Clinical characteristics and degree of glycemic and cardiovascular risk factor control in patients with type 1 diabetes in Catalonia (Spain)

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  • dc.contributor.author Giménez-Pérez, Gabriel
  • dc.contributor.author Franch-Nadal, Josep
  • dc.contributor.author Ortega, Emilio
  • dc.contributor.author Mata-Cases Manel
  • dc.contributor.author Goday Arno, Alberto
  • dc.contributor.author Real Gatius, Jordi
  • dc.contributor.author Rodriguez, Ángel
  • dc.contributor.author Vlacho, Bogdan
  • dc.contributor.author Mauricio, Dídac
  • dc.date.accessioned 2022-09-08T06:32:03Z
  • dc.date.available 2022-09-08T06:32:03Z
  • dc.date.issued 2021
  • dc.description.abstract Background: this study aims to evaluate the clinical characteristics, complications, degree of glycemic control, and cardiovascular risk factor control in patients with type 1 diabetes in Catalonia (Northwest of Spain). Methods: cross-sectional study using a database including clinical, laboratory, and treatment data. Patients with an ICD10 diagnosis of type 1 diabetes were included, excluding those treated with glucose-lowering agents other than insulin, or treated only with basal insulin two years after diagnosis. Results: 15,008 patients were analysed. Median IQR age was 42 (31-53) years, diabetes duration 11.8 (6.8-16.0) years, 56.5% men. Median (IQR) HbA1c was 7.9% (7.1-8.8). Microvascular complications were present in 24.4% of patients, 43.6% in those with a diabetes duration >19 years. In presence of known cardiovascular disease 69.3% of patients showed an LDL-C concentration >70 mg/dL, 37% had a systolic blood pressure >135 mmHg and 22.4% were smokers. Conclusions: this study provides a reliable snapshot about the clinical situation of a large population of patients with T1D in Catalonia, which is similar to that of other western areas. The lack of adequate control of cardiovascular risk factors in a significant proportion of patients with cardiovascular disease deserves a more detailed analysis and urges the need for improvement strategies.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Giménez-Pérez G, Franch-Nadal J, Ortega E, Mata-Cases M, Goday A, Real J, et al. Clinical characteristics and degree of glycemic and cardiovascular risk factor control in patients with type 1 diabetes in Catalonia (Spain). J Clin Med. 2021 Apr 6; 10(7): 1536. DOI: 10.3390/jcm10071536
  • dc.identifier.doi http://dx.doi.org/10.3390/jcm10071536
  • dc.identifier.issn 2077-0383
  • dc.identifier.uri http://hdl.handle.net/10230/54023
  • dc.language.iso eng
  • dc.publisher MDPI
  • dc.rights Copyright © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Cardiovascular risk factors
  • dc.subject.keyword Complications
  • dc.subject.keyword Glucose control
  • dc.subject.keyword Type-1 diabetes
  • dc.title Clinical characteristics and degree of glycemic and cardiovascular risk factor control in patients with type 1 diabetes in Catalonia (Spain)
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion