Franch-Nadal Josep, Mediavilla-Bravo Javier, Mata-Cases Manuel, Mauricio Didac, Asensio David, Sarroca Jordi
Fundación redGDPS, España; Equip d'Atenció Primària Raval Sud, Institut Català de la Salut, Barcelona, España; DAP_cat, Unitat de Suport a la Recerca Barcelona ciutat, IDIAP Jordi Gol, Barcelona, España; CIBER of Diabetes and Associated Metabolic Diseases (CIBERDEM), Barcelona, España.
Fundación redGDPS, España; Centro de Salud Burgos Rural, Sanidad de Castilla y León (SACYL), Burgos, España.
Endocrinol Diabetes Nutr. 2017 May;64(5):265-271. doi: 10.1016/j.endinu.2017.03.003. Epub 2017 Apr 27.
To describe the prevalence of known and ignored type 2 diabetes mellitus (T2DM) among primary care physicians (PCP), as well as the treatment used and the degree of metabolic control reached.
Descriptive cross-sectional study on national level. The participants were randomly selected PCPs, members of the redGDPS Foundation. A total of 495 PCP were enrolled. Capillary HbA measurement was done with a A1CNow+ device and a diabetes-related survey specifically designed for the study was administered to the participants.
The total prevalence of T2DM was 11.1% (95% CI 8.33-13.9) (known disease 8,1% and ignored disease 3.0%). The prevalence of prediabetes was 16.2% (95% CI 13.0-19.4). A total of 62.5% of PCPs with known T2DM reached HbA<7% and 15% had HbA>8.5%. Control of blood pressure (BP<140/90mmHg) was reached in 87.5% and control of LDL cholesterol<130mg/dl with no history of cardiovascular disease was reached in 88.6% of cases of known T2DM. In the PCPs with a history of macrovascular disease, good control of LDL was reached in 42.9% of the cases. A total of 12.5% were active smokers. A total of 71.4% of PCPs with known T2DM self-treated their own disease, usually with 2 or more drugs (51.4%). The most commonly used drug was metformin (74.3%) followed by iDPP4 (48.6%).
PCPs with T2DM have better metabolic control than the general population. It is necessary to study whether PCPs with T2DM may have greater adherence to treatment and do they achieve a better metabolic control.
描述基层医疗医生（PCP）中已知和被忽视的2型糖尿病（T2DM）的患病率，以及所采用的治疗方法和达到的代谢控制程度。
在全国范围内进行描述性横断面研究。参与者是随机挑选的redGDPS基金会成员中的基层医疗医生。共招募了495名基层医疗医生。使用A1CNow+设备进行毛细血管糖化血红蛋白（HbA）测量，并对参与者进行专门为该研究设计的糖尿病相关调查。
T2DM的总患病率为11.1%（95%可信区间8.33 - 13.9）（已知疾病8.1%，被忽视疾病3.0%）。糖尿病前期的患病率为16.2%（95%可信区间13.0 - 19.4）。已知患有T2DM的基层医疗医生中，共有62.5%的人糖化血红蛋白（HbA）<7%，15%的人HbA>8.5%。已知患有T2DM的病例中，87.5%的人血压得到控制（血压<140/90mmHg），88.6%没有心血管疾病史的人低密度脂蛋白胆固醇（LDL）得到控制（LDL<130mg/dl）。在有大血管疾病史的基层医疗医生中，42.9%的病例LDL得到良好控制。共有12.5%的人是积极吸烟者。已知患有T2DM的基层医疗医生中，共有71.4%的人自行治疗自己的疾病，通常使用2种或更多药物（51.4%）。最常用的药物是二甲双胍（74.3%），其次是二肽基肽酶4抑制剂（iDPP4）（48.6%）。
患有T2DM的基层医疗医生比普通人群有更好的代谢控制。有必要研究患有T2DM的基层医疗医生是否可能对治疗有更高的依从性，以及他们是否能实现更好的代谢控制。
