[Effectiveness of control of cardiovascular risk factors in type 2 diabetic population of Ciudad Real province].
BACKGROUND
Diabetes mellitus type 2 has a very aggressive atherosclerosis profile, which means that the control of the cardiovascular risk factors should be very demanding. There are doubts concerning the attainment of such suitable objectives in primary care because of the difficulties for reproducing the conditions of clinical trials.


METHODS
Observational, descriptive, cross-sectional, and multicenter study. It was designed in order to establish the level of control of principal risk factors (tobacco, hypertension, hyperglycemia, dyslipemia, obesity), and the use of aspirin, in type 2 diabetics cared in Primary Care centers in Ciudad Real province. 405 patients were evaluated by 33 physicians from 18 Primary Care centers.


RESULTS
HbA1c values < 7% were obtained in 51.51%, 45.9% of patients showed obesity, average glycemia was 163.61 +/- 51.47. Blood pressure < 130/85 was detected in 18.50% of patients, 62.22% of patients took some hypotensive drug and 51.20% antihypertensives. LDL-c < 100 mg/dl was detected in 10.21% but only 30.61% was on hypolipemic drugs. HDL-c was not determined in 26% of patients, and was 45 mg/dl in 66.44%. Aspirin was prescribed in 31.35%; 9.63% of patients were smoker. No patient reached all necessary prevention objectives.


CONCLUSIONS
The control of the different risk factors in type 2 diabetics in Primary Care does not guarantee appropriate cardiovascular prevention. The behavior concerning to smoking was good in this study, and the levels of HDL-c and triglycerides were acceptable. Pharmacological treatment should have been most frequent and intense.
D000368:Aged; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D048909:Diabetes Complications / Q000517:prevention & control*; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013030:Spain