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Family Practice Vol. 16, No. 4, 402-406
© Oxford University Press 1999

Metabolic control and morbidity of Type 2 diabetic patients in a general practice network

M Bouma, JH Dekkera, JthM van Eijka, FG Schellevisa, DMW Kriegsmana and RJ Heineb

Institute for Research in Extramural Medicine, Vrije Universiteit, Van der Boechorststraat 7, 1081 BT Amsterdam,
a Institute for Research in Extramural Medicine and Department of General Practice, Nursing Home and Social Medicine, Vrije Universiteit, Amsterdam and
b Institute for Endocrinology, Reproduction and Metabolism, Vrije Universiteit, Amsterdam, The Netherlands.

Methods. Glycaemic control and the prevalence of modifiable cardiovascular risk factors, and micro- and macrovascular morbidity was examined in 637 Type 2 diabetic patients in general practice, of whom 405 consented to undergo a more extensive examination.

Results. In these 405 patients, HbA1c was >=7% in 56.6%, and hypertension and dyslipidaemia were found in 59.8% and 46.5% of the patients, respectively. The level of cardiovascular risk factors was acceptable, according to the European guidelines, in the following proportions of patients: BMI 45.0%; total cholesterol 69.1%; HDL-cholesterol 68.1%; triglycerides 67.8%; current blood pressure 89.8%; and smoking 21.0%. Retinopathy was present in 12.5% and microalbuminuria in 27.0% of the patients. In all 637 patients, the prevalence of angina pectoris was 17.7%, of myocardial infarction 11.4% and of congestive heart failure 10.7%.

Conclusion. The care for Type 2 diabetic patients needs improvement and should focus on cardiovascular risk factors as much as on glycaemic control.

Keywords. Complications, diabetes, general practice, metabolic control..


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