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Metabolic control and morbidity of Type 2 diabetic patients in a general practice network.

Bouma, M., Dekker, J.H., Eijk, J.T.M. van, Schellevis, F.G., Kriegsman, D.M.W., Heine, R.J. Metabolic control and morbidity of Type 2 diabetic patients in a general practice network. Family Practice: 1999, 16(4), p. 402-406.
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Glycaemic control and the prevalence of modifiable cardiovascular risk factors, and micro- and macrovascular morbidity was examined in 637 Type 2 diabetic patients in general practice, of whom 405 consented to undergo a more extensive examination.

Results
In these 405 patients, HbA1c was >-7% in 56.6%, and hypertension and dyslipidaemia were found in 59.8% and 46.5% of the patients, respectively. The level of cardiovascular risk factors was acceptable, according to the European guidelines, in the following proportions of patients: BMI 45.0%, total cholesterol 69.1%; HDL-cholesterol 68.1%; triglycerides 67.8%; current blood pressure 89.8%; and smoking 21.0%. Retinopathy was present in 12.5% and micro-albuminuria in 27.0% of the patients. In all 637 patients, the prevalence of agina pectoris was 17.7%, of myocardial infarction 11.4% and of congestive heart failure 10.7%.

Conclusion
The care for Type 2 diabetic patients needs improvement and should focus on cardiovascular risk as much as on glycaemic control. (aut.ref.)