Infradiagnosed complications of chronic diabetes mellitus: The value of systematic review in a single visit

Mercè Fernández-Miró, Cristina Colom, Ariadna Lloveras, Gemma Llauradó, Juan José Chillarón

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2 Citations (Scopus)

Abstract

Introduction: Early diagnosis of diabetes mellitus complications reduces their progression and therefore improves quality of life and decreases cardiovascular mortality. Objectives: To evaluate the efficiency of a unit for detection of chronic complications of diabetes, and to analyze the incidence and prevalence of complications in a sample of patients from our area of interest and concern. Methods: A cross-sectional study performing routine screening of all diabetes complications in patients aged 18-80 years diagnosed with type 1 or type 2 diabetes mellitus at least 6 months before. Anthropometric variables were measured and data on drug treatment and the most recent lipid profile were collected. Results: 460 patients were included in the study. The prevalence and incidence rates of chronic complications of diabetes were 57% and 35.4% respectively. Glycosylated hemoglobin values ≤ 7% were found in 42% of patients, blood pressure levels below 130/80. mmHg in 20% of patients, and LDL cholesterol levels less than 2.59 mmol/L in 46% of patients. Patients with new complications were older and had higher BMI and hip circumference values, as well as higher systolic blood pressure levels and greater use of antihypertensive drugs. Conclusion: A unit for routine screening of chronic complications of diabetes would allow for detection of macroangiopathy and microangiopathy in a single annual visit, increasing visit compliance, and for implementation of measures to prevent its progression. © 2012 SEEN.
Original languageEnglish
Pages (from-to)585-590
JournalEndocrinologia y Nutricion
Volume59
Issue number10
DOIs
Publication statusPublished - 1 Dec 2012

Keywords

  • Chronic complications
  • Diabetes mellitus
  • Prevalence

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    Fernández-Miró, M., Colom, C., Lloveras, A., Llauradó, G., & Chillarón, J. J. (2012). Infradiagnosed complications of chronic diabetes mellitus: The value of systematic review in a single visit. Endocrinologia y Nutricion, 59(10), 585-590. https://doi.org/10.1016/j.endonu.2012.08.002