Glycaemic control and implementation of the ADA/EASD-2006 consensus algorithm in type 2 diabetes mellitus patients in primary care in Spain
© 2013 John Wiley & Sons Ltd..
BACKGROUND: In 2006, the American Diabetes Association and the European Association for the Study of Diabetes established a consensus algorithm (ADA/EASD-2006) for the adjustment of drug therapy for type 2 diabetes mellitus (T2DM).
AIMS: To study glycaemic control in T2DM patients and the implementation of the ADA/EASD-2006 recommendations in primary care centres in Spain.
METHODS: Prospective observational study in 1194 patients with T2DM conducted in 250 primary care centres in Spain. Patients were assessed at study inclusion (V0) and at 3 (V1) and 6 months (V2) post baseline. Information was collected at the level of DM control, HbA(1c) < 7% (HbC) and implementation of the ADA/EASD-2006 guidelines.
RESULTS: Type 2 diabetes mellitus patients (53% women; mean age 64.9 years) had a mean (SD) HbA(1c) 7.8 (1.4)% and HbC 25.2% at baseline, 95% of them were receiving oral antihyperglycaemic agents (AAs) only. At V1, HbA(1c) was 7.3 (1.1)% and HbC was 38.1%; 65.0% of patients were receiving oral AAs, 5.6% insulin and 27.9% oral AAs plus insulin. At V2, HbA(1c) was 7.1 (0.9)% and HbC was 48.0%; 57.1% of patients were receiving oral AAs, 5.0% insulin and 36.9% oral AAs plus insulin. The ADA/EASD-2006 algorithm was adhered to in 33% patients up to study month 3, vs. 17.2% throughout the entire 6-month period.
CONCLUSION: In patients with T2DM seen in primary care, the HbA1c target was met in 48.0% after adjusting their AAs. However, this is not reflected in greater implementation of the ADA/EASD-2006 guidelines, which are adhered to in only 17%.
| Errataetall: |
CommentIn: Int J Clin Pract. 2014 Jan;68(1):4. - PMID 24341297 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2014 |
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| Erschienen: |
2014 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:68 |
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| Enthalten in: |
International journal of clinical practice - 68(2014), 1 vom: 17. Jan., Seite 28-39 |
| Sprache: |
Englisch |
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| Links: |
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| Themen: |
Blood Glucose |
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| Anmerkungen: |
Date Completed 02.04.2015 Date Revised 07.12.2022 published: Print CommentIn: Int J Clin Pract. 2014 Jan;68(1):4. - PMID 24341297 Citation Status MEDLINE |
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| doi: |
10.1111/ijcp.12251 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM233691464 |
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| 100 | 1 | |a Alvarez-Guisasola, F |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Glycaemic control and implementation of the ADA/EASD-2006 consensus algorithm in type 2 diabetes mellitus patients in primary care in Spain |
| 264 | 1 | |c 2014 | |
| 336 | |a Text |b txt |2 rdacontent | ||
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| 500 | |a Date Completed 02.04.2015 | ||
| 500 | |a Date Revised 07.12.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a CommentIn: Int J Clin Pract. 2014 Jan;68(1):4. - PMID 24341297 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2013 John Wiley & Sons Ltd. | ||
| 520 | |a BACKGROUND: In 2006, the American Diabetes Association and the European Association for the Study of Diabetes established a consensus algorithm (ADA/EASD-2006) for the adjustment of drug therapy for type 2 diabetes mellitus (T2DM) | ||
| 520 | |a AIMS: To study glycaemic control in T2DM patients and the implementation of the ADA/EASD-2006 recommendations in primary care centres in Spain | ||
| 520 | |a METHODS: Prospective observational study in 1194 patients with T2DM conducted in 250 primary care centres in Spain. Patients were assessed at study inclusion (V0) and at 3 (V1) and 6 months (V2) post baseline. Information was collected at the level of DM control, HbA(1c) < 7% (HbC) and implementation of the ADA/EASD-2006 guidelines | ||
| 520 | |a RESULTS: Type 2 diabetes mellitus patients (53% women; mean age 64.9 years) had a mean (SD) HbA(1c) 7.8 (1.4)% and HbC 25.2% at baseline, 95% of them were receiving oral antihyperglycaemic agents (AAs) only. At V1, HbA(1c) was 7.3 (1.1)% and HbC was 38.1%; 65.0% of patients were receiving oral AAs, 5.6% insulin and 27.9% oral AAs plus insulin. At V2, HbA(1c) was 7.1 (0.9)% and HbC was 48.0%; 57.1% of patients were receiving oral AAs, 5.0% insulin and 36.9% oral AAs plus insulin. The ADA/EASD-2006 algorithm was adhered to in 33% patients up to study month 3, vs. 17.2% throughout the entire 6-month period | ||
| 520 | |a CONCLUSION: In patients with T2DM seen in primary care, the HbA1c target was met in 48.0% after adjusting their AAs. However, this is not reflected in greater implementation of the ADA/EASD-2006 guidelines, which are adhered to in only 17% | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Observational Study | |
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| 650 | 7 | |a Blood Glucose |2 NLM | |
| 650 | 7 | |a Glycated Hemoglobin A |2 NLM | |
| 650 | 7 | |a Hypoglycemic Agents |2 NLM | |
| 700 | 0 | |a Guiada Study Group |e verfasserin |4 aut | |
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| 700 | 1 | |a Berengué Iglesias, Maria Dolors |e investigator |4 oth | |
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| 700 | 1 | |a Vives, Manuel Luelmo |e investigator |4 oth | |
| 700 | 1 | |a Álvarez, Beatriz Álvarez |e investigator |4 oth | |
| 700 | 1 | |a Manjavacas, Carmen González |e investigator |4 oth | |
| 700 | 1 | |a Kohan, Isidoro Dujovne |e investigator |4 oth | |
| 700 | 1 | |a Menendez, Sara Artola |e investigator |4 oth | |
| 700 | 1 | |a Prieto Romo, Jose Ignacio |e investigator |4 oth | |
| 700 | 1 | |a Taboada, Manuel |e investigator |4 oth | |
| 700 | 1 | |a Rodriguez Mendez, Segundo Artemio |e investigator |4 oth | |
| 700 | 1 | |a Rodriguez Encinar, Jose Ramon |e investigator |4 oth | |
| 700 | 1 | |a Barrera, Francisco Carramiñana |e investigator |4 oth | |
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