Poor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system: a cross-sectional study.
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ABSTRACT: Objectives
To describe the clinical profile of Brazilian patients with type 2 diabetes attending the public healthcare system and identify factors associated with poor glycaemic control.Design
Cross-sectional study.Setting
14 centres in five regions of Brazil, including primary care units and outpatient clinics of University Hospitals.Participants
Patients with type 2 diabetes attending outpatient clinics of public healthcare system.Main outcome measured
Glycated haemoglobin (HbA1c), centrally measured by high-performance liquid chromatography (National Glycohemoglobin Standardization Program certified).Results
A total of 5750 patients aged 61±10 years, with 11±8 years of diabetes duration (66% women, 56% non-white, body mass index: 28.0±5.3 kg/m(2)) were analysed. Mean HbA1c was 8.6±2.2%, and median HbA1c was 8.1% (6.9% to 9.9%). HbA1c <7% was observed in only 26% of patients. Mean HbA1c was higher (p?8%.Conclusions
The majority of Brazilian patients with type 2 diabetes attending the public healthcare system had HbA1c levels above recommended targets. The recognition of Northeast residents and non-white patients as vulnerable populations should guide future policies and actions to prevent and control diabetes.
SUBMITTER: Viana LV
PROVIDER: S-EPMC3780317 | biostudies-literature | 2013 Sep
REPOSITORIES: biostudies-literature
Publications
Poor glycaemic control in Brazilian patients with type 2 diabetes attending the public healthcare system: a cross-sectional study.
Viana Luciana V LV Leitão Cristiane B CB Kramer Caroline K CK Zucatti Alessandra T N AT Jezini Deborah L DL Felício João J Valverde Ana B AB Chacra Antonio R AR Azevedo Mirela J MJ Gross Jorge L JL
BMJ open 20130918 9
<h4>Objectives</h4>To describe the clinical profile of Brazilian patients with type 2 diabetes attending the public healthcare system and identify factors associated with poor glycaemic control.<h4>Design</h4>Cross-sectional study.<h4>Setting</h4>14 centres in five regions of Brazil, including primary care units and outpatient clinics of University Hospitals.<h4>Participants</h4>Patients with type 2 diabetes attending outpatient clinics of public healthcare system.<h4>Main outcome measured</h4>G ...[more]
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