Inadequate achievement of ABC goals (HbA1c, blood pressure, LDL-C) among patients with type 2 diabetes in an Iranian population, 2012–2017. Issue 4 (July 2020)

• Record Type: Journal Article
• Authors: Larry, Mehrdad; Alizadeh, Saeid; Naderi, Sina; Salekani, Bahareh; Mansournia, Mohammad Ali; Rabizadeh, Soghra; Esteghamati, Alireza; Nakhjavani, Manouchehr
• Is Part Of: Diabetes & metabolic syndrome. Volume 14:Issue 4(2020)
• Page Start: 619
• Page End: 625
• Publication Date: 2020-07
• Subjects: Type 2 diabetes -- HbA1c -- Blood pressure -- LDL-C -- ABC goals; Diabetes -- Periodicals; Metabolism -- Disorders -- Periodicals; Diabetes Mellitus -- Periodicals; Metabolic Diseases -- Periodicals; Diabète -- Périodiques; Métabolisme, Troubles du -- Périodiques; Endocrinologie -- Périodiques; Diabète -- Physiopathologie -- Périodiques; Diabetes; Metabolism -- Disorders; Electronic journals; Periodicals; 616.462
• DOI: 10.1016/j.dsx.2020.05.015
• Languages: English
• ISSNs: 1871-4021

Abstract

Abstract: Aims: This study was designed to evaluate the meeting of ABC goals in patients with type 2 diabetes. The ABC goals were defined as meeting the HbA1c <7%, systolic blood pressure <130 mmHg and diastolic blood pressure <80 mmHg, and LDL-C <100 mg/dL. We also determined the associated factors with meeting the ABC goals, as well as the effectiveness of statin therapy. Methods: We designed a cross-sectional study of 2008 type 2 diabetes patients attending the diabetes clinics of Valiasr Hospital of Imam Khomeini Hospital Complex. Meeting ABC goals and their associated factors were analyzed from the registered data. Results: At the end of the year 2014, 61.3% of patients met the HbA1c goal, which increased to 77.8% in 2017. Blood pressure of 79.5% of patients met the ADA recommendations by the end of the year 2014, reaching 86.6% in 2017. Moreover, 84.5% and 93.8% could reach the LDL-C goal in 2014 and 2017, respectively. The proportion for the patients meeting all three ABC goals were 23.2% and 42.1% in 2014 and 2017, respectively. Conclusions: The level of achievement of ABC goals in Iran is lower than expected and it requires a lot of programming effort and follow-up. As patients are followed over the years, controlling ABC becomes much more favorable. Highlights of Study: In this study, we evaluated achievement of ABC goals in patients with type 2 diabetes in Iran. Findings showed that achievement of ABC goals is lower than expected, however, some improvement is seen from 2014 to 2017. Close follow-up of diabetic patients, monitoring blood pressure and lipid profile is needed to achieve ABC goals.