In:
Diabetes and Vascular Disease Research, SAGE Publications, Vol. 9, No. 2 ( 2012-04), p. 146-152
Abstract:
Background: Diabetes mellitus (DM) is often considered a risk equivalent for cardiovascular disease (CVD); however, the variation in CVD risk in adults with DM has not been described. Methods: We studied 1114 US adults aged ≥18 years with DM from national survey data and the proportion at low ( 〈 10%), intermediate (10–20%) and high ( 〉 20%) risk, or with CVD, by age, gender, ethnicity and diabetes type and treatment, and glycaemic and risk factor control by risk group. Results: Overall, 22.9% were low, 17.5% intermediate, 31.4% high risk and 28.2% had pre-existing CVD (total 59.6% high risk/CVD). More Hispanics (32.4%) and Blacks (30.6%) versus Whites (18.8%) were at lower risk ( p 〈 0.0001). Among type 1 versus 2 DM, 35% vs. 65% ( p 〈 0.0001) and among insulin users 68.1% were high risk or with CVD. However, among low-intermediate risk, 〉 50% have metabolic syndrome and 7% chronic kidney disease, increasing the high risk/CVD group to 86.8%. Simultaneous achievement of HbA1c, blood pressure and low density lipoprotein-cholesterol goals was low ( 〈 15%) regardless of risk group. Conclusions: Many DM patients are not at high 10-year CVD risk, but metabolic factors may place them at greater long-term risk. Risk assessment could help target the intensity of treatment.
Type of Medium:
Online Resource
ISSN:
1479-1641
,
1752-8984
DOI:
10.1177/1479164112436403
Language:
English
Publisher:
SAGE Publications
Publication Date:
2012
detail.hit.zdb_id:
2250797-8
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