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Featured Article :. The Prevalence of Meeting A1C, Blood Pressure, and LDL Goals Among People With Diabetes, 1988–2010. Sarah Stark Casagrande, Ph.D., Judith E. Fradkin, M.D., Sharon H. Saydah, Ph.D., Keith F. Rust, Ph.D., Catherine C. Cowie, Ph.D. Diabetes Care Volume 36: 2271-2279

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Featured article

Featured Article:

The Prevalence of Meeting A1C, Blood Pressure, and LDL Goals Among People With Diabetes, 1988–2010

Sarah Stark Casagrande, Ph.D., Judith E. Fradkin, M.D., Sharon H. Saydah, Ph.D., Keith F. Rust, Ph.D., Catherine C. Cowie, Ph.D.

Diabetes Care

Volume 36: 2271-2279

August, 2013


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STUDY OBJECTIVE

  • To determine:

  • •The prevalence of people with diabetes who meet A1C, blood pressure (BP), and LDL cholesterol (ABC) recommendations

  • •Their current statin use

  • •Factors associated with goal achievement

  • •Changes in the proportion achieving goals between 1988 and 2010

Casagrande S. S. et al. Diabetes Care 2013;36:2271-2279


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STUDY DESIGN AND METHODS

  • Cross-sectional data were from the National Health and Nutrition Examination Surveys (NHANES) from 1988 to 1994, 1999 to 2002, 2003 to 2006, and 2007 to 2010

  • Participants included 4,926 adults aged ≥20 years with self-reported diabetes who completed the household interview and physical examination

  • Main outcome measures were A1C, BP, and LDL cholesterol and current use of statins

Casagrande S. S. et al. Diabetes Care 2013;36:2271-2279


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RESULTS

  • In 2007–2010, 52.5% of people with diabetes achieved A1C <7.0% (<53 mmol/mol), 51.1% achieved BP <130/80 mmHg, 56.2% achieved LDL <100 mg/dL, and 18.8% achieved all three ABCs

  • These levels of control were significant improvements from 1988 to 1994 (all P < 0.05)

  • Statin use significantly increased between 1988 and 1994 (4.2%) and 2007 and 2010 (51.4%, P < 0.01)

Casagrande S. S. et al. Diabetes Care 2013;36:2271-2279


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RESULTS

  • Compared with non-Hispanic whites, Mexican Americans were less likely to meet A1C and LDL goals (P < 0.03), and non-Hispanic blacks were less likely to meet BP and

  • LDL goals (P < 0.02)

  • Compared with non-Hispanic blacks, Mexican Americans were less likely to meet A1C goals (P < 0.01)

  • Younger individuals were less likely to meet A1C and LDL goals

Casagrande S. S. et al. Diabetes Care 2013;36:2271-2279


Featured article

Casagrande S. S. et al. Diabetes Care 2013;36:2271-2279


Featured article

Casagrande S. S. et al. Diabetes Care 2013;36:2271-2279


Featured article

Casagrande S. S. et al. Diabetes Care 2013;36:2271-2279


Featured article

Casagrande S. S. et al. Diabetes Care 2013;36:2271-2279


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CONCLUSIONS

  • Achieving ABC goals remains suboptimal, particularly in minority groups

  • Opportunity exists to further improve diabetes control and, thus, to reduce diabetes-related morbidity and mortality

Casagrande S. S. et al. Diabetes Care 2013;36:2271-2279


Featured article

Casagrande S. S. et al. Diabetes Care 2013;36:2271-2279


Featured article

Casagrande S. S. et al. Diabetes Care 2013;36:2271-2279


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