A kardiometabolikus kockázati ténycz″ok kezelésének eredményessége 1-es típusú diabetesben szenved″ok körében

Translated title of the contribution: Cardiometabolic goal attainment during regular care of adult patients with type 1 diabetes mellitus

Judit Nádas, Zsuzsanna Putz, József Fövényi, Zsolt Gaáal, Andráas Gyimesi, Tibor Hídvégi, N. Hosszúfalusi, Gyula Neuwirth, Tamás Oroszlán, P. Pánczél, Gyozo Vándorfi, G. Winkler, I. Wittmann, G. Jermendy

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The attainment and maintenance of therapeutic goal of cardiovascular risk factors are of great clinical importance. The effectiveness of cardiovascular risk management is not well characterized during regular care of patients with type I diabetes mellitus. Aim: The aim of the study was to estimate the effectiveness of cardiovascular risk management in type 1 diabetic patients. Methods: Adult patients with type 1 diabetes mellitus (n = 533; 256 men, 277 women; age: 35.6 ± 11.6 years; duration of diabetes: 18.0 ± 11.1 years; x ± SD) were consecutively enrolled from 11 diabetes outpatient departments. Data on medical history, actual treatment, anthropometric and laboratory parameters as well as actual blood pressure were registered, while eating and smoking habits, education level and physical activity were evaluated by standardized questionnaires. The treating goal was set according to the national guideline which corresponds to the current international task force. Results: Of 533 patients, the body mass index target level (<25 kg/m2) was achieved by 295 (55.5%) patients. Ideal waist circumference (<80 cm for women and <94 cm for men) was measured in 140 (50.5%) and in 165 (63.7%) patients, respectively. Optimal glycaemic control (HbA1c level <6.5%) was documented in 45 (8.4%) patients. Lipid lowering drugs (statins, fibrates or ezetimibe) were used by 130 patients, among which 53.1% reached the target triglyceride level, 71.5% the target HDL-cholesterol and 27.8% the target LDL-cholesterol levels. Taking the lipid target values together, only 23 (17.7%) patients were at goal. Antihypertensive drugs were used by 173 patients among which 29.5% reached the systolic and 34.8% the diastolic target values (<130/80 mmHg). Regarding smoking habits, 94 (17.7%) patients were current smokers and 102 (19.2%) ex-smokers. Conclusions: The attainment of therapeutic goal of cardiovascular risk factors proved to be difficult in a substantial part of patients. Further efforts are needed for attaining and maintaining the established goal of cardiovascular risk management during regular care of adult patients with type 1 diabetes mellitus.

Original languageHungarian
Pages (from-to)1263-1269
Number of pages7
JournalOrvosi Hetilap
Volume149
Issue number27
DOIs
Publication statusPublished - Jul 6 2008

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Type 1 Diabetes Mellitus
Patient Care
Risk Management
Smoking
Lipids
Fibric Acids
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Waist Circumference
Feeding Behavior
Advisory Committees
LDL Cholesterol
HDL Cholesterol
Antihypertensive Agents
Habits
Triglycerides
Body Mass Index
Outpatients
Therapeutics
Maintenance
Guidelines

ASJC Scopus subject areas

  • Medicine(all)

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A kardiometabolikus kockázati ténycz″ok kezelésének eredményessége 1-es típusú diabetesben szenved″ok körében. / Nádas, Judit; Putz, Zsuzsanna; Fövényi, József; Gaáal, Zsolt; Gyimesi, Andráas; Hídvégi, Tibor; Hosszúfalusi, N.; Neuwirth, Gyula; Oroszlán, Tamás; Pánczél, P.; Vándorfi, Gyozo; Winkler, G.; Wittmann, I.; Jermendy, G.

In: Orvosi Hetilap, Vol. 149, No. 27, 06.07.2008, p. 1263-1269.

Research output: Contribution to journalArticle

Nádas, Judit ; Putz, Zsuzsanna ; Fövényi, József ; Gaáal, Zsolt ; Gyimesi, Andráas ; Hídvégi, Tibor ; Hosszúfalusi, N. ; Neuwirth, Gyula ; Oroszlán, Tamás ; Pánczél, P. ; Vándorfi, Gyozo ; Winkler, G. ; Wittmann, I. ; Jermendy, G. / A kardiometabolikus kockázati ténycz″ok kezelésének eredményessége 1-es típusú diabetesben szenved″ok körében. In: Orvosi Hetilap. 2008 ; Vol. 149, No. 27. pp. 1263-1269.
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abstract = "The attainment and maintenance of therapeutic goal of cardiovascular risk factors are of great clinical importance. The effectiveness of cardiovascular risk management is not well characterized during regular care of patients with type I diabetes mellitus. Aim: The aim of the study was to estimate the effectiveness of cardiovascular risk management in type 1 diabetic patients. Methods: Adult patients with type 1 diabetes mellitus (n = 533; 256 men, 277 women; age: 35.6 ± 11.6 years; duration of diabetes: 18.0 ± 11.1 years; x ± SD) were consecutively enrolled from 11 diabetes outpatient departments. Data on medical history, actual treatment, anthropometric and laboratory parameters as well as actual blood pressure were registered, while eating and smoking habits, education level and physical activity were evaluated by standardized questionnaires. The treating goal was set according to the national guideline which corresponds to the current international task force. Results: Of 533 patients, the body mass index target level (<25 kg/m2) was achieved by 295 (55.5{\%}) patients. Ideal waist circumference (<80 cm for women and <94 cm for men) was measured in 140 (50.5{\%}) and in 165 (63.7{\%}) patients, respectively. Optimal glycaemic control (HbA1c level <6.5{\%}) was documented in 45 (8.4{\%}) patients. Lipid lowering drugs (statins, fibrates or ezetimibe) were used by 130 patients, among which 53.1{\%} reached the target triglyceride level, 71.5{\%} the target HDL-cholesterol and 27.8{\%} the target LDL-cholesterol levels. Taking the lipid target values together, only 23 (17.7{\%}) patients were at goal. Antihypertensive drugs were used by 173 patients among which 29.5{\%} reached the systolic and 34.8{\%} the diastolic target values (<130/80 mmHg). Regarding smoking habits, 94 (17.7{\%}) patients were current smokers and 102 (19.2{\%}) ex-smokers. Conclusions: The attainment of therapeutic goal of cardiovascular risk factors proved to be difficult in a substantial part of patients. Further efforts are needed for attaining and maintaining the established goal of cardiovascular risk management during regular care of adult patients with type 1 diabetes mellitus.",
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T1 - A kardiometabolikus kockázati ténycz″ok kezelésének eredményessége 1-es típusú diabetesben szenved″ok körében

AU - Nádas, Judit

AU - Putz, Zsuzsanna

AU - Fövényi, József

AU - Gaáal, Zsolt

AU - Gyimesi, Andráas

AU - Hídvégi, Tibor

AU - Hosszúfalusi, N.

AU - Neuwirth, Gyula

AU - Oroszlán, Tamás

AU - Pánczél, P.

AU - Vándorfi, Gyozo

AU - Winkler, G.

AU - Wittmann, I.

AU - Jermendy, G.

PY - 2008/7/6

Y1 - 2008/7/6

N2 - The attainment and maintenance of therapeutic goal of cardiovascular risk factors are of great clinical importance. The effectiveness of cardiovascular risk management is not well characterized during regular care of patients with type I diabetes mellitus. Aim: The aim of the study was to estimate the effectiveness of cardiovascular risk management in type 1 diabetic patients. Methods: Adult patients with type 1 diabetes mellitus (n = 533; 256 men, 277 women; age: 35.6 ± 11.6 years; duration of diabetes: 18.0 ± 11.1 years; x ± SD) were consecutively enrolled from 11 diabetes outpatient departments. Data on medical history, actual treatment, anthropometric and laboratory parameters as well as actual blood pressure were registered, while eating and smoking habits, education level and physical activity were evaluated by standardized questionnaires. The treating goal was set according to the national guideline which corresponds to the current international task force. Results: Of 533 patients, the body mass index target level (<25 kg/m2) was achieved by 295 (55.5%) patients. Ideal waist circumference (<80 cm for women and <94 cm for men) was measured in 140 (50.5%) and in 165 (63.7%) patients, respectively. Optimal glycaemic control (HbA1c level <6.5%) was documented in 45 (8.4%) patients. Lipid lowering drugs (statins, fibrates or ezetimibe) were used by 130 patients, among which 53.1% reached the target triglyceride level, 71.5% the target HDL-cholesterol and 27.8% the target LDL-cholesterol levels. Taking the lipid target values together, only 23 (17.7%) patients were at goal. Antihypertensive drugs were used by 173 patients among which 29.5% reached the systolic and 34.8% the diastolic target values (<130/80 mmHg). Regarding smoking habits, 94 (17.7%) patients were current smokers and 102 (19.2%) ex-smokers. Conclusions: The attainment of therapeutic goal of cardiovascular risk factors proved to be difficult in a substantial part of patients. Further efforts are needed for attaining and maintaining the established goal of cardiovascular risk management during regular care of adult patients with type 1 diabetes mellitus.

AB - The attainment and maintenance of therapeutic goal of cardiovascular risk factors are of great clinical importance. The effectiveness of cardiovascular risk management is not well characterized during regular care of patients with type I diabetes mellitus. Aim: The aim of the study was to estimate the effectiveness of cardiovascular risk management in type 1 diabetic patients. Methods: Adult patients with type 1 diabetes mellitus (n = 533; 256 men, 277 women; age: 35.6 ± 11.6 years; duration of diabetes: 18.0 ± 11.1 years; x ± SD) were consecutively enrolled from 11 diabetes outpatient departments. Data on medical history, actual treatment, anthropometric and laboratory parameters as well as actual blood pressure were registered, while eating and smoking habits, education level and physical activity were evaluated by standardized questionnaires. The treating goal was set according to the national guideline which corresponds to the current international task force. Results: Of 533 patients, the body mass index target level (<25 kg/m2) was achieved by 295 (55.5%) patients. Ideal waist circumference (<80 cm for women and <94 cm for men) was measured in 140 (50.5%) and in 165 (63.7%) patients, respectively. Optimal glycaemic control (HbA1c level <6.5%) was documented in 45 (8.4%) patients. Lipid lowering drugs (statins, fibrates or ezetimibe) were used by 130 patients, among which 53.1% reached the target triglyceride level, 71.5% the target HDL-cholesterol and 27.8% the target LDL-cholesterol levels. Taking the lipid target values together, only 23 (17.7%) patients were at goal. Antihypertensive drugs were used by 173 patients among which 29.5% reached the systolic and 34.8% the diastolic target values (<130/80 mmHg). Regarding smoking habits, 94 (17.7%) patients were current smokers and 102 (19.2%) ex-smokers. Conclusions: The attainment of therapeutic goal of cardiovascular risk factors proved to be difficult in a substantial part of patients. Further efforts are needed for attaining and maintaining the established goal of cardiovascular risk management during regular care of adult patients with type 1 diabetes mellitus.

KW - Cardiometabolic risk

KW - Cardiovascular risk

KW - Type 1 diabetes mellitus

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