CARDIO-METABOLIC RISK FACTORS CONTROL IN NEWLY DIAGNOSED TYPE 2 DIABETIC SUBJECTS

Abstract

Background and Aims. The aim of this study was to assess the control of the cardio- metabolic risk factors in subjects with newly diagnosed type 2 diabetes (T2DM) one year after initiating the clinical management. Material and Methods. We conducted a prospective observational study including 673 persons with newly diagnosed T2DM, registered at the Clinical Center of Diabetes Cluj-Napoca, between 2006-2008. Results: Of the total T2DM subjects who were followed-up until the end of the first year after diagnosis, the proportion of those reaching the optimal goals for major risk factors was 72.1% for HbA1c, 58.6% for blood pressure (BP) and 40.3% for LDL cholesterol. All three goals were met by only 6.9%. Achieving glycemic targets is associated with a lower HbA1c value at diagnosis (OR:0.66, 95%IC: 0.54-0.81). The parameters which were initially identified as associated with achieving the objectives of the clinical management were represented by age, male gender, clinical parameters (HbA1c, body mass index, BP), hypertension, pharmacotherapy. Conclusions: Implementing clinical management in newly diagnosed T2DM subjects resulted in improved glycemic control and cardiovascular risk factors one year after diagnosis. The management of newly diagnosed people with T2DM focused specifically on achieving the glycemic target.