Prevalence and correlates of inadequate glycaemic control: results from a nationwide survey in 6,671 adults with diabetes in Brazil
| العنوان: | Prevalence and correlates of inadequate glycaemic control: results from a nationwide survey in 6,671 adults with diabetes in Brazil |
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| المؤلفون: | Raimundo Celestino Silva Neves, Ana Beatriz Valverde Mendes, João Antônio Saraiva Fittipaldi, Antônio Roberto Chacra, Edson D. Moreira |
| المساهمون: | Brazilian Minist Hlth, Universidade Federal de São Paulo (UNIFESP), Pfizer Inc, Charitable Works Fdn Sister |
| المصدر: | Repositório Institucional da UNIFESP Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP Acta Diabetologica |
| بيانات النشر: | Springer Nature |
| مصطلحات موضوعية: | Adult, Blood Glucose, Male, medicine.medical_specialty, Pediatrics, HbA1c, Adolescent, Epidemiology, Cross-sectional study, Endocrinology, Diabetes and Metabolism, Type 2 diabetes, Young Adult, Diabetes mellitus, Endocrinology, Patient Education as Topic, Surveys and Questionnaires, Glycaemic control, Health care, Ethnicity, medicine, Internal Medicine, Humans, Hypoglycemic Agents, Insulin, HbA(1c), Aged, Glycated Hemoglobin, Type 1 diabetes, business.industry, Patient Selection, Public health, Racial Groups, General Medicine, Middle Aged, medicine.disease, Health Surveys, Surgery, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Original Article, Female, Health education, business, Brazil |
| الوصف: | Pfizer Inc., Brazil Diabetes is a significant public health burden on the basis of its increased incidence, morbidity, and mortality. This study aimed to estimate the prevalence of inadequate glycaemic control and its correlates in a large multicentre survey of Brazilian patients with diabetes. A cross-sectional study was conducted in a consecutive sample of patients aged 18 years or older with either type 1 or type 2 diabetes, attending health centres located in ten large cities in Brazil (response rate = 84%). Information about diabetes, current medications, complications, diet, and satisfaction with treatment were obtained by trained interviewers, using a standardized questionnaire. Glycated haemoglobin (HbA(1c)) was measured by high-performance liquid chromatography in a central laboratory. Patients with HbA(1c) a parts per thousand yen 7 were considered to have inadequate glycaemic control. Overall 6,701 patients were surveyed, 979 (15%) with type 1 and 5,692 (85%) with type 2 diabetes. the prevalence of inadequate glycaemic control was 76%. Poor glycaemic control was more common in patients with type 1 diabetes (90%) than in those with type 2 (73%), P < 0.001. Characteristics significantly associated with improved glycaemic control included: fewer years of diabetes duration, multi professional care, participation in a diabetes health education program, and satisfaction with current diabetes treatment. Despite increased awareness of the benefits of tight glycaemic control, we found that few diabetic patients in Brazil met recommended glycaemic control targets. This may contribute to increased rates of diabetic complications, which may impact health care costs. Our data support the public health message of implementation of early, aggressive management of diabetes. Brazilian Minist Hlth, Oswaldo Cruz Fdn, Goncalo Moniz Res Ctr, BR-40296710 Salvador, BA, Brazil Universidade Federal de São Paulo, BR-04023900 São Paulo, Brazil Pfizer Inc, BR-04717904 São Paulo, Brazil Charitable Works Fdn Sister, Clin Res Ctr, BR-40415006 Salvador, BA, Brazil Universidade Federal de São Paulo, BR-04023900 São Paulo, Brazil Web of Science |
| اللغة: | English |
| تدمد: | 0940-5429 |
| DOI: | 10.1007/s00592-009-0138-z |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c10eb5c90611a03a5ac98e28b16eebb7Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....c10eb5c90611a03a5ac98e28b16eebb7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 09405429 |
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| DOI: | 10.1007/s00592-009-0138-z |