title: Thailand diabetes registry (TDR) project: clinical status and long term vascular complications in diabetic patients.
abstract: OBJECTIVE
  The primary objectives of the Thailand Diabetes Registry project were to identify the characteristics of Thai diabetic patients in tertiary care medical centers and to determine the extent of long term diabetic complications. The secondary objective aimed at building up and strengthening clinical research network among Thai experts in diabetes mellitus and collection of baseline data for future follow-up study.
  
  
  METHODS
  A cross-sectional, multi-center, hospital-based diabetes registry was carried out from diabetes clinics of 11 tertiary centers. Demographic data, clinical status of diabetes and its complications were collected and analyzed for the prevalence of complications and risk factors.
  
  
  RESULTS
  Nine-thousand-four-hundred-and-nineteen patients were registered for the project and 94.6% were type 2 diabetes. Mean +/- SD of age was 59.4 +/- 13.5 and duration of diabetes was and 10 +/- 7.6 years. Only 38.2% of the subjects achieved glycemic control of FPG under 130 mg/dl in only 30.7% had an HbA lc of less than 7%. The overall prevalence of dyslipidemia found in this population was 73.3%, hypertension was 63.3% and obesity (BMI >25 kg/m2) was 52.6%. Diabetic nephropathy was the most common complication accounting for 43.9% followed by retinopathy 30.7%, IHD 8.1% and cerebrovascular disease 4.4%.
  
  
  CONCLUSIONS
  The prevalence of dyslipidemia and hypertension were high in this population, which may be associated with the high prevalence of diabetic complications. The unsatisfactory control of metabolic status may be due to aging and long duration of diabetic patients in this registry.
authors: Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. petch@vajira.ac.th
authors: Petch
authors: P
authors: Rawdaree
authors: Chardpraorn
authors: C
authors: Ngarmukos
authors: Chaicharn
authors: C
authors: Deerochanawong
authors: Sompongse
authors: S
authors: Suwanwalaikorn
authors: Thanya
authors: T
authors: Chetthakul
authors: Sirinate
authors: S
authors: Krittiyawong
authors: Yupin
authors: Y
authors: Benjasuratwong
authors: Pongamorn
authors: P
authors: Bunnag
authors: Natapong
authors: N
authors: Kosachunhanun
authors: Nattachet
authors: N
authors: Plengvidhya
authors: Rattana
authors: R
authors: Leelawatana
authors: Thongchai
authors: T
authors: Prathipanawatr
authors: Supawadee
authors: S
authors: Likitmaskul
authors: Sirima
authors: S
authors: Mongkolsomlit
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D048909:Diabetes Complications; D003922:Diabetes Mellitus, Type 1; D003924:Diabetes Mellitus, Type 2; D005260:Female; D006304:Health Status; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D007223:Infant; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D016730:Program Development; D012042:Registries; D012307:Risk Factors; D013785:Thailand / Q000453:epidemiology; D013997:Time Factors