[Integral control of cardiovascular risk factors in type 2 diabetes in the Pallars Jussà and Sobirà regions (area of influence of the regional hospital of Pallars-Lleida)].
FUNDAMENTALS AND OBJECTIVES: Control of cardiovascular risk factors is especially important in type 2 diabetes (DM2). The degree of control has not been studied specifically in rural population and how it affects quality of life. We have assessed the degree of accomplishment of the main control objectives in the area assigned to a regional hospital and evaluated their quality of life.


METHODS
Cross-sectional study, in DM2 patients seen in Primary Care Centers on the Pallars Jussà y Sobirà (Lleida) regions. Smoking, body mass index (BMI), blood pressure (BP), HbA1c, total cholesterol, LDLc, HDL-c and triglycerides were evaluated. Quality of life was assessed with a health questionnaire (EQ-5D).


RESULTS
109 subjects (55% male) were recruited, with a medium age (standard deviation) of 70 (7.7) years old. 25% of cases had BMI <27kg/m(2) and 92% were non-current smokers. Systolic and diastolic BP were under control on the 36% and 53%, and HbA1c, on the 41%. Total Cholesterol was found optimal on the 54%, LDL-c on the 30%, HDL-c on the 64% and triglycerides on the 75%. 1.8% of patients achieved all the goals. The medium global subjective assessment of health status was 69 points.


CONCLUSIONS
A very small percentage of patients with DM2 are in the recommended target. The most difficult to achieve were BMI and BP and the highest achievement were triglycerides and smoking abstinence. Subjective perception of health status was not associated with degree of objectives' control.
Medicina Interna, Hospital Comarcal del Pallars, Tremp, Lleida, España. ldiezporres@yahoo.es
L Díez
LD
Porres
M Riart
MR
Solans
M Foix
MF
Oña
L
L
Morilla
R Mitjana
RM
Isarn
E Salvador
ES
Milian
L Escur
LE
Pujol
D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000209:etiology* / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012423:Rural Health; D013030:Spain