Monitoring of cardiovascular risk factors in patients with diabetes type 2

Česká verzia

Authors: B. Petrlová; H. Rosolová; J. Šimon; F. Šefrna; P. Šifalda; I. Šípová
Authors place of work: II. interní klinika Lékařské fakulty UK a FN Plzeň, přednosta prof. MUDr. Jan Filipovský, CSc.
Published in the journal: Vnitř Lék 2009; 55(9): 812-818
Category: 80th Birthday - prof. MUDr. Miloš Štejfa, DrSc., FESC

Summary

The control of basic cardiovascular risk factors was examined in a sample of 415 diabetes type 2 patients, aged 66 ± 10 years, with a 9.4 ± 8 years long history of diabetes, both genders represented proportionally; 95% of the sample were hypertensive. The recommended blood pressure value was achieved by 13% males and 17% females. Antihypertensive monotherapy was indicated in 40% of the sample. Renin-angiotensin-aldosteron system inhibitors were prescibed to 90% of the sample. The fasting glycaemia ≤ 6 mmol/L were achieved in 10% males and 11% females; glycosilated hemoglobin < 4.5 % in 20% males and 24% females; 60% of the sample had antidiabetic pharmacotherapy – 44% males and 48 % females used metformin. Total fasting plasma cholesterol < 4.5 mmol/L was achieved in 31% males and 23% females; LDL-cholesterol < 2.5 mmol/L was achieved in 31% males and 41% females. The target values for diabetics in secondary prevention of cardiovaskular diseases or with subclinical atherosclerosis was achieved in 13% of the sample. Statins were prescribed in 60% of the sample, fibrates in 4%. Only 2 females achieved all the target values. Hypolipidemic and antihypertensive drug therapy is unsatisfactory; there is certainly a big potential in life style changes among the diabetic patients.

Key words:
diabetes mellitus type 2 – cardiovascular risk factors

Zdroje

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