Centro de Salud de Trujillo, Servicio Extremeño de Salud, Cáceres, Spain.
Centro de Salud de Losar de la Vera, Servicio Extremeño de Salud, Cáceres, Spain.
Prim Care Diabetes. 2019 Aug;13(4):324-329. doi: 10.1016/j.pcd.2018.12.006. Epub 2019 Jan 7.
To analyze the prevalence of diabetes and the frequency of haemoglobin A (HbA) monitoring in the population with diabetes in Extremadura (Spain).
Observational, longitudinal retrospective study in the population attended in the Extremadura Health System in 2012-2014. A total of 403,644 glycated haemoglobin determinations in 189,466 subjects (52.4% female) were studied. All patients with a prescription of antidiabetic drugs and those who, despite not having treatment, had any determination of HbA ≥6.5% were considered as people with diabetes. All patients without treatment but with HbA ≥5.7% and <6.5% were considered prediabetes patients.
The prevalence rate of diabetes was 8.3% and the frequency of HbA monitoring was 0.9/patient/year in the diabetic population. 48.2% of the patients with monitoring of HbA had diabetes, 21.2% had prediabetes, and 30.6% did not meet the criteria for diabetes or prediabetes. 12.7% of people with diabetes did not have determinations of HbA and only 11.8% have had ≥6 determinations in the period analyzed.
The frequency of HbA monitoring in the diabetic population is lower than that usually recommended. Moreover, there is an inadequate use of HbA determinations, since one out of every 3 patients does not meet the criteria for diabetes or prediabetes.
分析西班牙埃斯特雷马杜拉（Extremadura）地区糖尿病患者的糖尿病患病率和血红蛋白 A（HbA）监测频率。
这是一项在 2012-2014 年于埃斯特雷马杜拉卫生系统就诊的人群中进行的观察性、纵向回顾性研究。共研究了 189466 名（52.4%为女性）患者的 403644 次糖化血红蛋白测定值。所有服用抗糖尿病药物的患者和尽管未接受治疗但 HbA≥6.5%的任何测定值的患者均被视为糖尿病患者。所有未经治疗但 HbA≥5.7%且<6.5%的患者被视为糖尿病前期患者。
糖尿病的患病率为 8.3%，糖尿病患者的 HbA 监测频率为 0.9/患者/年。接受 HbA 监测的患者中，48.2%患有糖尿病，21.2%患有糖尿病前期，30.6%不符合糖尿病或糖尿病前期的标准。12.7%的糖尿病患者没有 HbA 测定值，在分析期间仅有 11.8%的患者进行了≥6 次测定。
糖尿病患者的 HbA 监测频率低于通常建议的频率。此外，HbA 测定值的使用也不充分，因为每 3 名患者中就有 1 名不符合糖尿病或糖尿病前期的标准。
