title: Prevalence of adults with type 1 diabetes who meet the goals of care in daily clinical practice: a nationwide multicenter study in Brazil.
abstract: OBJECTIVE
  To determine the prevalence of patients with type 1 diabetes mellitus who meet the glycemic and cardiovascular (CV) risk factors goals and the frequency of screening for diabetic complications in Brazil according to the American Diabetes Association guidelines.
  
  
  METHODS
  This was a cross-sectional, multicenter study conducted between December 2008 and December 2010 in 28 public clinics in 20 Brazilian cities. Data were obtained from 1774 adult patients (56.8% females, 57.2% Caucasians) aged 30.3 ± 9.8 years with diabetes duration of 14.3 ± 8.8 years.
  
  
  RESULTS
  Systolic blood pressure was at goal in 40.3% and diastolic blood pressure was at goal in 26.6% of hypertensive patients. LDL cholesterol and HbA1c were at the goal in 45.2% and 13.2% of the patients, respectively. Overweight was presented in 25.6% and obesity in 6.9%. Among those with more than 5 years of disease, screening for retinopathy was performed in the preceding year in 70.1%. Nephropathy and feet complications were screened in 63.1% and 65.1%, respectively.
  
  
  CONCLUSIONS
  The majority of patients did not meet metabolic control goals and a substantial proportion was not screened for diabetic complications. These issues may increase the risk of chronic complications and negatively impact public health.
authors.affiliation: Department of Internal Medicine, Diabetes Unit, State University Hospital of Rio de Janeiro, Brazil. mariliabgomes@gmail.com
authors.forename: Marilia B
authors.initials: MB
authors.lastname: Gomes
authors.forename: Marisa
authors.initials: M
authors.lastname: Coral
authors.forename: Roberta A
authors.initials: RA
authors.lastname: Cobas
authors.forename: Sergio Atala
authors.initials: SA
authors.lastname: Dib
authors.forename: Luis Henrique
authors.initials: LH
authors.lastname: Canani
authors.forename: Márcia
authors.initials: M
authors.lastname: Nery
authors.forename: Maria Cristina Foss
authors.initials: MC
authors.lastname: de Freitas
authors.forename: Manuel
authors.initials: M
authors.lastname: Faria
authors.forename: João Soares
authors.initials: JS
authors.lastname: Felício
authors.forename: Saulo Cavalcanti
authors.initials: SC
authors.lastname: da Silva
authors.forename: Hermelinda
authors.initials: H
authors.lastname: Pedrosa
authors.forename: Adriana
authors.initials: A
authors.lastname: Costa e Forti
authors.forename: Rosangela Roginski
authors.initials: RR
authors.lastname: Rea
authors.forename: Antonio Carlos
authors.initials: AC
authors.lastname: Pires
authors.forename: Renan
authors.initials: R
authors.lastname: Montenegro Junior
authors.forename: José Egídio
authors.initials: JE
authors.lastname: Oliveira
authors.forename: Nelson
authors.initials: N
authors.lastname: Rassi
authors.forename: Carlos Antonio
authors.initials: CA
authors.lastname: Negrato
mesh_terms: D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood*; D001786:Blood Glucose / Q000378:metabolism; D001794:Blood Pressure; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000188:drug therapy / Q000453:epidemiology*; D003928:Diabetic Nephropathies / Q000097:blood / Q000188:drug therapy / Q000453:epidemiology*; D003930:Diabetic Retinopathy / Q000097:blood / Q000188:drug therapy / Q000453:epidemiology*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000097:blood / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009765:Obesity / Q000097:blood / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors
chemical_list: D015415:Biomarkers; D001786:Blood Glucose