Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/10922
Title: Prevalence and correlates of inadequate glycaemic control: results from a nationwide survey in 6,671 adults with diabetes in Brazil.
Authors: Mendes, Ana Beatriz Valverde
Fittipaldi, João Antônio Saraiva
Neves, Raimundo Celestino Silva
Chacra, Antônio Roberto
Moreira Júnior, Edson Duarte
Affilliation: São Paulo Federal University. São Paulo, SP, Brasil
Pfizer Inc. Chácara Santo Antonio, SP, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
São Paulo Federal University. São Paulo, SP, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Abstract: Diabetes is a significant public health burden on the basis of its increased incidence, morbidity, and mortality. This study aimed to estimate the prevalence of inadequate glycaemic control and its correlates in a large multicentre survey of Brazilian patients with diabetes. A cross-sectional study was conducted in a consecutive sample of patients aged 18 years or older with either type 1 or type 2 diabetes, attending health centres located in ten large cities in Brazil (response rate = 84%). Information about diabetes, current medications, complications, diet, and satisfaction with treatment were obtained by trained interviewers, using a standardized questionnaire. Glycated haemoglobin (HbA(1c)) was measured by high-performance liquid chromatography in a central laboratory. Patients with HbA(1c) > or = 7 were considered to have inadequate glycaemic control. Overall 6,701 patients were surveyed, 979 (15%) with type 1 and 5,692 (85%) with type 2 diabetes. The prevalence of inadequate glycaemic control was 76%. Poor glycaemic control was more common in patients with type 1 diabetes (90%) than in those with type 2 (73%), P < 0.001. Characteristics significantly associated with improved glycaemic control included: fewer years of diabetes duration, multi professional care, participation in a diabetes health education program, and satisfaction with current diabetes treatment. Despite increased awareness of the benefits of tight glycaemic control, we found that few diabetic patients in Brazil met recommended glycaemic control targets. This may contribute to increased rates of diabetic complications, which may impact health care costs. Our data support the public health message of implementation of early, aggressive management of diabetes.
Keywords: Glycaemic control
HbA1c
Diabetes mellitus
Epidemiology
Brazil
DeCS: Glicemia/metabolismo
Diabetes Mellitus Tipo 1/sangue
Diabetes Mellitus Tipo 2/sangue
Inquéritos Epidemiológicos
Adolescente
Adulto
Idoso
Glicemia/análise
Brasil/epidemiologia
Grupos de Populações Continentais
Estudos Transversais
Diabetes Mellitus Tipo 1/epidemiologia
Diabetes Mellitus Tipo 2/reabilitação
Grupos Étnicos
Feminino
Hemoglobina A Glicosilada/análise
Hipoglicemiantes/uso terapêutico
Educação de Pacientes como Assunto
Issue Date: 2010
Publisher: Springer Verlag
Citation: MENDES, A. B. V. et al. Prevalence and correlates of inadequate glycaemic control: results from a nationwide survey in 6,671 adults with diabetes in Brazil. Acta Diabetologica, v. 47, n. 2, p. 137-145, 2010.
DOI: 10.1007/s00592-009-0138-z
ISSN: 1432-5233
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos

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