Next Article in Journal
Effects of Statins on the Incidence and Mortality of Sepsis in Patients with New Cancer Diagnosis
Next Article in Special Issue
Educational Differences in Diabetes Mortality among Hispanics in the United States: An Epidemiological Analysis of Vital Statistics Data (1989–2018)
Previous Article in Journal
Neurotransmitter Dysfunction in Irritable Bowel Syndrome: Emerging Approaches for Management
Previous Article in Special Issue
Arterial Stiffness: Its Relation with Prediabetes and Metabolic Syndrome and Possible Pathogenesis
Article

Control of Glucose, Blood Pressure, and Cholesterol among Adults with Diabetes: The Brazilian National Health Survey

1
Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre 90035-003, RS, Brazil
2
Statistics Department, Universidade Federal do Rio Grande do Sul, Porto Alegre 91509-900, RS, Brazil
3
Social Medicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre 90035-003, RS, Brazil
4
Hospital de Clínicas de Porto Alegre, Porto Alegre 90035-003, RS, Brazil
5
Institute of Communication and Scientific and Technological Information on Health of Oswaldo Cruz Foundation, Rio de Janeiro 21040-900, RJ, Brazil
6
Department of Maternal and Child Nursing and Public Health, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte 30130-100, MG, Brazil
*
Author to whom correspondence should be addressed.
Academic Editors: Alberto Barcelo and Emmanuel Andrès
J. Clin. Med. 2021, 10(15), 3428; https://doi.org/10.3390/jcm10153428
Received: 1 July 2021 / Revised: 22 July 2021 / Accepted: 26 July 2021 / Published: 31 July 2021
(This article belongs to the Special Issue Diabetes Epidemiology, Prevention and Treatment)
ABC (glucose, blood pressure and LDL-cholesterol) goals are basic standards of diabetes care. We aimed to assess ABC control and related factors in a representative sample of Brazilian adults with diabetes. We analyzed 465 adults with known diabetes in the Brazilian National Health Survey. The targets used were <7% for glycated hemoglobin (A1C); <140/90 mmHg for blood pressure; and <100 mg/dL for LDL-C, with stricter targets for the latter two for those with high cardiovascular (CVD) risk. Individual goals were attained by 46% (95% CI, 40.3–51.6%) for A1C, 51.4% (95% CI, 45.7–57.1%) for blood pressure, and 40% (95% CI, 34.5–45.6%) for LDL-C. The achievement of all three goals was attained by 12.5% (95% CI, 8.9–16.2%). Those with high CVD risk attained blood pressure and LDL-C goals less frequently. A1C control improved with increasing age and worsened with greater duration of diabetes. Achievement of at least two ABC goals decreased with increasing BMI and greater duration of diabetes. In sum, about half of those with known diabetes achieved each ABC goal and only a small fraction achieved all three goals. Better access and adherence to treatment and strategies to personalize goals according to specific priorities are of the essence. View Full-Text
Keywords: diabetes mellitus; glucose control; blood pressure; LDL cholesterol; measuring quality of diabetes care diabetes mellitus; glucose control; blood pressure; LDL cholesterol; measuring quality of diabetes care
Show Figures

Figure 1

MDPI and ACS Style

dos Reis, R.C.P.; Duncan, B.B.; Szwarcwald, C.L.; Malta, D.C.; Schmidt, M.I. Control of Glucose, Blood Pressure, and Cholesterol among Adults with Diabetes: The Brazilian National Health Survey. J. Clin. Med. 2021, 10, 3428. https://doi.org/10.3390/jcm10153428

AMA Style

dos Reis RCP, Duncan BB, Szwarcwald CL, Malta DC, Schmidt MI. Control of Glucose, Blood Pressure, and Cholesterol among Adults with Diabetes: The Brazilian National Health Survey. Journal of Clinical Medicine. 2021; 10(15):3428. https://doi.org/10.3390/jcm10153428

Chicago/Turabian Style

dos Reis, Rodrigo C.P., Bruce B. Duncan, Célia L. Szwarcwald, Deborah C. Malta, and Maria I. Schmidt. 2021. "Control of Glucose, Blood Pressure, and Cholesterol among Adults with Diabetes: The Brazilian National Health Survey" Journal of Clinical Medicine 10, no. 15: 3428. https://doi.org/10.3390/jcm10153428

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop