Glycemic control and its correlates in patients with diabetes in Venezuela: Results from a nationwide survey

Página do item simplificado
dc.contributor.authorMoreira, Edson Duarte
dc.contributor.authorSilva Neves, Raimundo Celestino
dc.contributor.authorNunes, Zaira Onofre
dc.contributor.authorChagas de Almeida, Maria Conceicao
dc.contributor.authorValverde Mendes, Ana Beatriz [UNIFESP]
dc.contributor.authorSaraiva Fittipaldi, Joao Antonio
dc.contributor.authorAblan, Franklin
dc.contributor.authorVenezuelan Diabet
dc.contributor.institutionBrazilian Minist Hlth
dc.contributor.institutionCharitable Works Fdn Sister Dulce
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionPfizer Inc
dc.contributor.institutionCent Univ Venezuela
dc.date.accessioned2016-01-24T13:59:24Z
dc.date.available2016-01-24T13:59:24Z
dc.date.issued2010-03-01
dc.description.abstractAims: To determine the prevalence of inadequate glycemic control and its correlates in a large multicenter survey of Venezuelan patients with diabetes.Methods: A cross-sectional study in a sample of adult patients with diabetes, attending health centers in Venezuela. Information about diabetes, current medications, complications, and diet were obtained by trained interviewers, using a standardized questionnaire. HbA(1c) was measured by high-performance liquid chromatography in a central laboratory. Patients with HbA(1c) >= 7% were considered to have inadequate glycemic control.Results: Overall 4075 patients were surveyed, 349(8.6%) with type 1 diabetes (T1D) and 3726(91.4%) with type 2 diabetes(T2D). Subjects' mean age was 58 years, and 65% were female. the prevalence of inadequate glycemic control was 76%. Poor glycemic control was more common in T1D patients (87%) than in those with T2D(75%), p < 10(-4). Satisfaction with current diabetes treatment was associated with improved glycemic control among non-insulin-treated patients with T2D, but gender, multi-professional care, and participation in a diabetes education program were not.Conclusions: Despite clinical evidence supporting tight control of diabetes, few diabetic patients in Venezuela met recommended glycemic control targets. This may contribute to increased rates of diabetic complications. Our findings support the public health message of implementation of early, aggressive management of diabetes. (C) 2009 Elsevier Ireland Ltd. All rights reserved.en
dc.description.affiliationBrazilian Minist Hlth, Oswaldo Cruz Fdn, Goncalo Moniz Res Ctr, BR-40296 Salvador, BA, Brazil
dc.description.affiliationCharitable Works Fdn Sister Dulce, Clin Res Ctr, BR-40415 Salvador, BA, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, BR-04023 São Paulo, Brazil
dc.description.affiliationPfizer Inc, BR-04717 São Paulo, Brazil
dc.description.affiliationCent Univ Venezuela, Caracas 1041A, Venezuela
dc.description.affiliationUnifespUniversidade Federal de São Paulo, EPM, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipVenezuelan Endocrinology Society and La Federacion Nacional de Asociaciones y Unidades de Diabetes (FENADIABETES)
dc.description.sponsorshipPfizer Inc., Venezuela
dc.format.extent407-414
dc.identifierhttp://dx.doi.org/10.1016/j.diabres.2009.12.014
dc.identifier.citationDiabetes Research and Clinical Practice. Clare: Elsevier B.V., v. 87, n. 3, p. 407-414, 2010.
dc.identifier.doi10.1016/j.diabres.2009.12.014
dc.identifier.issn0168-8227
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/32331
dc.identifier.wosWOS:000276446600017
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofDiabetes Research and Clinical Practice
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjectDiabetesen
dc.subjectGlycemic controlen
dc.subjectSurveyen
dc.subjectHbA1cen
dc.subjectVenezuelaen
dc.titleGlycemic control and its correlates in patients with diabetes in Venezuela: Results from a nationwide surveyen
dc.typeinfo:eu-repo/semantics/article
Arquivos
Coleções
EPM - Artigos