Prevalence and control of type 2 diabetes mellitus among primary care physicians in Spain. PRISMA Study. / Prevalencia y control de la diabetes mellitus tipo 2 entre los médicos de Atención Primaria de España. Estudio PRISMA.
Endocrinol Diabetes Nutr
; 64(5): 265-271, 2017 May.
Article
in En, Es
| MEDLINE
| ID: mdl-28495322
ABSTRACT
OBJECTIVE:
To describe the prevalence of known and ignored type 2 diabetes mellitus (T2DM) among primary care physicians (PCP), as well as the treatment used and the degree of metabolic control reached. MATERIAL ANDMETHODS:
Descriptive cross-sectional study on national level. The participants were randomly selected PCPs, members of the redGDPS Foundation. A total of 495 PCP were enrolled. Capillary HbA1c measurement was done with a A1CNow+® device and a diabetes-related survey specifically designed for the study was administered to the participants.RESULTS:
The total prevalence of T2DM was 11.1% (95% CI 8.33-13.9) (known disease 8,1% and ignored disease 3.0%). The prevalence of prediabetes was 16.2% (95% CI 13.0-19.4). A total of 62.5% of PCPs with known T2DM reached HbA1c<7% and 15% had HbA1c>8.5%. Control of blood pressure (BP<140/90mmHg) was reached in 87.5% and control of LDL cholesterol<130mg/dl with no history of cardiovascular disease was reached in 88.6% of cases of known T2DM. In the PCPs with a history of macrovascular disease, good control of LDL was reached in 42.9% of the cases. A total of 12.5% were active smokers. A total of 71.4% of PCPs with known T2DM self-treated their own disease, usually with 2 or more drugs (51.4%). The most commonly used drug was metformin (74.3%) followed by iDPP4 (48.6%).CONCLUSIONS:
PCPs with T2DM have better metabolic control than the general population. It is necessary to study whether PCPs with T2DM may have greater adherence to treatment and do they achieve a better metabolic control.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Attitude of Health Personnel
/
Diabetes Mellitus, Type 2
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Physicians, Primary Care
Type of study:
Diagnostic_studies
/
Observational_studies
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Prevalence_studies
/
Risk_factors_studies
/
Screening_studies
Limits:
Adult
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Female
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Humans
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Male
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Middle aged
Country/Region as subject:
Europa
Language:
En
/
Es
Journal:
Endocrinol Diabetes Nutr
Year:
2017
Document type:
Article