Conxa Castell
Spain
Research Article
Treatment of Hyperglycaemia in Type 2 Diabetic Patients in a Primary Care Population Database in a Mediterranean Area (Catalonia, Spain)
Author(s): Manel Mata-Cases, Dídac Mauricio, Irene Vinagre, Rosa Morros, Eduard Hermosilla, Francesc Fina, Magdalena Rosell-Murphy, Conxa Castell, Josep Franch-Nadal and Bonaventura BolíbarManel Mata-Cases, Dídac Mauricio, Irene Vinagre, Rosa Morros, Eduard Hermosilla, Francesc Fina, Magdalena Rosell-Murphy, Conxa Castell, Josep Franch-Nadal and Bonaventura Bolíbar
Aim: To analyse glycaemic control and antihyperglycaemic treatment in patients with varying duration of type 2 diabetes in a population-based database.
Methods: A cross-sectional survey of 286,791 patients with type 2 diabetes registered in the primary care centres of the Catalan Health Institute (Catalonia, Spain) in 2009. We analysed the effects of types of treatment, diabetes duration and renal function on glycaemic control, adjusting for other clinical variables.
Results: Twenty-four percent of patients were treated with lifestyle changes only, 35.5% with oral glucoselowering monotherapy, 21% with oral combinations and 17.7% with insulin (alone or in combination). Insulin was more frequently used in patients with longer duration of diabetes or severe renal impairment. Fifty-six percent of patients achieved the optimal target of HbA1c ≤ 7% (≤ 53 mmol/mol),.. View More»
