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https://www.arca.fiocruz.br/handle/icict/60156
CONTROL OF GLUCOSE, BLOOD PRESSURE, AND CHOLESTEROL AMONG ADULTS WITH DIABETES: THE BRAZILIAN NATIONAL HEALTH SURVEY
Glucose control
Blood pressure
LDL cholesterol
Measuring quality of diabetes care
Author
Affilliation
Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Programa de pós-graduação em epidemiologia. Porto Alegre, RS, Brazil / Universidade Federal do Rio Grande do Sul. Statistics Department. Porto Alege, RS, Brazil.
Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Programa de pós-graduação em epidemiologia. Porto Alegre, RS, Brazil / Universidade Federal do Rio Grande do Sul. Social Medicine Department. Porto Alegre, RS, Brazil / Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brazil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Universidade Federal de Minas Gerais. School of Nursing. Department of Maternal and Child Nursing and Public Health. Belo Horizonte, MG, Brazil.
Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Programa de pós-graduação em epidemiologia. Porto Alegre, RS, Brazil / Universidade Federal do Rio Grande do Sul. Social Medicine Department. Porto Alegre, RS, Brazil / Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brazil.
Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Programa de pós-graduação em epidemiologia. Porto Alegre, RS, Brazil / Universidade Federal do Rio Grande do Sul. Social Medicine Department. Porto Alegre, RS, Brazil / Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brazil.
Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.
Universidade Federal de Minas Gerais. School of Nursing. Department of Maternal and Child Nursing and Public Health. Belo Horizonte, MG, Brazil.
Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Programa de pós-graduação em epidemiologia. Porto Alegre, RS, Brazil / Universidade Federal do Rio Grande do Sul. Social Medicine Department. Porto Alegre, RS, Brazil / Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brazil.
Abstract
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.
Keywords
Diabetes mellitusGlucose control
Blood pressure
LDL cholesterol
Measuring quality of diabetes care
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