Ethnic differences in control of cardiovascular risk factors in patients with type 2 diabetes attending an Inner London diabetes clinic

Background: South Asians have higher risk of diabetic complications compared with white Europeans. The aim of this study was to compare management of cardiovascular risk factors between Bangladeshis and white Europeans. Methods: A retrospective survey of all diabetic patients attending an Inner Lond...

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Bibliographic Details
Published in:Postgraduate medical journal 2006-03, Vol.82 (965), p.211-215
Main Authors: Chowdhury, T A, Lasker, S S, Mahfuz, R
Format: Article
Language:English
Subjects:
Age
Asian people
Atherosclerosis (general aspects, experimental research)
Bangladesh - ethnology
Bangladeshis
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Cardiovascular disease
cardiovascular risk
Cholesterol
Clinics
Diabetes
Diabetes Mellitus, Type 2 - ethnology
Diabetic Angiopathies - ethnology
Diabetic Angiopathies - prevention & control
Education
Female
General aspects
Humans
Lipids
London - epidemiology
Male
Medical sciences
Microcirculation
Middle Aged
Mortality
Original
Retrospective Studies
Risk Factors
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Summary:Background: South Asians have higher risk of diabetic complications compared with white Europeans. The aim of this study was to compare management of cardiovascular risk factors between Bangladeshis and white Europeans. Methods: A retrospective survey of all diabetic patients attending an Inner London hospital diabetic clinic over one year was undertaken. Data were obtained from the hospital diabetes database: presence of macrovascular (myocardial infarction, angina, stroke, transient ischaemic attack, cardiac intervention) and microvascular disease (neuropathy, retinopathy, and nephropathy), glycated haemoglobin, blood pressure, lipids, smoking, and body mass index (BMI) were all determined. Results: A total of 1162 white European and 912 Bangladeshi patients with full data available were included in the analyses. The groups were equivalent in age, sex, duration of diabetes. Compared with white Europeans, Bangladeshis had more macrovascular disease (19.5% v 11.9% p
ISSN:0032-5473
1469-0756
DOI:10.1136/pgmj.2005.036673