Control of glucose, blood pressure, and cholesterol among adults with diabetes : the Brazilian National Health Survey
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/225891 |
Resumo: | ABC (glucose, blood pressure and LDL-cholesterol) goals are basic standards of diabetes care. We aimed to assess ABC control and related factors in a representative sample of Brazilian adults with diabetes. We analyzed 465 adults with known diabetes in the Brazilian National Health Survey. The targets used were <7% for glycated hemoglobin (A1C); <140/90 mmHg for blood pressure; and <100 mg/dL for LDL-C, with stricter targets for the latter two for those with high cardiovascular (CVD) risk. Individual goals were attained by 46% (95% CI, 40.3–51.6%) for A1C, 51.4% (95% CI, 45.7–57.1%) for blood pressure, and 40% (95% CI, 34.5–45.6%) for LDL-C. The achievement of all three goals was attained by 12.5% (95% CI, 8.9–16.2%). Those with high CVD risk attained blood pressure and LDL-C goals less frequently. A1C control improved with increasing age and worsened with greater duration of diabetes. Achievement of at least two ABC goals decreased with increasing BMI and greater duration of diabetes. In sum, about half of those with known diabetes achieved each ABC goal and only a small fraction achieved all three goals. Better access and adherence to treatment and strategies to personalize goals according to specific priorities are of the essence. |
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Reis, Rodrigo Citton Padilha dosDuncan, Bruce BartholowSzwarcwald, Célia LandmanMalta, Deborah CarvalhoSchmidt, Maria Inês2021-08-19T04:33:08Z20212077-0383http://hdl.handle.net/10183/225891001130064ABC (glucose, blood pressure and LDL-cholesterol) goals are basic standards of diabetes care. We aimed to assess ABC control and related factors in a representative sample of Brazilian adults with diabetes. We analyzed 465 adults with known diabetes in the Brazilian National Health Survey. The targets used were <7% for glycated hemoglobin (A1C); <140/90 mmHg for blood pressure; and <100 mg/dL for LDL-C, with stricter targets for the latter two for those with high cardiovascular (CVD) risk. Individual goals were attained by 46% (95% CI, 40.3–51.6%) for A1C, 51.4% (95% CI, 45.7–57.1%) for blood pressure, and 40% (95% CI, 34.5–45.6%) for LDL-C. The achievement of all three goals was attained by 12.5% (95% CI, 8.9–16.2%). Those with high CVD risk attained blood pressure and LDL-C goals less frequently. A1C control improved with increasing age and worsened with greater duration of diabetes. Achievement of at least two ABC goals decreased with increasing BMI and greater duration of diabetes. In sum, about half of those with known diabetes achieved each ABC goal and only a small fraction achieved all three goals. Better access and adherence to treatment and strategies to personalize goals according to specific priorities are of the essence.application/pdfengJournal of Clinical Medicine. Basel. Vol. 10, n. 15 (2021) Art. 3428Diabetes mellitusGlicosePressão arterialColesterol LDLDiabetes mellitusGlucose controlBlood pressureLDL cholesterolMeasuring quality of diabetes careControl of glucose, blood pressure, and cholesterol among adults with diabetes : the Brazilian National Health SurveyEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001130064.pdf.txt001130064.pdf.txtExtracted Texttext/plain55287http://www.lume.ufrgs.br/bitstream/10183/225891/2/001130064.pdf.txt6b49dcd33bdaa0c3c826c1ce42cb3956MD52ORIGINAL001130064.pdfTexto completo (inglês)application/pdf1880645http://www.lume.ufrgs.br/bitstream/10183/225891/1/001130064.pdfc3f5ce734843aa8e9ac6ddd2fadafdf4MD5110183/2258912022-10-06 04:55:25.997046oai:www.lume.ufrgs.br:10183/225891Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2022-10-06T07:55:25Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Control of glucose, blood pressure, and cholesterol among adults with diabetes : the Brazilian National Health Survey |
title |
Control of glucose, blood pressure, and cholesterol among adults with diabetes : the Brazilian National Health Survey |
spellingShingle |
Control of glucose, blood pressure, and cholesterol among adults with diabetes : the Brazilian National Health Survey Reis, Rodrigo Citton Padilha dos Diabetes mellitus Glicose Pressão arterial Colesterol LDL Diabetes mellitus Glucose control Blood pressure LDL cholesterol Measuring quality of diabetes care |
title_short |
Control of glucose, blood pressure, and cholesterol among adults with diabetes : the Brazilian National Health Survey |
title_full |
Control of glucose, blood pressure, and cholesterol among adults with diabetes : the Brazilian National Health Survey |
title_fullStr |
Control of glucose, blood pressure, and cholesterol among adults with diabetes : the Brazilian National Health Survey |
title_full_unstemmed |
Control of glucose, blood pressure, and cholesterol among adults with diabetes : the Brazilian National Health Survey |
title_sort |
Control of glucose, blood pressure, and cholesterol among adults with diabetes : the Brazilian National Health Survey |
author |
Reis, Rodrigo Citton Padilha dos |
author_facet |
Reis, Rodrigo Citton Padilha dos Duncan, Bruce Bartholow Szwarcwald, Célia Landman Malta, Deborah Carvalho Schmidt, Maria Inês |
author_role |
author |
author2 |
Duncan, Bruce Bartholow Szwarcwald, Célia Landman Malta, Deborah Carvalho Schmidt, Maria Inês |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Reis, Rodrigo Citton Padilha dos Duncan, Bruce Bartholow Szwarcwald, Célia Landman Malta, Deborah Carvalho Schmidt, Maria Inês |
dc.subject.por.fl_str_mv |
Diabetes mellitus Glicose Pressão arterial Colesterol LDL |
topic |
Diabetes mellitus Glicose Pressão arterial Colesterol LDL Diabetes mellitus Glucose control Blood pressure LDL cholesterol Measuring quality of diabetes care |
dc.subject.eng.fl_str_mv |
Diabetes mellitus Glucose control Blood pressure LDL cholesterol Measuring quality of diabetes care |
description |
ABC (glucose, blood pressure and LDL-cholesterol) goals are basic standards of diabetes care. We aimed to assess ABC control and related factors in a representative sample of Brazilian adults with diabetes. We analyzed 465 adults with known diabetes in the Brazilian National Health Survey. The targets used were <7% for glycated hemoglobin (A1C); <140/90 mmHg for blood pressure; and <100 mg/dL for LDL-C, with stricter targets for the latter two for those with high cardiovascular (CVD) risk. Individual goals were attained by 46% (95% CI, 40.3–51.6%) for A1C, 51.4% (95% CI, 45.7–57.1%) for blood pressure, and 40% (95% CI, 34.5–45.6%) for LDL-C. The achievement of all three goals was attained by 12.5% (95% CI, 8.9–16.2%). Those with high CVD risk attained blood pressure and LDL-C goals less frequently. A1C control improved with increasing age and worsened with greater duration of diabetes. Achievement of at least two ABC goals decreased with increasing BMI and greater duration of diabetes. In sum, about half of those with known diabetes achieved each ABC goal and only a small fraction achieved all three goals. Better access and adherence to treatment and strategies to personalize goals according to specific priorities are of the essence. |
publishDate |
2021 |
dc.date.accessioned.fl_str_mv |
2021-08-19T04:33:08Z |
dc.date.issued.fl_str_mv |
2021 |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
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http://hdl.handle.net/10183/225891 |
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2077-0383 |
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001130064 |
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http://hdl.handle.net/10183/225891 |
dc.language.iso.fl_str_mv |
eng |
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eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Journal of Clinical Medicine. Basel. Vol. 10, n. 15 (2021) Art. 3428 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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