Inadequate Achievement of Abc Goals (Hba1c, Blood Pressure, Ldl-C) Among Patients With Type 2 Diabetes in an Iranian Population, 2012–2017 Publisher Pubmed



Larry M¹ ; Alizadeh S¹ ; Naderi S¹ ; Salekani B¹ ; Mansournia MA² ; Rabizadeh S¹ ; Esteghamati A¹ ; Nakhjavani M¹ Show Affiliations
Source: Diabetes and Metabolic Syndrome: Clinical Research and Reviews Published:2020

Abstract

Aims: This study was designed to evaluate the meeting of ABC goals in patients with type 2 diabetes. The ABC goals were defined as meeting the HbA1c <7%, systolic blood pressure <130 mmHg and diastolic blood pressure <80 mmHg, and LDL-C <100 mg/dL. We also determined the associated factors with meeting the ABC goals, as well as the effectiveness of statin therapy. Methods: We designed a cross-sectional study of 2008 type 2 diabetes patients attending the diabetes clinics of Valiasr Hospital of Imam Khomeini Hospital Complex. Meeting ABC goals and their associated factors were analyzed from the registered data. Results: At the end of the year 2014, 61.3% of patients met the HbA1c goal, which increased to 77.8% in 2017. Blood pressure of 79.5% of patients met the ADA recommendations by the end of the year 2014, reaching 86.6% in 2017. Moreover, 84.5% and 93.8% could reach the LDL-C goal in 2014 and 2017, respectively. The proportion for the patients meeting all three ABC goals were 23.2% and 42.1% in 2014 and 2017, respectively. Conclusions: The level of achievement of ABC goals in Iran is lower than expected and it requires a lot of programming effort and follow-up. As patients are followed over the years, controlling ABC becomes much more favorable. © 2020 Diabetes India