Trends in control of cardiovascular risk factors among US adults with type 2 diabetes from 1999 to 2010: Comparison by prevalent cardiovascular disease status
Key result
Prevalent CVD in T2DM links to worse risk factor control, leaving only ~24% at goal.
- P<0.001
- n=2,403
Why the study?
Have cardiovascular risk factor levels and goal attainment improved among US adults with type 2 diabetes with and without cardiovascular disease from 1999 to 2010?
Population
2403 US adults with type 2 diabetes mellitus, including 654 with prevalent cardiovascular disease.
Design
Cross-sectional
Authors
Discussion
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Member takes
Implication
Risk factor control remains suboptimal in type 2 diabetes, especially with CVD; leaves open whether targeted strategies improve attainment.
Study Design
Type
Cross-Sectional (n=2,403)
Multicenter
Yes
Structured PICO
Have cardiovascular risk factor levels and goal attainment improved among US adults with type 2 diabetes with and without cardiovascular disease from 1999 to 2010?
P
Population
2,403 US adults aged ≥ 18 years with type 2 diabetes (27% with prevalent cardiovascular disease) evaluated across 1999-2010.
C
Comparator
T2DM with CVD versus T2DM without CVD
O
Outcome
Control of hemoglobin A1c (HbA1c), blood pressure (BP), low-density lipoprotein cholesterol (LDL-C) and body mass index (BMI)surrogate
Main Result
p-value: p=< 0.001
Despite modest improvements in cardiovascular risk factor control from 1999 to 2010, only one-fourth of US adults with type 2 diabetes achieve combined goals for HbA1c, BP, and LDL-C.
Cite This Study
Wong et al. (2013) conducted a cross-sectional in Type 2 diabetes mellitus (n=2,403). Prevalent cardiovascular disease (CVD) vs. Without CVD was evaluated on Control of hemoglobin A1c (HbA1c), blood pressure (BP), and low-density lipoprotein cholesterol (LDL-C) (p=< 0.001). Prevalent cardiovascular disease in adults with type 2 diabetes was associated with less frequent improvements in risk factor control compared to those without CVD, with only 24% overall at goal.