title: Therapeutic target achievement in type 2 diabetic patients after hyperglycemia, hypertension, dyslipidemia management.
abstract: BACKGROUND
  Our study group established "3H care" in 2002. The meaning of "3H care" attain and maintain adequate controls over hypertension, hyperlipidemia, and hyperglycemia in type 2 diabetic patients. This study evaluated the achievement of target goals after one year or more of "3H care" by specialists in our diabetic clinic.
  
  
  METHODS
  This was a retrospective study of 200 type 2 diabetic patients who received "3H care" for one year or more in our diabetic clinic. We evaluated achievement of target goals for metabolic controls as suggested by the American Diabetes Association.
  
  
  RESULTS
  Overall, 200 type 2 diabetes patients were enrolled, of whom 106 were males (53%) and 94 were females (47%). After one year of "3H care," the mean HbA1c was 7.2±1.5% and the percentage of patients achieving glycemic control (HbA1c <7%) was 51.8%. However only 32.2% of hypertensive patients achieved the recommended target. After one year of "3H care," the percentages of those who achieved the target value for dyslipidemia were 80.0% for total cholesterol, 66.3% for low density lipoprotein cholesterol, 57.9% for triglyceride, and 51.8% for high density lipoprotein cholesterol. The percentage that achieved all three targets level was only 4.4% after one year and 14.8% after two years.
  
  
  CONCLUSIONS
  The results of this study demonstrate that only a minor proportion of patients with type 2 diabetes achieved the recommended goals despite the implementation of "3H care." It is our suggestion that better treatment strategies and methods should be used to control hypertension, hyperlipidemia and hyperglycemia.
authors.affiliation: Department of Internal Medicine, Choon Hae Hospital, Busan, Korea.
authors.forename: Ah Young
authors.initials: AY
authors.lastname: Kang
authors.forename: Su Kyung
authors.initials: SK
authors.lastname: Park
authors.forename: So Young
authors.initials: SY
authors.lastname: Park
authors.forename: Hye Jeong
authors.initials: HJ
authors.lastname: Lee
authors.forename: Ying
authors.initials: Y
authors.lastname: Han
authors.forename: Sa Ra
authors.initials: SR
authors.lastname: Lee
authors.forename: Sung Hwan
authors.initials: SH
authors.lastname: Suh
authors.forename: Duk Kyu
authors.initials: DK
authors.lastname: Kim
authors.forename: Mi Kyoung
authors.initials: MK
authors.lastname: Park