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IF 6.1 3区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes research and clinical practice Pub Date : 2025-03-29 DOI:10.1016/j.diabres.2025.112121

Ella Zomer , Stella Talic , Ahmad Reza Pourghaderi , Arul Earnest , Matthew Quigley , Danijela Gasevic , Natalie Wischer , Sofianos Andrikopoulos , Konrad Kangru , Gary Deed , Anthony W Russell , Adam J Nelson , Sophia Zoungas

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引用次数: 0

摘要

目的：评估澳大利亚糖尿病患者的心血管风险管理：对2022年参与澳大利亚全国糖尿病审计的糖尿病中心收集的临床审计数据进行回顾性分析。研究对象包括成人（≥18 岁）1 型或 2 型糖尿病患者。临床表现的评估方法是将可改变的心血管风险因素与国家和糖尿病中心层面的循证临床目标进行比较，并按糖尿病类型和心血管疾病（CVD）状况进行子分析：共纳入 4341 人，其中 32.4% 为 1 型糖尿病患者，67.6% 为 2 型糖尿病患者。在所有人群中，25.9%的人达到了 HbA1c 指标（≤7% 或 53 mmol/mol），45.5%的人达到了低密度脂蛋白胆固醇指标（2），30.2%的人达到了体力活动指标（中等至剧烈强度的体力活动≥150 分钟/周），85.0%的人不吸烟。与 1 型糖尿病患者相比，2 型糖尿病患者达到目标的可能性较低。与未患有心血管疾病的患者相比，患有心血管疾病的患者达标的可能性较低：成人糖尿病患者心血管风险的管理未达到最佳水平，增加了可预防的不良健康后果的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

The management of cardiovascular risk in people with diabetes: Insights from an audit of health services providing diabetes care

查看原文本刊更多论文

The management of cardiovascular risk in people with diabetes: Insights from an audit of health services providing diabetes care

Aims

To assess cardiovascular risk management among Australians with diabetes.

Methods

Retrospective analysis of clinical audit data collected from diabetes centres participating in the Australian National Diabetes Audit in 2022. Adults (≥18 years) with type 1 or type 2 were included. Clinical performance was assessed by comparing modifiable cardiovascular risk factors against evidence-based clinical targets at the national and diabetes centre level for the total cohort, with sub-analyses by diabetes type, and by cardiovascular disease (CVD) status.

Results

There were 4341 people included; 32.4 % with type 1 and 67.6 % with type 2 diabetes. Of the total cohort, 25.9 % met the HbA1c target (≤7% or 53 mmol/mol), 45.5 % met the low-density lipoprotein cholesterol target (<2 mmol/L), 43.4 % met the systolic blood pressure target (<130 mmHg), 19.8 % met the body mass index target (<25 kg/m²), 30.2 % met the physical activity target (≥150 mins/week of moderate-to-vigorous intensity), and 85.0 % were non-smokers. Compared to patients with type 1 diabetes, patients with type 2 diabetes were less likely to meet targets. Compared to patients without existing CVD, patients with CVD were less likely to meet targets.

Conclusions

Management of cardiovascular risk in adults with diabetes is sub-optimal, increasing the risk of preventable adverse health outcomes.

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来源期刊

Diabetes research and clinical practice 医学-内分泌学与代谢

CiteScore

10.30

自引率

3.90%

发文量

862

审稿时长

32 days

期刊介绍： Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.