title: Thailand diabetes registry project: current status of dyslipidemia in Thai diabetic patients.
abstract: OBJECTIVE
  To determine the prevalence of dyslipidemia in adult Thai type 2 diabetes who attended diabetes clinics in university and tertiary-care hospitals.
  
  
  METHODS
  A cross-sectional, multi-center, hospital-based diabetes registry was conducted in 11 diabetic clinics in tertiary medical centers in Bangkok and major provinces between April and December 2003. A group of 9419 diabetic patients were registered. Individual Demographic data including education and socioeconomic status were collected. The results of the physical examination for complications, history screening and laboratory results were recorded. The prevalence of the various complications of diabetes was analyzed and the percentage achievement of metabolic control calculated.
  
  
  RESULTS
  Of the 9419 diabetic patients registered 8769 had complete demographic and plasma lipid data. Mean age was 59.5 +/- 13.3 years. The percentage of male patients was 33.9%. In the present study, there were 8464 type 2 diabetes and 383 type I diabetes. History of coronary artery disease and cerebrovascular disease were present in 8.1 and 4.2 percent ofthepatients, respectively. More than 80% of the patients had dyslipidemia. The patients with CVD had higher proportion of achieving the LDL target (< 100 mg/dl, 43 vs. 34%). More than half of the patients (55%) were taking lipid lowering medications, but one-third (30%) did not despite havingfulfilled indications. The patients covered by government supported health plan were less likely to received lipid-lowering medication than the patients covered by private health plans (OR 0.65, 95% CI 0.57-0.75). The two most commonly used lipid-lowering agents were HMG CoA reductase inhibitors (76%) and fibrates (19%), both agents were used in combination in 5% ofthe patients. Only 40.1% ofthe patients on lipid-lowering medications reached the target LDL goal (<100 mg/dl).
  
  
  CONCLUSIONS
  Elevated LDL cholesterol was the most common lipid abnormality in the present study. Although 55% of the patients were taking lipid lowering agents, another 42% of the patients needed the medication. More than half of the patients treated needed more intensive lipid lowering in order to achieve the LDL goal. If the authors wish to follow the current (2005) American Diabetes Association recommendations, we would have to treat up to 97% of diabetic patients with lipid lowering
authors: Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand. thongcha@kku.ac.th
authors: Thongchai
authors: T
authors: Pratipanawatr
authors: Petch
authors: P
authors: Rawdaree
authors: Thanya
authors: T
authors: Chetthakul
authors: Pongamorn
authors: P
authors: Bunnag
authors: Chardpraorn
authors: C
authors: Ngarmukos
authors: Yupin
authors: Y
authors: Benjasuratwong
authors: Rattana
authors: R
authors: Leelawatana
authors: Natapong
authors: N
authors: Kosachunhanun
authors: Nattachet
authors: N
authors: Plengvidhya
authors: Chaicharn
authors: C
authors: Deerochanawong
authors: Sompongse
authors: S
authors: Suwanwalaikorn
authors: Sirinate
authors: S
authors: Krittiyawong
authors: Sirima
authors: S
authors: Mongkolsomlit
authors: Chulaluk
authors: C
authors: Komoltri
mesh_terms: D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology; D003430:Cross-Sectional Studies; D048909:Diabetes Complications; D003924:Diabetes Mellitus, Type 2; D050171:Dyslipidemias / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006304:Health Status; D006801:Humans; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D016730:Program Development; D015397:Program Evaluation; D012042:Registries; D013785:Thailand / Q000453:epidemiology
chemical_list: D000960:Hypolipidemic Agents