PMID- 30122968 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220318 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 11 DP - 2018 TI - Attainment of recommended therapeutic targets of modifiable cardiovascular risk factors among individuals with type 2 diabetes mellitus screened at a diabetes clinic in Sri Lanka. PG - 409-415 LID - 10.2147/DMSO.S172485 [doi] AB - INTRODUCTION: Implementation of effective measures to control rising burden of cardiovascular diseases among patients with type 2 diabetes mellitus (T2DM) requires information on the adequacy of control and identification of specific groups with suboptimal control of blood glucose, lipids and blood pressure. METHODS: A cross-sectional study of patients with T2DM referred from primary care to a diabetes center was carried out to estimate the proportion of patients achieving the recommended therapeutic targets of four major modifiable cardiovascular risk factors: glycosylated hemoglobin (HbA1c <7%), low-density lipoprotein cholesterol <100 mg/dL, systolic blood pressure (SBP) <130 mmHg and diastolic blood pressure (DBP) <80 mmHg and their associations with age, gender, duration of diabetes and body mass index were studied. RESULTS: Mean (SD) age and the duration of the sample of 2422 (65% males) were 52 (11) and 9 (3), respectively. Percentages with optimal HbA1c, low-density lipoprotein cholesterol, SBP and DBP were 25.2%, 24.3%, 32% and 56.7%, respectively. Only 2% had achieved optimal control of all four risk factors. Significantly higher percentages of males were having optimal HbA1C, SBP and DBP, and regression analysis revealed that male gender was significantly associated with optimal control of SBP. CONCLUSION: Control of cardiovascular risk diseases factors among patients with T2DM managed in the primary care settings needs further improvements in target achievement in all four modifiable risk factors. FAU - Weerarathna, Thilak Priyantha AU - Weerarathna TP AD - Faculty of Medicine, University of Ruhuna, Matara, Sri Lanka, thilak.priyantha@yahoo.com. FAU - Herath, Herath Mudiyanselage Meththananda AU - Herath HMM AD - Faculty of Medicine, University of Ruhuna, Matara, Sri Lanka, thilak.priyantha@yahoo.com. FAU - Liyanage, Gayani AU - Liyanage G AD - Faculty of Medicine, University of Ruhuna, Matara, Sri Lanka, thilak.priyantha@yahoo.com. FAU - Weerarathna, Miyuru Kavinda AU - Weerarathna MK AD - Faculty of Medicine, University of Colombo, Colombo, Sri Lanka. FAU - Senadheera, Vidarsha AU - Senadheera V AD - Faculty of Medicine, University of Colombo, Colombo, Sri Lanka. LA - eng PT - Journal Article DEP - 20180808 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC6087025 OTO - NOTNLM OT - Sri Lanka OT - suboptimal control OT - therapeutic targets OT - type 2 diabetes mellitus COIS- Disclosure The authors report no conflicts of interest in this work. EDAT- 2018/08/21 06:00 MHDA- 2018/08/21 06:01 PMCR- 2018/08/08 CRDT- 2018/08/21 06:00 PHST- 2018/08/21 06:00 [entrez] PHST- 2018/08/21 06:00 [pubmed] PHST- 2018/08/21 06:01 [medline] PHST- 2018/08/08 00:00 [pmc-release] AID - dmso-11-409 [pii] AID - 10.2147/DMSO.S172485 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2018 Aug 8;11:409-415. doi: 10.2147/DMSO.S172485. eCollection 2018.