2012 - 2017年伊朗人群中2型糖尿病患者ABC目标（糖化血红蛋白、血压、低密度脂蛋白胆固醇）未充分达成情况。

Inadequate achievement of ABC goals (HbA1c, blood pressure, LDL-C) among patients with type 2 diabetes in an Iranian population, 2012-2017.

作者信息

Larry Mehrdad, Alizadeh Saeid, Naderi Sina, Salekani Bahareh, Mansournia Mohammad Ali, Rabizadeh Soghra, Esteghamati Alireza, Nakhjavani Manouchehr

机构信息

Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Diabetes Metab Syndr. 2020 Jul-Aug;14(4):619-625. doi: 10.1016/j.dsx.2020.05.015. Epub 2020 May 8.

DOI:10.1016/j.dsx.2020.05.015

PMID:32422446

Abstract

AIMS

This study was designed to evaluate the meeting of ABC goals in patients with type 2 diabetes. The ABC goals were defined as meeting the HbA1c <7%, systolic blood pressure <130 mmHg and diastolic blood pressure <80 mmHg, and LDL-C <100 mg/dL. We also determined the associated factors with meeting the ABC goals, as well as the effectiveness of statin therapy.

METHODS

We designed a cross-sectional study of 2008 type 2 diabetes patients attending the diabetes clinics of Valiasr Hospital of Imam Khomeini Hospital Complex. Meeting ABC goals and their associated factors were analyzed from the registered data.

RESULTS

At the end of the year 2014, 61.3% of patients met the HbA1c goal, which increased to 77.8% in 2017. Blood pressure of 79.5% of patients met the ADA recommendations by the end of the year 2014, reaching 86.6% in 2017. Moreover, 84.5% and 93.8% could reach the LDL-C goal in 2014 and 2017, respectively. The proportion for the patients meeting all three ABC goals were 23.2% and 42.1% in 2014 and 2017, respectively.

CONCLUSIONS

The level of achievement of ABC goals in Iran is lower than expected and it requires a lot of programming effort and follow-up. As patients are followed over the years, controlling ABC becomes much more favorable.

摘要

目的

本研究旨在评估2型糖尿病患者的ABC目标达成情况。ABC目标定义为糖化血红蛋白（HbA1c）<7%、收缩压<130 mmHg且舒张压<80 mmHg以及低密度脂蛋白胆固醇（LDL-C）<100 mg/dL。我们还确定了与ABC目标达成相关的因素以及他汀类药物治疗的有效性。

方法

我们对就诊于伊玛目霍梅尼医院综合大楼瓦利亚斯尔医院糖尿病门诊的2008例2型糖尿病患者进行了横断面研究。从登记数据中分析ABC目标的达成情况及其相关因素。

结果

到2014年底，61.3%的患者达到了HbA1c目标，到2017年这一比例增至77.8%。到2014年底，79.5%的患者血压达到了美国糖尿病协会（ADA）的建议标准，到2017年这一比例达到86.6%。此外，2014年和2017年分别有84.5%和93.8%的患者能够达到LDL-C目标。2014年和2017年达到所有三项ABC目标的患者比例分别为23.2%和42.1%。