title: [Level at which control objectives are reached in patients in different population groups with type 2 diabetes].
abstract: BACKGROUND
  There is evidence of increased macro- and micro-vascular risk in diabetic patients. The objective of this study was to determine the level of control in patients in different population groups with type 2 diabetes.
  
  
  METHODS
  
  
  
  METHODS
  Descriptive cross-sectional study.
  
  
  METHODS
  Primary care. Madrid Health Service. Year: 2014.
  
  
  METHODS
  Patients over 14 years with type 2 diabetes. Number of patientes: n=6674.
  
  
  METHODS
  Variables on the degree of control (HbA1c, systolic blood pressure [SBP], diastolic blood pressure [DBP], LDL-c) and variables on patient characteristics (demographic, other cardiovascular risk factors, complications).
  
  
  RESULTS
  The mean age of patients with controlled HbA1c was 67.8 years vs. 62.9 years in the uncontrolled (P<.001). Patients diagnosed with hypertension have a higher percentage of control with respect to the undiagnosed in HbA1c, SBP, DBP and LDL-c: 51 vs. 37%, 62 vs. 43%, 75 vs. 47% and 57 vs. 44% respectively; diagnosed with dyslipidaemia: 51 vs. 39%, 60 vs. 49%, 70 vs. 56% and 56 vs. 46%. With a diagnosis of macroangiopathy: 46 vs. 45%, 58 vs. 54%, 71 vs. 62% and 15 vs. 60%. All differences were statistically significant (P<.001). Over 50% of patients without a diagnosis of hypertension had an SBP> 140mmHg or DBP> 90mmHg. Over 25% of patients with hypertension or DL and uncontrolled levels were not receiving drug treatment.
  
  
  CONCLUSIONS
  Control was improved in all groups, especially in younger patients, with particularly high cardiovascular risk by the presence of other cardiovascular risk factors or macroangiopathy. A significant percentage of patients with uncontrolled BP and cLDL were not diagnosed or receiving drug treatment.
authors.affiliation: Universidad Rey Juan Carlos, Madrid, España. Electronic address: ana_herrero85@hotmail.com.
authors.forename: A
authors.initials: A
authors.lastname: Herrero
authors.affiliation: Servicio de neumología, Hospital Universitario Fundación Jiménez Díaz, Madrid, España.
authors.forename: J
authors.initials: J
authors.lastname: Pinillos
authors.affiliation: Servicio de urgencias, Hospital Universitario del Henares, Madrid, España.
authors.forename: P
authors.initials: P
authors.lastname: Sabio
authors.affiliation: Gerencia de Atención Primaria, Servicio Madrileño de Salud, Madrid, España.
authors.forename: J L
authors.initials: JL
authors.lastname: Martín
authors.affiliation: Universidad Rey Juan Carlos, Madrid, España.
authors.forename: G
authors.initials: G
authors.lastname: Garzón
authors.affiliation: Departamento de Medicina Preventiva y Salud Pública, Universidad Rey Juan Carlos, Madrid, España.
authors.forename: Á
authors.initials: Á
authors.lastname: Gil
mesh_terms: D000367:Age Factors; D000368:Aged; D001794:Blood Pressure; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000209:etiology; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000628:therapy; D003925:Diabetic Angiopathies / Q000453:epidemiology*; D050171:Dyslipidemias / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods*; D012307:Risk Factors; D013030:Spain
keywords: Cardiovascular risk; Comorbidity; Comorbilidad; Diabetes; Riesgo cardiovascular