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Glycemic and risk factor control in type 1 diabetes: results from 13,612 patients in a national diabetes register
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology.
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2007 (English)In: Diabetes Care, ISSN 0149-5992, E-ISSN 1935-5548, Vol. 30, no 3, 496-502 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE - This study was designed to investigate the clinical characteristics of a large type 1 diabetic population and to evaluate the degree of fulfillment of recently updated treatment goals. RESEARCH DESIGN AND METHODS - The Swedish National Diabetes Register was initiated in 1996 as a tool for quality assurance in diabetes care. AlC levels, treatment, and risk factors were analyzed in two cross-sectional samples of 9,424 patients in 1997 and 13,612 patients in 2004 and in a smaller longitudinal sample from 1997 to 2004. RESULTS - Mean AlC decreased from 8.2 ± 1.3% in 1997 to 8.0 ± 1.2% in 2004 (P < 0.001). The proportion of patients reachingAlC <7.0% increased from 17.4 to 21.2% in 2004. A slow but significant improvement in blood pressure levels was seen, but only 61.3% reached the blood pressure goal of <130/80 mmHg in 2004. Lipid control improved, and the use of lipid-lowering drugs increased. Among patients treated with lipid-lowering agents, 38% reached the goal of total cholesterol <4.5 mmol/l, and 48% reached the goal of LDL cholesterol <2.5 mmol/l. Successful long-term glycemic and blood pressure control were both independently predicted by low BMI and the absence of microalbuminuria in 1997. CONCLUSIONS - In this large cohort of type 1 diabetic patients, there was a slow improvement in glycemic and risk factor control from 1997 to 2004, although the gap between the clinical results and current Swedish and American treatment goals is still unsatisfactory. It is crucial that additional measures be taken to improve risk factor control in type 1 diabetic patients.

Place, publisher, year, edition, pages
2007. Vol. 30, no 3, 496-502 p.
Keyword [en]
Immunopathology, Autoimmune disease, Endocrinopathy, Europe, Public health, Sweden, Register, Human, Epidemiology, Biological monitoring, Risk factor, Glycemia, Type 1 diabetes
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-10354DOI: 10.2337/dc06-1406ISI: 000244941200007PubMedID: 17327311OAI: oai:DiVA.org:uu-10354DiVA: diva2:38122
Available from: 2007-03-21 Created: 2007-03-21 Last updated: 2011-04-18Bibliographically approved

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Eeg-Olofsson, KatarinaCederholm, Jan

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