Insights Into the Management of Type 2 Diabetes at Diagnosis in Spain: The NEW2TYPE2 Study

IF 2.6 Q3 ENDOCRINOLOGY & METABOLISM
Concha F. García-Prieto, Fernando Gómez-Peralta, Rocío Villar-Taibo, Sergio Cinza-Sanjurjo, Jennifer Redondo-Antón, Silvia Díaz-Cerezo, Miriam Rubio-de Santos
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Abstract

Introduction

This study analysed the opinions and perceptions of Spanish physicians towards the management of people newly diagnosed with type 2 diabetes (T2D) aged ≤ 65 years.

Methods

Online survey targeting primary care physicians (PCPs) and endocrinologists (members of three national scientific societies) treating people with T2D. Management practices and factors determining prescribed therapies and treatment goals were captured in general and by patient profile. The respondents' perception of the limitations in setting strict glycaemic control objectives and weight loss targets, and the feasibility and impact of possible solutions, were examined.

Results

A total of 105 physicians (60% PCPs, 40% endocrinologists) responded to the survey; 98% of respondents reported following clinical practice guidelines; 53.3% and 27.6% considered stringent glycaemic control to be HbA1c levels of 6.0%–6.5% and 6.5%–7.0%, respectively. In patient profiles with overweight/obesity, > 90% reported setting weight loss goals, with 5%–10% weight loss being the most common target. The most limiting factors for the establishment of stringent glycaemic and weight loss targets were the lack of awareness of self-care of the disease (74.3%) and the cost to the healthcare system of the most effective drugs (72.4%). Training and the implementation of simple protocols and algorithms were the solutions perceived as having the greatest impact and feasibility. Redefining visa criteria was considered the solution with the highest impact.

Conclusions

The results are consistent with clinical practice guidelines' recommendations in Spain, but early and intensive interventions focused on reducing the risk of long-term complications in people with T2D who have longer life expectancy could be promoted at diagnosis.

Abstract Image

西班牙诊断时2型糖尿病管理的见解:NEW2TYPE2研究
本研究分析了西班牙医生对≤65岁新诊断的2型糖尿病(T2D)患者管理的看法和看法。方法对治疗T2D患者的初级保健医生(pcp)和内分泌学家(三个国家科学学会的成员)进行在线调查。管理实践和决定规定的治疗和治疗目标的因素被捕获一般和病人的资料。调查了受访者对制定严格的血糖控制目标和减肥目标的局限性的看法,以及可能解决方案的可行性和影响。结果共有105名医生参与调查,其中pcp占60%,内分泌科占40%;98%的答复者报告遵循临床实践指南;53.3%和27.6%的人认为严格的血糖控制是HbA1c水平分别为6.0%-6.5%和6.5%-7.0%。在超重/肥胖患者资料中,90%的患者报告设定了减肥目标,其中最常见的目标是体重减轻5%-10%。制定严格的血糖和减肥目标的最大限制因素是缺乏疾病自我保健意识(74.3%)和最有效药物的医疗保健系统成本(72.4%)。培训和执行简单的协议和算法被认为是影响最大和最可行的解决办法。重新定义签证标准被认为是影响最大的解决方案。结论:该结果与西班牙临床实践指南的建议一致,但可以在诊断时促进早期和强化干预,以降低预期寿命较长的T2D患者的长期并发症风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Endocrinology, Diabetes and Metabolism
Endocrinology, Diabetes and Metabolism Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
5.00
自引率
0.00%
发文量
66
审稿时长
6 weeks
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