Management of diabetes mellitus and associated cardiovascular risk factors in Brazil – the Brazilian study on the practice of diabetes care
Contribuinte(s) |
UNIVERSIDADE DE SÃO PAULO |
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Data(s) |
14/10/2013
14/10/2013
2013
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Resumo |
Abstract Background The Brazilian Study on the Practice of Diabetes Care main objective was to provide an epidemiological profile of individuals with type 1 and 2 diabetes mellitus (DM) in Brazil, concerning therapy and adherence to international guidelines in the medical practice. Methods This observational, cross-sectional, multicenter study collected and analyzed data from individuals with type 1 and 2 DM attending public or private clinics in Brazil. Each investigator included the first 10 patients with type 2 DM who visited his/her office, and the first 5 patients with type 1 DM. Results A total of 1,358 patients were analyzed; 375 (27.6%) had type 1 and 983 (72.4%) had type 2 DM. Most individuals were women, Caucasian, and private health care users. High prevalence rates of hypertension, dyslipidemia and central obesity were observed, particularly in type 2 DM. Only 7.3% and 5.1% of the individuals with types 1 and 2 DM, respectively, had optimal control of blood pressure, plasma glucose and lipids. The absence of hypertension and female sex were associated with better control of type 1 DM and other cardiovascular risk factors. In type 2 DM, older age was also associated with better control. Conclusions Female sex, older age, and absence of hypertension were associated with better metabolic control. An optimal control of plasma glucose and other cardiovascular risk factors are obtained only in a minority of individuals with diabetes. Local numbers, compared to those from other countries are worse. We would like to thank the efforts of the coordinating team and of all the investigators who participated in the study, and the sponsorship by Sanofi-Aventis, that made this research possible. This study was sponsored by Sanofi-Aventis. Álvaro Avezum, Hélio Penna Guimarães, Patrícia Smith, and Lígia Nasi Laranjeira. Adriana Estevam Moretti, Alessandra Uchôa Massad, Álvaro Avezum, Ana Chartuni Teixeira Cury, Ana Claudia Teixeira Jacob Machado, Ana Elizabeth Cabral de Menezes Marinho, Anete Hannud Abdo, Ângela Regina Nasário Sabbag, Aniete Carolina Roma Castro, Antônio Braojos Dantas, Antônio Carlos Lerario, Antônio Tarcísio de Faria Freire, Arnaldo Alves de Mendonça, Bernardo Leo Wajchenberg, Bruno Geloneze Neto, Carlos Frederico Campos, Carlos Gun, Carlos Roberto Netto de Menezes, Carmem Alice Coelho Rezende, Célia Aparecida Uliani Zimmermann, Charles Rodrigues, Christina Lourdes Porto Gaspar Moreira Muniz, Claudia Cozer Leite, Cláudio Guimarães Bernardo, Cleber Rinaldo Favaro, Cristina Figueiredo Sampaio Façanha, Dario Cezar de Vasconcellos, Davis Taublib, Denise Maria Loyola Zolet, Denise Reis Franco, Diógenes Bernardes, Edgar D’Ávila Niclewicz, Edília Maria Ribeiro Dias, Edson da Cunha, Edson Perrotti Santos, Elcio Gomes Junior, Emmanuel de Abreu, Enecy Maria Laborne Brenlha, Erico Paulo Heilbrun, Ernestina Auache, Flávia Ozório Pereira, Francisco José da Cunha Stamato, Freddy Goldenberg Eliaschewitz, Gladys de Jesus Matta, Gláucia Moraes Bastos, Helena Trindade Camargo, Honomar Ferreira de Souza, Ivan Arbex, Ivan dos Santos Ferraz, João Eduardo Nunes Salles, João Paulo Iazigi, José Carlos Aydar Ayoub, José Henrique de Almeida Netto, José Marcio Ribeiro, José Otávio Alquezar Gozzano, José Tasca, Josivan Gomes de Lima, Jucinéia Aparecida de Oliveira, Julio Henrique Bom, Laerte Ferreira Damasceno, Leda Aparecida Daud Lotaif, Levimar Rocha Araújo, Lúcia Helena Silva, Luciano Ricardo Giacaglia, Lucy Mara Gomes Baetas Valente, Luis Cuadrado Martin, Luiz Guilherme Lopes Junior, Marcelo Alexandrino da Silva, Marcelo Eduardo Peralta, Márcia Jablonka Kelman, Márcio Barbosa Guimarães Cota, Márcio Correa Mancini, Marcos André Malta Dantas, Marcos Antonio Lopes, Marcos Antônio Tambascia, Maria da Conceição Carneiro Mamone, Maria Edna de Melo, Maria Isabel Guimarães Favaro, Maria Terezinha Infantosi Vannucchi, Maria Victoria Martinez Descalzo, Mariana Narbot Ermetice, Mariângela Occhioso, Milton Elmor Filho, Mônica Maria Teixeira, Patrícia dos Santos Moniz Martins, Patrícia Smith, Patrícia Teófilo Monteagudo, Paula Fernandes, Paulo de Tarso Freitas, Priscila Lustoza Gomes Sampaio, Rejane Bisacchi Coelho Corrêa de Oliveira, Ricardo Cairo de Camargo, Ricardo da Silva Sá, Roberto Jorge da Silva Franco, Rosangela Maria de Almeida, Rosângela Roginski Réa, Rubens Antunes da Cruz Filho, Samuel Cunha, Sandra Lucia Minanni, Sidney Senhorini, Silvana Maria C P de Souza Queiroz, Silvio Hock de Paffer Filho, Simone Siqueira Meirelles, Tadeu Alencar, Tereza Maria Figueredo Campos Fontes, Vladimir Gomes Oliveira and Walter José Minicucci. |
Identificador |
Diabetology and Metabolic Syndrome. 2013 Aug 26;5(1):46 1758-5996 http://www.producao.usp.br/handle/BDPI/34984 10.1186/1758-5996-5-46 |
Idioma(s) |
eng |
Relação |
Diabetology & Metabolic Syndrome |
Direitos |
openAccess Braga et al.; licensee BioMed Central Ltd. - This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Tipo |
article |