Titre du document / Document title

Tratamiento de los pacientes con diabetes mellitus tipo 2 en atenciÓn primaria en España = Management of type 2 diabetic patients in primary care in Spain

Auteur(s) / Author(s)

ARROYO Jaime ; BADIA Xavier ; DE LA CALLE Hermenegildo ; DIEZ Javier ; ESTMATJES Enric ; FERNANDEZ Isabel ; FILOZOF Claudia ; FRANCH Josep ; GAMBUS Gemma ; GOMIS Ramon ; NAVARRO Javier ; DE PABLOS Pedro ; PRO-STAR Grupo ;

Résumé / Abstract

BACKGROUND AND OBJECTIVE: We assess the metabolic control, complications, quality of life related to health (QLRH) and the type and amount of medical resource consumption (MRC) in type 2 diabetic patients (2DMp) followed by primary care physicians (PCP) in Spain. PATIENTS AND METHOD: We studied 628 2DMp divided in 4 cohorts: 1. Either newly diagnosed 2DMp who required pharmacological treatment or failed to non-pharmacological measures; 2. Patients pharmacologically treated for less than 1 year; 3. Patients with pharmacological treatment for more than 1 year; 4. Patients with impaired fasting glucose (control group). RESULTS: Eighty percent of the subjects were overweight. At baseline, 27.9, 23.5 and 36.9% of patients from cohorts 1, 2 and 3, respectively, had HbA_1c < 8%. After 6 months of follow-up, 14.6, 21.3 and 22.8% of patients from cohorts 1, 2 and 3, respectively, still had "bad control". At baseline, 38.0%, 21.2% and 20.7% of patients from cohorts 1, 2, and 3, respectively, had «bad lipid profile". After 6 months, 57.4%, 54.2% and 45.3% of cohorts 1, 2 and 3, respectively, still had plasma cLDL levels > 130 mg/dl. Complications were more frequent in cohort 3. During the 6-month period, MRC was higher among 2DMp than controls (p < 0.05) and higher among patients from cohort 3 (p < 0.05) compared with all the other patients. More diabetic than control patients and more patients from cohort 3 than patients from cohort 1 and 2 reported that their expected quality of life would be better without diabetes. CONCLUSIONS: One out of four of diabetic patients studied had HbA_1c and lipids higher than the limits suggested by guidelines. Type 2 diabetes is associated with higher MRC and worse QLRH. This situation is worse among long-term diabetic patients.

Revue / Journal Title

Medicina clinica   ISSN 0025-7753 

Source / Source

2005, vol. 125, n^o5, pp. 166-172 [7 page(s) (article)]

Langue / Language

Espagnol

Editeur / Publisher

Doyma, Barcelona, ESPAGNE  (1943) (Revue)

Localisation / Location

INIST-CNRS, Cote INIST : 12388, 35400013149373.0020