[Cardiovascular risk and the new diagnostic categories for diabetes mellitus proposed by the American Diabetes Association].
OBJECTIVE
To study the cardiovascular risk (CVR) associated with the diagnostic criteria for diabetes proposed by the American Diabetes Association.


METHODS
Cross-sectional, descriptive study.


METHODS
Urban health district.


METHODS
1840 patients > 14 years old, selected by simple randomised sampling from the clinical records (CR) archive, were studied.


METHODS
Through review of the CR, the patients were classified as having: normal glycaemia, disturbed basal glycaemia (DBG) and type-2 diabetes mellitus (DM2). CVR was studied through the simplified Framingham method and the CVR factors of obesity, tobacco dependency, hypertension, hypercholesterolaemia and hypertriglyceridaemia. The likelihood of having high or very high CVR and the CVR factors described in the patients with DBG or DM2 were compared with the same in those with normal glycaemia, through logistical regression with the odds ratio adjusted for age and sex.


RESULTS
1351 patients were classified: 995 with normal glycaemia, 146 with DBG and 210 with DM2. Patients with DBG or DM2 had greater likelihood of high or very high CVR, with some OR at 2.26 (95% CI, 1.39-3.69) and 2.74 (95% CI, 1.81-4.15), respectively. They also had differences (p < 0.05) for obesity (OR, 1.76 and 1.58), hypertension (OR, 1.75 and 2.15) and hypertriglyceridaemia (OR, 1.73 and 2.70), respectively. There were no differences (p > 0.05) for tobacco dependency and hypercholesterolaemia. No differences were found (p > 0.05) between DBG and DM2 for CVR and the CVR factors studied.


CONCLUSIONS
Patients with DBG and DM2 are at high CVR.
Baena Díez
J
J
Area Básica de Salud (ABS) Dr. Carles Ribas (Barcelona) y Dirección de Atención Primaria (DAP) Sants-Montjuïc. Barcelona. jbaenad@meditex.es
Martínez Martínez
J
J
Alvarez Pérez
B
B
Tomàs Pelegrina
J
J
Piñol Forcadell
P
P
Raidó Quintana
E
E
Oller Colom
M
M
Hidalgo García
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases; D003430:Cross-Sectional Studies; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012955:Societies, Medical; D014481:United States