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Cardiovascular disease prevalence and risk factor prevalence in Type 2 diabetes: A contemporary analysis

Diabetic Medicine Mar 20, 2019

McGurnaghan S, et al. - Data from the national registry in Scotland, Scottish Care Information-Diabetes, linked to hospital admissions were studied to estimate the prevalence of major cardiovascular disease (CVD) and risk factor control in patients with type 2 diabetes. They observed 55 mmol/mol was the overall median HbA1c; 132 mmHg as the median SBP; 4.1 mmol/l was the median total cholesterol; and mean BMI was 32 kg/m2 among 248,400 people with type 2 diabetes. They noted 65% of men and 68% of women had two or more CVD risk factor thresholds, which included HbA1c ≥ 53 mmol/mol (7%), SBP > 130 mmHg or DBP > 80 mmHg, total cholesterol ≥ 5 mmol/l or BMI ≥ 30 kg/m2, or were smokers. They recorded that 84% of patients were taking anti-hypertensives and 75% were taking a statin. They reported a high prevalence of CVD among people with type 2 diabetes and a high level of unmet demand to control the risk factors.

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