ASSESSMENT OF THE QUALITY OF CARDIOVASCULAR RISK FACTORS CONTROL IN DIABETIC PATIENTS

Abstract   BACKGROUND: cardiovascular diseases are prevalent in diabetic patients and have a worse prognosis than patients without diabetes. Its cause is the high incidence of risk factors. In this study, we investigated the quality of control of cardiovascular risk factors in diabetic patients.   METHOD AND MATERIALS: In this observational study, ۵۱۴ cases of diabetes were studied. These cases included ۱۴۲ males (۲۷.۶%) and ۳۷۲ females (۷۲.۴%) referring to diabetes clinic of Kerman medical university from ۱۹۹۹ to ۲۰۰۷. All data were extracted from the patients’ profile and entered in the forms. Data were analyzed using SPSS v ۱۱.۵.   RESULTS: The results showed that the mean age of the subjects was ۵۷.۱۸ (± ۱۰.۳۳) and the mean body mass index was ۲۶.۲۹ (± ۴.۶۶) kg/m۲.Based on the first visit, the incidence of obesity, dislipidemia and hypertension was ۱۷.۵%, ۸۴.۶% and ۶۲.۲%, respectively. Of all the subjects, ۳۲.۸% had ۲ risk factors, ۴۱.۴۰% had ۳ and ۱۸.۸۷% had more than ۳ risk factors. The frequency of controlled risk factors such as FBS‚ HbA۱C‚ triglyceride‚ cholesterol‚ HDL level more than ۴۰ in males and ۵۰ in females (based on the average of total visits) was ۱۰.۱%‚ ۲۰%.۶‚۵۷.۴%‚ ۳۸.۹%‚ ۳۹.۸%‚ respectively. The frequency of systolic and diastolic blood pressure of less than ۱۳۰/۸۰ mmHg was ۶۷.۹% and ۵۲.۱%.     CONCLUSION: This study shows the high prevalence of cardiovascular risk factors in diabetics‚ the poor control over these factors and points out the importance of diagnostic-therapeutic interventions for a more accurate control over cardiovascular risk factors. Keywords: prevalence, cardiovascular diseases, risk factors, diabetes.