Metabolic control and cardiovascular risk factors among type 2 diabetes in a primary care clinic

Metabolic control and cardiovascular risk factors among type 2 diabetes in a primary care clinic. Malaysian Journal of Medicine and Health Sciences, 8 (1). pp. 5-12. ISSN 2636-9346 (2012)



Abstract

Background: Prevalence of diabetes is escalating both globally as well as in Malaysia. With the
epidemic of diabetes and its related morbidities and mortalities, health care professionals are facing an
unprecedented challenges in controlling the disease.

Objective: To determine the metabolic control and
the cardiovascular risk factors among type 2 diabetic patients in a primary care setting.

Method: This was a cross sectional study conducted in a primary care clinic in Selangor, Malaysia. Inclusion criteria
were all type 2 diabetic patients aged 18 and above and were being followed-up for more than six
months prior to the recruiting period in May 2009. The demographic data were obtained through faceto-face interview. Height, weight and blood pressure of the patients were taken during the day of data
collection. The co-morbidities and laboratory results were obtained from the medical records.

Results:
Two-hundred patients were recruited. The mean age was 58.6 (SD=10.5) with 79.0% of the patients
aged more than 50 years old. The majority of the patients were female (62.5%). One-tenth (11.5%)
were smokers. More than half of the patients (64.0%) had co-morbid of hypertension and half of them
(50.5%) had dyslipidaemia. A total of 72.5% of the patients had 3 or more cardiovascular risk factors.
Less than one fifth of the patients had achieved the target of control for glycaemia, blood pressure, LDL
and BMI. Those age 60 and above had significantly higher proportion of patients achieving fasting
blood glucose control (p=0.033).

Conclusion: The majority of type 2 diabetic patients had multiple cardiovascular risk factors (3 or more risk factors) and had not achieved the recommended goals in
metabolic control.

Item Type: Article
Keywords: Type 2 diabetes mellitus, Metabolic control, Cardiovascular risk factors, Primary care clinic
Taxonomy: By Subject > Medicine > Cardiovascular System
By Subject > Medicine > Endocrine System
Local Content Hub: Subjects > Medicine
Depositing User: Asnida Md Arop (Sg. Buloh)
Date Deposited: 22 Oct 2021 09:30
Last Modified: 22 Oct 2021 09:41
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