Achievement of guideline targets of glycemic and non-glycemic parameters in North Indian type 2 diabetes mellitus patients: A retrospective analysis.

Abstract

BACKGROUND AND AIMS:

Though, the prevalence of diabetes is increasing in the worldwide, achievement of glycemic and non-glycemic targets remain suboptimal. We conducted this retrospective cross-sectional study at two endocrine clinics of Aligarh (Uttar Pradesh) in north India.

MATERIALS AND METHODS:

After screening the records of 13800 patients, 12140 patients of type 2 diabetes mellitus who were attending the clinic regularly every three to four months, were included in the final analysis. The data regarding patient's height, weight, body mass index, blood pressure, blood glucose, HbA1c, lipid profile and complications were obtained.

RESULTS:

Mean age was 49.7 ± 11.3 years; males and females were almost equal in number. 2891 (23.8%) subjects were of age less than 40 years. 9614 (80%) patients had diabetes duration of less than 5 years. 3311 (27.3%) subjects were having an HbA1c of <7%, HbA1c 7-8% in 3711 (30.5%), HbA1c 8-9% in 2653 (21.9%) whereas HbA1c of >9% in 2465 (20.3%) subjects. The microvascular complications; diabetic nephropathy, diabetic neuropathy and diabetic retinopathy were present in 7.5%, 14.9% and 16.2% respectively. Hypertension was present in 25.8% and coronary artery disease was present in 15.5% of patients. Overall 27.3%, 41.7%, 44.1%, 45.3% and 67.7% of patients achieved their HbA1c, triglyceride, HDL, LDL and hypertension targets respectively, as per American Diabetes Association 2020 guidelines.

CONCLUSION:

Despite availability of multiple drugs and guidelines, the attainment rates of glycemic and non-glycemic targets remain suboptimal. A more aggressive approach in the treatment of type 2 diabetes is required.

• Authors: Hamid Ashraf, Ahmad Faraz, Jamal Ahmad
• Journal: Diabetes & metabolic syndrome (Diabetes Metab Syndr) 2021 Jan-Feb Vol. 15 Issue 1 Pg. 425-431 ISSN: 1878-0334 [Electronic] Netherlands
• PMID: 33588199 (Publication Type: Journal Article)
• Copyright: Copyright © 2021 Diabetes India. Published by Elsevier Ltd. All rights reserved.

Chemical References

• Blood Glucose
• Triglycerides

Topics

• Adult
• Aged
• Blood Glucose (metabolism)
• Blood Pressure (physiology)
• Diabetes Mellitus, Type 2 (blood, diagnosis, epidemiology)
• Female
• Follow-Up Studies
• Glycemic Index (physiology)
• Humans
• India (epidemiology)
• Male
• Middle Aged
• Obesity (blood, epidemiology)
• Practice Guidelines as Topic (standards)
• Retrospective Studies
• Triglycerides (blood)