PMID- 25299503 OWN - NLM STAT- MEDLINE DCOM- 20160805 LR - 20221207 IS - 1898-018X (Electronic) IS - 1898-018X (Linking) VI - 22 IP - 2 DP - 2015 TI - Cardiovascular risk management in type 2 diabetes of more than 10-year duration: Results of Polish ARETAEUS2-Grupa Study. PG - 150-9 LID - 10.5603/CJ.a2014.0067 [doi] AB - BACKGROUND: ARETAEUS 1 study showed that a great majority of patients with type 2 diabetes mellitus (T2DM) of short duration did not meet all of the treatment goals. Since then the treatment goals in T2DM have been changed. The aim of the ARETAEUS 2-Grupa Study was to assess cardiovascular (CV) risk management and meeting treatment goals in the population of T2DM of more than 10-year duration. METHODS: ARETAEUS2-Grupa was a cross-sectional questionnaire-based study conducted in Poland in 2012. Randomly selected physicians recruited 1,740 patients with T2DM diagnosed more than 10 years before the study. RESULTS: Lipid treatment goals were met respectively: for total cholesterol in 34.5% of all patients, triglycerides in 53.8%, low density lipoprotein cholesterol (LDL-C) in 26.5% and high density lipoprotein cholesterol (HDL-C) in 38.2%. Most of patients with and without coronary artery disease were receiving aspirin (90.3% and 60%, respectively) and statins (84.4% and 67.7%, respectively). The current blood pressure (BP) goal (140/90 mm Hg) was met in 43.5% of patients and the previous goal (< 130/80 mm Hg) in 12.4%. The patients were mainly treated with >/= 3 antihypertensive drugs. All treatment goals (for HbA1c, BP and LDL-C) were reached only by 8.2% of patients, any two goals by 26.3% of patients, one goal by 39.8% of patients, none by 25.6% of patients. CONCLUSIONS: The new less restrictive treatment goals are reached more frequently but still much is to be done in the field of clinical practice guidelines implementation and CV prevention in T2DM population. FAU - Lesniak, Wiktoria AU - Lesniak W AD - 2nd Department of Inter nal Medicine, Jagiellonian Univer sity Medical College, Krakow, Poland. lesniak@mp.pl. FAU - Bala, Malgorzata M AU - Bala MM FAU - Placzkiewicz-Jankowska, Ewa AU - Placzkiewicz-Jankowska E FAU - Topor-Madry, Roman AU - Topor-Madry R FAU - Jankowski, Milosz AU - Jankowski M FAU - Sieradzki, Jacek AU - Sieradzki J FAU - Banasiak, Waldemar AU - Banasiak W CN - ARETAEUS2 Study Group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141009 PL - Poland TA - Cardiol J JT - Cardiology journal JID - 101392712 RN - 0 (Antihypertensive Agents) RN - 0 (Biomarkers) RN - 0 (Glycated Hemoglobin A) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Hypoglycemic Agents) RN - 0 (Lipids) RN - 0 (Platelet Aggregation Inhibitors) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Aged MH - Antihypertensive Agents/*therapeutic use MH - Biomarkers/blood MH - Blood Pressure/drug effects MH - Cardiovascular Diseases/diagnosis/epidemiology/*prevention & control MH - Coronary Artery Disease/diagnosis/*drug therapy/epidemiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/blood/diagnosis/*drug therapy/epidemiology MH - Female MH - Glycated Hemoglobin/metabolism MH - Guideline Adherence MH - Health Care Surveys MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/*therapeutic use MH - Hyperlipidemias/blood/diagnosis/*drug therapy/epidemiology MH - Hypertension/diagnosis/*drug therapy/epidemiology/physiopathology MH - Hypoglycemic Agents/*therapeutic use MH - Lipids/blood MH - Male MH - Middle Aged MH - Platelet Aggregation Inhibitors/*therapeutic use MH - Poland/epidemiology MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians' MH - Risk Assessment MH - Risk Factors MH - Surveys and Questionnaires MH - Time Factors MH - Treatment Outcome FIR - Sieradzki, Jacek IR - Sieradzki J FIR - Banasiak, Waldemar IR - Banasiak W FIR - Czupryniak, Leszek IR - Czupryniak L FIR - Gorska, Maria IR - Gorska M FIR - Grzeszczak, Wladyslaw IR - Grzeszczak W FIR - Malecki, Maciej IR - Malecki M FIR - Wierusz-Wysocka, Bogna IR - Wierusz-Wysocka B EDAT- 2014/10/10 06:00 MHDA- 2016/08/06 06:00 CRDT- 2014/10/10 06:00 PHST- 2014/05/20 00:00 [received] PHST- 2014/08/22 00:00 [accepted] PHST- 2014/08/19 00:00 [revised] PHST- 2014/10/10 06:00 [entrez] PHST- 2014/10/10 06:00 [pubmed] PHST- 2016/08/06 06:00 [medline] AID - VM/OJS/J/38313 [pii] AID - 10.5603/CJ.a2014.0067 [doi] PST - ppublish SO - Cardiol J. 2015;22(2):150-9. doi: 10.5603/CJ.a2014.0067. Epub 2014 Oct 9.