Among patients with diabetes in primary care, women were less likely to achieve LDL-c control (RR 0.88) and more likely to achieve systolic blood pressure control (RR 1.06) than men.
Cross-Sectional (n=12,512)
Yes
Are there sex differences in cardiovascular risk management in patients with diabetes in primary care?
In a Dutch primary care setting, sex differences in cardiovascular risk management for patients with diabetes were small, though women were less likely to achieve LDL-c control and more likely to achieve blood pressure control than men.
Relative Risk: 0.88 (95% CI 0.85–0.91)
Background Diabetes is a stronger risk factor for cardiovascular complications in women than men. Aim To evaluate whether there are sex differences in cardiovascular risk management in patients with diabetes in primary care. Design 95% confidence intervals CI = 0.41 to 1.77), while cholesterol levels (MD -0.38 mmol/l; 95% CI = -0.42 to -0.34) and body mass index (BMI MD -1.79 kg/m 2 ; 95% CI = -2.03 to 1.56) were lower in men than women. Risk factor assessment was similar between sexes, apart from high-density lipoprotein cholesterol (HDL-c), which was more commonly assessed in women (risk ratio RR 1.16; 95% CI = 1.13 to 1.20). Among those with a treatment indication for prevention, women with cardiovascular disease (CVD) were less likely to receive lipid-lowering drugs (RR 0.84; 95% CI = 0.76 to 0.93) than men, while women without CVD were more likely to receive lipid-lowering drugs (RR 1.16; 95% CI = 1.04 to 1.2). Among those treated, women were more likely to achieve systolic blood pressure (SBP) control (RR 1.06; 95% CI = 1.02 to 1.10) and less likely to achieve low-density lipoprotein cholesterol (LDL-c) control (RR 0.88; 95% CI = 0.85 to 0.91) than men. Conclusion In this Dutch primary care setting, sex differences in risk factor assessment and treatment of people with diabetes were small. However, women with diabetes were less likely to achieve control for LDL-c and more likely to achieve blood pressure control than men with diabetes.
Jong et al. (Tue,) conducted a cross-sectional in Diabetes mellitus (n=12,512). Female sex vs. Male sex was evaluated on Achievement of low-density lipoprotein cholesterol (LDL-c) control among treated individuals (RR 0.88, 95% CI 0.85 to 0.91). Among patients with diabetes in primary care, women were less likely to achieve LDL-c control (RR 0.88) and more likely to achieve systolic blood pressure control (RR 1.06) than men.