Metabolic control and chronic complications during a 3-year follow-up period in a cohort of type 2 diabetic patients attended in primary care in the Community of Madrid (Spain)

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Abstract

Background: Our aim was to analyze both metabolic control and chronic complications of type 2 diabetes mellitus (T2D) patients regularly attended in primary care during a 3 years of follow-up in the Community of Madrid (Spain). Methods: From 2007 to 2010 we prospectively included 3268 patients with T2D attended by 153 primary care physicians from 51 family health centers. An prospective cohort study with annual evaluation over 3 years to the same population was performed. We measured the goals of control in diabetic patients and the incidence of chronic complications of diabetes during the study period. Results: A significant decrease in serum glucose levels (143. ±. 42. mg/dl vs 137. ±. 43. mg/dl, p<. 0.00), HbA1c (7.09. ±. 1.2% vs 7.02. ±. 1.2%, p<. 0.00), total cholesterol (191.4. ±. 38. mg/dl vs 181.5. ±. 36. mg/dl, p<. 0.00), LDL cholesterol (114.7. ±. 31. mg/dl vs 105.5. ±. 30. mg/dl, p<. 0.00) and triglyceride levels (144.5. ±. 93. mg/dl vs 138. ±. 84. mg/dl, p<. 0.00) during study period was documented. On the contrary, a significant elevation in HDL cholesterol levels was observed (49.2. ±. 14. mg/dl vs 49.9. ±. 16. mg/dl, p<. 0.00). The incidence of diabetic complications throughout the study period was low, with a incidence of coronary heart disease of 6.2%, peripheral arterial disease 3%, ischemic stroke 2.8%, diabetic foot 11.2%, nephropathy 5.9%, retinopathy 4.5%, and neuropathy 3%. Conclusion: Metabolic control in T2D patients attended in primary care in the Community of Madrid throughout 3 years is adequate and is accompanied by low percent of chronic diabetic complications during this period of follow-up. © 2013 SEEN.

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Arrieta, F., Piñera, M., Iglesias, P., Nogales, P., Salinero-Fort, M. A., Abanades, J. C., … Vázquez, C. (2014). Metabolic control and chronic complications during a 3-year follow-up period in a cohort of type 2 diabetic patients attended in primary care in the Community of Madrid (Spain). Endocrinologia y Nutricion, 61(1), 11–17. https://doi.org/10.1016/j.endonu.2013.09.002

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