Prevalence of complications among Chinese diabetic patients in urban primary care clinics: a cross-sectional study

BMC Family Practice

Research Article

Eric Ming-Tung Hui¹  Shuk Yun Leung¹  Augustine Lam¹  Kenny Kung¹  Maria Leung¹  Philip Kam-Tao Li²  Cheuk Chun Szeto³  Kai Ming Chow³ 

[1] Department of Family Medicine, New Territories East Cluster, Hospital Authority, Shatin, Hong Kong;Department of Family Medicine, New Territories East Cluster, Hospital Authority, Shatin, Hong Kong;Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, 32, Ngan Shing Street, Shatin, Hong Kong;Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, 32, Ngan Shing Street, Shatin, Hong Kong;

关键词: Diabetic complications;    Primary care;    Chronic illness;    Screening program;   

DOI  :  10.1186/1471-2296-15-8

 received in 2013-04-25, accepted in 2013-12-30,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundA territory-wide diabetes management program (Risk Assessment Management Program – RAMP) was recently established, providing comprehensive management for all diabetics, helping to delineate current level of control and complications prevalence among primary care diabetic patients in Hong Kong.MethodThis cross-sectional study captured anonymous clinical data from RAMP patients. Data obtained include sociodemographic details, type of diabetes, illness duration, family history, drug usage, coexisting illnesses, diabetic complications and other clinical parameters.ResultsData from 15,856 type 2 diabetic patients were analyzed. 57.1% were above 60 years old, with mean disease duration of 7.3 years. Hypertension was the commonest coexisting chronic illness (57.6%). 30.2% and 61.8% have their systolic and diastolic pressure controlled to below 130 mmHg and 80 mmHg respectively. Over half (51.5%) had an HbA1c level of less than 7.0%. 88.4% did not achieve target lipid level. 15% were on diet control alone. Only 22.2% were on statins. In patients with microalbuminuria and macroalbuminuria, 40.7% and 54.5% were on angiotensin converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) respectively. 12.9%, 38.8% and 2.4% had diabetic retinopathy, nephropathy and neuropathy respectively. Overall, 37.9%, 7.3% and 0.4% had single, two and three concurrent microvascular complications respectively.ConclusionThe level of diabetic control is comparable with other developed countries. We demonstrated a high prevalence of microvascular complications among Chinese primary care patients despite achieving adequate HbA1c levels, highlighting the importance of managing all aspects of diabetes including weight, lipid and blood pressure. Efforts to improve holistic management must be tailored according to the needs of our population, with the challenges that the majority have low educational background and in the older age group.

【 授权许可】

Unknown   
© Kung et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.