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Region Hovedstaden - en del af Københavns Universitetshospital
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Identification of Risk Markers for Poorly Controlled Type 2 Diabetes Mellitus: A Retrospective Cross-Sectional Study with Focus on Quality Assurance Based on Real World Data30

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Introduction: Poor glycemic regulation in type 2 diabetes mellitus (T2DM) significantly increases the risk of complications. Therefore, we determined the prevalence of poorly controlled T2DM at a large inner-city out-patient clinic in Denmark and identified risk markers for poorly controlled T2DM. Methods: Data were collected retrospectively on all diabetes patients attending at the out-patient clinic in 2016. Patients attending at the clinic > 2 yrs were categorized by HbA1c as tightly controlled (≤ 50 mmol/mol/ 6.7 %; n=46) or poorly controlled (≥ 75 mmol/ mol/ 9.0 %; n=108) and compared across 55 variables. Results: 313 out of 1202 (26 %) were poorly controlled T2DM patients. Poorly controlled patients had longer duration of diabetes (10.0 vs. 8.5 yrs), higher LDL values (2.34 vs. 1.86 mmol/L), higher triglyceride levels (2.15 vs. 1.63 mmol/L), received more diabetes drugs (3 vs. 2), had more insulin prescribed (85% vs. 52 %), more retinopathy (51% vs. 20%), more comorbidities (2 vs. 1), higher Charlson comorbidity index (4 vs. 3), more yearly consultations (4 vs. 3), and more often another anticipated place of origin than Denmark (57 % vs. 24 %) compared to tightly controlled patients. Conclusion: Risk markers for poorly controlled T2DM were a more pronounced metabolic syndrome and anticipated place of origin, and not clinical inertia, patient attendance at the outpatient clinic nor compliance to medication.
OriginalsprogEngelsk
TidsskriftJournal of Diabetes and Clinical Research
Vol/bind2
Udgave nummer2
Sider (fra-til)30-36
Antal sider7
ISSN2689-2839
StatusUdgivet - 2020

ID: 62410087