Diabetes Metab J.  2011 Jun;35(3):264-272. 10.4093/dmj.2011.35.3.264.

Therapeutic Target Achievement in Type 2 Diabetic Patients after Hyperglycemia, Hypertension, Dyslipidemia Management

• Kang AY
• Park SK
• Park SY
• Lee HJ
• Han Y
• Lee SR
• Suh SH
• Kim DK
• Park MK

• KMID: 2175433
• DOI: http://doi.org/10.4093/dmj.2011.35.3.264

Abstract

BACKGROUND
Our study group established "3H care" in 2002. The meaning of "3H care" attain and maintain adequate controls over hypertension, hyperlipidemia, and hyperglycemia in type 2 diabetic patients. This study evaluated the achievement of target goals after one year or more of "3H care" by specialists in our diabetic clinic.
METHODS
This was a retrospective study of 200 type 2 diabetic patients who received "3H care" for one year or more in our diabetic clinic. We evaluated achievement of target goals for metabolic controls as suggested by the American Diabetes Association.
RESULTS
Overall, 200 type 2 diabetes patients were enrolled, of whom 106 were males (53%) and 94 were females (47%). After one year of "3H care," the mean HbA1c was 7.2+/-1.5% and the percentage of patients achieving glycemic control (HbA1c <7%) was 51.8%. However only 32.2% of hypertensive patients achieved the recommended target. After one year of "3H care," the percentages of those who achieved the target value for dyslipidemia were 80.0% for total cholesterol, 66.3% for low density lipoprotein cholesterol, 57.9% for triglyceride, and 51.8% for high density lipoprotein cholesterol. The percentage that achieved all three targets level was only 4.4% after one year and 14.8% after two years.
CONCLUSION
The results of this study demonstrate that only a minor proportion of patients with type 2 diabetes achieved the recommended goals despite the implementation of "3H care." It is our suggestion that better treatment strategies and methods should be used to control hypertension, hyperlipidemia and hyperglycemia.

Keyword

Diabetes mellitus, type 2; Disease management; Treatment outcome

MeSH Terms

Achievement
Cholesterol
Cholesterol, HDL
Cholesterol, LDL
Diabetes Mellitus, Type 2
Disease Management
Dyslipidemias
Female
Humans
Hyperglycemia
Hyperlipidemias
Hypertension
Lipoproteins
Male
Retrospective Studies
Specialization
Treatment Outcome
Cholesterol
Cholesterol, HDL
Cholesterol, LDL
Lipoproteins

Figure

• 

  Fig. 1 Proportion of patients reaching the therapeutic goals at baseline and one and two years later. Baseline includes only patients who were followed-up until the end of the second year. BP, blood pressure; TC, total cholesterol; LDL-C, low density lipoprotein cholesterol; TG, >triglyceride; HDL-C, high density lipoprotein cholesterol (HDL-C >40 mg/dL [male], HDL-C >50 mg/dL [female]). aP<0.001.

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