title: Characteristics of diabetic patients and diabetes care in cardiac rehabilitation.
abstract: BACKGROUND
  Although diabetes is associated with a high cardiovascular risk, very little information is available about diabetic patients enrolled in cardiac rehabilitation (CR).
  
  
  OBJECTIVE
  To analyse the characteristics of diabetic patients and diabetes care in CR.
  
  
  METHODS
  From the database of 700 patients enrolled in CR during a 29-month period, we analysed data from all patients with glucose metabolism disorders (n=105) and 210 matched normoglycaemic patients.
  
  
  RESULTS
  A total of 105 patients with glucose metabolism disorders (type 1 diabetes, n=5; type 2 diabetes, n=84; impaired fasting glucose, n=16) were enrolled in a CR programme (15% of whole population). Fifteen per cent of patients with type 2 diabetes and all patients with impaired fasting glucose were diagnosed during CR. These 105 patients were older and had a higher body mass index, a larger waist circumference, higher fasting blood glucose and triglyceride concentrations and lower low-density lipoprotein cholesterol concentrations than non-diabetic patients; they also had higher rates of hypertension (P=0.001) and dyslipidaemia (P=0.02). They were more frequently referred to CR for peripheral artery disease (P=0.001), coronary heart disease+peripheral artery disease (P=0.007) and primary prevention (P=0.009). The intervention of a diabetologist was needed for 42.6% of patients because of uncontrolled or newly diagnosed diabetes.
  
  
  CONCLUSIONS
  In the present study, we showed that (1) the proportion of patients with diabetes in CR is lower than expected, (2) many glucose metabolism disorders are diagnosed during CR, (3) patients with glucose metabolism disorders show a more severe cardiovascular risk profile than normoglycemic patients, and (4) the intervention of a diabetologist is needed during CR for many patients with diabetes.
authors: Service endocrinologie, diabétologie et maladies métaboliques, hôpital du Bocage, CHU, 21000 Dijon, France.
authors: Maud
authors: M
authors: Beacco
authors: Service de réadaptation cardiaque, clinique SSR Les Rosiers, Dijon, France.
authors: Bénédicte
authors: B
authors: Vergès-Patois
authors: Service de réadaptation cardiaque, clinique SSR Les Rosiers, Dijon, France.
authors: Marie-Cécile
authors: MC
authors: Blonde
authors: Service endocrinologie, diabétologie et maladies métaboliques, hôpital du Bocage, CHU, 21000 Dijon, France.
authors: Elodie
authors: E
authors: Crevisy
authors: Service endocrinologie, diabétologie et maladies métaboliques, hôpital du Bocage, CHU, 21000 Dijon, France.
authors: Marana
authors: M
authors: Habchi
authors: Service endocrinologie, diabétologie et maladies métaboliques, hôpital du Bocage, CHU, 21000 Dijon, France.
authors: Benjamin
authors: B
authors: Bouillet
authors: Service endocrinologie, diabétologie et maladies métaboliques, hôpital du Bocage, CHU, 21000 Dijon, France.
authors: Perrine
authors: P
authors: Buffier
authors: Service endocrinologie, diabétologie et maladies métaboliques, hôpital du Bocage, CHU, 21000 Dijon, France.
authors: Jean-Michel
authors: JM
authors: Petit
authors: Service endocrinologie, diabétologie et maladies métaboliques, hôpital du Bocage, CHU, 21000 Dijon, France. Electronic address: bruno.verges@chu-dijon.fr.
authors: Bruno
authors: B
authors: Vergès
mesh_terms: D000367:Age Factors; D000368:Aged; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000378:metabolism; D015992:Body Mass Index; D015897:Comorbidity; D016208:Databases, Factual; D003920:Diabetes Mellitus / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D050171:Dyslipidemias / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D005602:France / Q000453:epidemiology; D006331:Heart Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000175:diagnosis / Q000453:epidemiology; D012017:Referral and Consultation; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D055105:Waist Circumference
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D008055:Lipids
keywords: Cardiac rehabilitation; Cardiovascular disease; Diabetes; Diabète; Glucose; Infarctus du myocarde; Maladie cardiovasculaire; Myocardial infarction; Réadaptation cardiaque