Diabetic Care in a Public Central Hospital: Patient Characteristics, Therapeutic Regimens and Results

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