Disparity in management of diabetes and coronary heart disease risk factors by sex in DCCT/EDIC

Diabet. Med. 27, 451–458 (2010) Aims  Coronary heart disease (CHD) is a major cause of morbidity and mortality in patients with diabetes. Sex disparity in the treatment of modifiable CHD risk factors in patients with Type 2 diabetes has been reported previously; however, there is little comparable i...

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Published in:Diabetic medicine 2010-04, Vol.27 (4), p.451-458
Main Authors: Larkin, M. E., Backlund, J.-Y., Cleary, P., Bayless, M., Schaefer, B., Canady, J., Nathan, D. M.
Format: Article
Language:English
Subjects:
Adult
Antihypertensive Agents - administration & dosage
Biological and medical sciences
Blood Pressure
Cholesterol, LDL - blood
Cohort Studies
Coronary Disease - therapy
coronary heart disease risk factors
Cross-Sectional Studies
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - physiopathology
Diabetes Mellitus, Type 1 - therapy
Diabetes. Impaired glucose tolerance
Disease Management
disparities in health care
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gender Identity
glycated haemoglobin
Glycated Hemoglobin A - metabolism
Healthcare Disparities
Humans
Lipids - blood
Male
Medical sciences
Middle Aged
Risk Factors
Sex Factors
Type 1 diabetes
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vertebrates: endocrinology
women's health
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Summary:Diabet. Med. 27, 451–458 (2010) Aims  Coronary heart disease (CHD) is a major cause of morbidity and mortality in patients with diabetes. Sex disparity in the treatment of modifiable CHD risk factors in patients with Type 2 diabetes has been reported previously; however, there is little comparable information in Type 1 diabetes. Methods  We performed a cross‐sectional analysis of 1153 subjects with Type 1 diabetes in the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) cohort to compare achievement of metabolic and CHD risk factor goals and use of recommended risk factor interventions between the sexes. Results  Women were less likely than men to achieve glycated haemoglobin (HbA1c)
ISSN:0742-3071
1464-5491
DOI:10.1111/j.1464-5491.2010.02972.x