CENEXA   05419
CENTRO DE ENDOCRINOLOGIA EXPERIMENTAL Y APLICADA
Unidad Ejecutora - UE
congresos y reuniones científicas
Título:
International Diabetes Management Practices Study (IDMPS): Results in T2DM
Autor/es:
GAGLIARDINO JJ
Lugar:
Buenos Aires
Reunión:
Congreso; 29th World Congress of Internal Medicine; 2008
Resumen:
Background: IDMPS is an observational, multicentre and international study of 5 years perincountries of Africa, Asia, Eastern Europe and latin America. The aim of the study is minethe quality of care for people with diabetes, Material and Methods: Recording of clinical, metabolic and therapeutic parameters of people with type 1 and type 2 diabetes (TlDM and T2DM), above 18 years old, by generalists and specialized physicians in periods of one year: a cross-sectional study (two weeks) followed by a longitudinal study (9 months only with patients treated with insulin). This presentation belongs to the first endpoint performed in Argentina in the year 2005 with data from 438 patients with T2DM recorded by 46 physicians. Results: Values are represented by X ± DE. Age: 62 ± 11 years old; Time from diabetes onset: 11 years; BMI: 30 kg/m2; Annual frequency of visits: 6.03 times; HbA1c: never requested in 40%; requesting frequency: 3.2 times/year; values: 6.51 ± 0,87%; values <7%: 48%; Treatment: 27%of patients receive insulin (alone or with oral antidiabe~cs); 79% of them reach HbA1c<7%;Fastingglycaemia (FG): 121 ± 34.9 mg/dl; FG<100 mg/dl in 22%; Blood Pressure (BP): 62%with hypertension; values of BP 130±15/ 78±1O mmHg; BP<130/80 in 40%; 97% treated with drugs; Dyslipidemia in 51%; 78% treated with drugs; Total cholesterol: 196±38 mg/dl; Triglycerides: 156±93 mgfdl; 1.6% reach the goal of HbA1c <7%, BP<130/80 mmHg and LDL <100 mg/dl. Self-monitoring glucose: 47% do not perform it; monthly frequency: 12±8; Micro and macrovascular complications: not verified in 30%. Conclusion:Most patients with T2DM do not reach the treatment goals recommended by international guidelines, and will eventually develop chronic complications which will increase the costs of care. Reversing this situation implies changing attitudes from health professionals and patients which may be reached through their education.