Factors associated with therapeutic target achievement in the control of complications in consequence of diabetes: A hospital-based study in west of Iran

• Published in: Diabetes & metabolic syndrome clinical research & reviews 2019-05, Vol.13 (3), p.2009-2013
• Main Authors: Barzkar, Hamid, Nikbakht, Hossein-Ali, Zeinolabedini, Maryam, Babazadeh, Towhid, Hassanipour, Soheil, Ghaffari-fam, Saber
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Biomarkers - analysis; Blood Glucose - analysis; Child; Cross-Sectional Studies; Diabetes complications; Diabetes Complications - prevention & control; Diabetes mellitus; Diabetes Mellitus, Type 1 - drug therapy; Diabetes Mellitus, Type 2 - drug therapy; Disease Management; Dose-Response Relationship, Drug; Female; Follow-Up Studies; Glycated Hemoglobin A - analysis; Humans; Hypoglycemic Agents - administration & dosage; Insulin - administration & dosage; Insulin-dependent; Lipids - blood; Male; Middle Aged; Prognosis; Type II; Young Adult
• ISSN: 1871-4021; 1878-0334
• DOI: 10.1016/j.dsx.2019.04.031

The goal of diabetes management is to enhance the performance of the surveillance system to perpetuate optimal blood sugar, blood pressure and cholesterol levels in the normal values. This paper aimed to identify factors associated with therapeutic target achievement in the control of complications in consequence of diabetes. In this cross-sectional study, a secondary analysis was performed on data obtained in the surveillance center of patients referred to in Makoo city, West Azerbaijan Province. The main interested variables included Fasting Blood Sugar (FBS), HbA1c, triglycerides, cholesterol, Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL) diastolic and systolic blood pressure, duration of diabetes, family history of diabetes, early and late complications of diabetes, treatment received, history of smoking. Average age of the patients with diabetes mellitus, insulin-dependent was 35.43 (SD = 17.25) and in patients of diabetes mellitus 53.37 (SD = 10.89), which was significantly different (p-value = 0.001). Frequency amount of fasting blood sugar in diabetes mellitus, insulin-dependent and diabetes mellitus, type II was 64.30% and 66.0%, respectively. Only 19.0% of patients with diabetes mellitus, insulin-dependent and 13.90% of diabetes mellitus, type II breached to the optimum level of blood glucose control. This study found that a considerable proportion of subjects with diabetes mellitus, insulin-dependent and diabetes mellitus, type II did not achieve the goals of care guidelines of Iran on secondary prevention of complications related to diabetes, especially vascular complication.