TY - JOUR
T1 - Achievement of management targets associated with incident and long-term diagnosed diabetes among a representative population sample
AU - Chittleborough, Catherine R.
AU - Baldock, Katherine L.
AU - Phillips, Patrick J.
AU - Taylor, Anne W.
N1 - Funding Information:
The North West Adelaide Health Study has been supported by grants from The University of Adelaide and the South Australian Department of Health. We are most grateful to the clinic and recruiting staff for their enormous contribution to the success of the study, and for the generosity of the NWAHS participants in the giving of their time and effort. Parts of this manuscript have been presented at the 2008 Australian Diabetes Society Annual Scientific Meeting.
PY - 2010/6
Y1 - 2010/6
N2 - Aim: To assess achievement of management targets among participants with diagnosed diabetes. Methods: Participants in the North West Adelaide Health Study (n=. 4060), a representative cohort aged 18+ years, were assessed at baseline in 2000-03 and follow-up in 2004-06. Diagnosed and undiagnosed diabetes were determined from fasting plasma glucose (≥7.0. mmol/L) and self-reported data. Results: Baseline prevalences were 5.6% (95% CI 4.9-6.3) diagnosed and 1.0% (95% CI 0.7-1.4) undiagnosed diabetes. Annual incidences were 5.1 per 1000 diagnosed and 1.7 per 1000 undiagnosed diabetes. Among those with long-term diagnosed diabetes, 45.8% had HbA1c. ≤. 7.0%, 26.8% had blood pressure. <. 130/85. mmHg, 14.1% had body mass index. ≤. 25, 88.5% were non- or ex-smokers, 19.2% had total cholesterol. <. 4. mmol/L, 61.9% had triglycerides. <. 2.0. mmol/L, 83.0% had HDL. ≥. 1.0. mmol/L, and 45.6% had LDL. <. 2.5. mmol/L. Participants with incident diagnosed diabetes were more likely to achieve HbA1c and less likely to achieve LDL targets than those with long-term diagnosed diabetes. Few people treated with hypoglycaemics, antihypertensives or statins were achieving targets. Conclusions: Many people with diabetes are at risk of developing or worsening complications because they are not meeting recommended targets. Treatment with medication is also suboptimal, indicating a continued role for public health programs to reduce risk factors.
AB - Aim: To assess achievement of management targets among participants with diagnosed diabetes. Methods: Participants in the North West Adelaide Health Study (n=. 4060), a representative cohort aged 18+ years, were assessed at baseline in 2000-03 and follow-up in 2004-06. Diagnosed and undiagnosed diabetes were determined from fasting plasma glucose (≥7.0. mmol/L) and self-reported data. Results: Baseline prevalences were 5.6% (95% CI 4.9-6.3) diagnosed and 1.0% (95% CI 0.7-1.4) undiagnosed diabetes. Annual incidences were 5.1 per 1000 diagnosed and 1.7 per 1000 undiagnosed diabetes. Among those with long-term diagnosed diabetes, 45.8% had HbA1c. ≤. 7.0%, 26.8% had blood pressure. <. 130/85. mmHg, 14.1% had body mass index. ≤. 25, 88.5% were non- or ex-smokers, 19.2% had total cholesterol. <. 4. mmol/L, 61.9% had triglycerides. <. 2.0. mmol/L, 83.0% had HDL. ≥. 1.0. mmol/L, and 45.6% had LDL. <. 2.5. mmol/L. Participants with incident diagnosed diabetes were more likely to achieve HbA1c and less likely to achieve LDL targets than those with long-term diagnosed diabetes. Few people treated with hypoglycaemics, antihypertensives or statins were achieving targets. Conclusions: Many people with diabetes are at risk of developing or worsening complications because they are not meeting recommended targets. Treatment with medication is also suboptimal, indicating a continued role for public health programs to reduce risk factors.
KW - Diabetes mellitus
KW - Disease management
KW - Epidemiology
UR - http://www.scopus.com/inward/record.url?scp=78349291933&partnerID=8YFLogxK
U2 - 10.1016/j.diabres.2010.02.007
DO - 10.1016/j.diabres.2010.02.007
M3 - Article
C2 - 20226558
AN - SCOPUS:78349291933
SN - 0168-8227
VL - 88
SP - 322
EP - 327
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
IS - 3
ER -