Glucose, lipid and blood pressure control in type 2 diabetes
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Abstract
Diabetes is a chronic dieases and frequently associated with disorders of the eyes, kidney, nerves and atherosclerosis. The risk of these complications are mitigated by broad-based treatment of hyperglycemia, dyslipidemia and hypertension. This cross-sectional study was conducted on 1,856 type 2 diabetes mellitus at Lampang's diabetes clinic to assess the achievement of diabetes management according to the American Diabetes Association recommendation. For glucose control, 47.78% had HbA1c < 7%,and 35.67% had blood pressure<130/80 mmHg while for lipid, 47.78% had triglycerides<150 mg/dl, 46.82% had LDL cholesterol <100 mg/dl, 50.00% of men had HDL cholesterol>40 mg/dl and 36.76% of women had HDL cholesterol>50 mg/dl. Only 9.64% of diabetic patients achieved all of the targets of glucose, blood pressure and LDL, cholesterol, thus indicated that diabetes management required multidisciplinary team of health care providers with broad-based treatment covering all metabolic disorders in diabetes.
Diabetic education should provide to all diabetic patients for self diabetes management that might reduce risk of vascular complications and mortality.
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บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
References
Buse JB, Ginsberg HN, Bakris GL, Clark NG, Costa F, et al. Primary prevention of cardiovascular diseases in people with diabetes mellitus. Diabetes Care 2007;30:162-72.
The Diabetes Control and Complication Trial Research Group. The effect of intensive treatment of diabetes on the development of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med 1993; 329:977-86.
Laakso M, Kuusisto J. Epidemiological evidence for the association of hyperglycemia and atherosclerotic vascular disease in non-insulin- dependent diabetes mellitus. Ann Med 1996;28:415-8.
UK Prospective Diabetes Study Group (UKPDS). Effect of intensive blood glucose control with metformin on complications in overweight patients with 2 diabetes(UKPDS). Lancet 1998;352:854-65.
UKPDS. Intensive blood glucose control with sulphonylureas or insulin compared with conventional treatment and risks of complications in patients with type 2 diabetes (UKPDS33). UK Prospective Diabetes Study Group (UKPDS). Lancet 1998; 352:837-53.
Strattron I, Adler AL, Neil H, et al. Association of glycemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. BMJ 2000;321:405-12.
Turner RC, Millns, Heil HA, et al. For the United Kingdom Prospective Diabeted Study Group. Risk factors for coronary artery disease in non-insulin-dependent diabetes mellitus: United Kingdom Prospective Diabetes Study Group (UKPDS 23). BMJ 1998;316:823-28.
Gaede P, Vedel P, Larsen N, et al. Multifactorial intervention and cardiovascular disease in patients with type 2 diabetes. N Eng J Med 2003;348:383-93.
Hafner SM, Lehto S, Ronnemaa T, Pyorala K, Laakso M. Mortally from coronary heart disease in subjects with type 2 diabetes
and in non diabetic subjects with and without prior myocardial infraction. N Engl J Med 1998;338:229-34.
American Diabetes Association: Standard of medical care in diabetes-2006. Diabetes Care 2006;29(Suppl.1):s4-42.
Alberti KGMM, Zimmet P, Shaw J, foe the IDF Epidemiology Task Force Consensus Group. The metabolic sysdrom anew
worldwide definition. Lancet 2005;366:1059-62.
Lindstrom J, Tuomilehto J, The diabetes risk score : a practical tool to predict type 2 diabetes risk. Diabetes Care 2003;26:725-31.
Canadian Diabetes Association Clinical Practice Guidlines Expert Commitee.
Canadian Diabetes Association 2003 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada.
Can J Diabetes 2003;27(Suppl.2):1-140.
Waldon CE, Knopp RH, Wahl PW. Sex diffrences in the effect of diabetes mellitus on lipoprotein triglycerides and cholesterol concentrations.
N Engl J Med 1984;311:953-59.