Rashid Fauzia, Abdelgadir Elamin, Alsaeed Maryam, Alemadi Budoor, Khalifa Azza, Farooqi Muhammad H, Alawadi Fatheya, Bashier Alaaeldin
Dubai Hospital, Dubai, United Arab Emirates.
Dubai Diabetes Center, Dubai, United Arab Emirates.
Diabetes Metab Syndr. 2019 Jan-Feb;13(1):590-594. doi: 10.1016/j.dsx.2018.11.013. Epub 2018 Nov 9.
The guidelines suggest setting the glycemic and lipid targets according to the stage of the disease and other co -existing complications in the patients with diabetes.
We aimed to evaluate the HbA1c and lipids level in patients with high risk diabetes from 2012-2016, attending different level of care in Dubai health authority.
This is a retrospective analysis of the electronic medical records of all patients who attended the Dubai Health authority between 2012-2016. All patients with an ICD code of any type of diabetes in addition to cardiovascular or renal diseases were. Patients were categorized based on their HbA1c into control of<7.5, 7.5 - 8, and >8%. While lipids were categorized as f LDL < 70 mg/dl, and the Non-HDL <100 mg/dl.
Out of total number of 26647 patients diagnosed with diabetes, 2015 patients did fit the criteria of this study. The desired mean of HbA1c of <7.5% achieved by 21.76% and 28.94% in T1DM and T2DM, respectively. The LDL of < 70 mg/dl was achieved by 27.8% of the patients.
In patients with diabetes and multiple complications, the glycemic and lipids control is suboptimal. However, the pattern showed numerical improvement over the years.
指南建议根据糖尿病患者的疾病阶段和其他并存并发症来设定血糖和血脂目标。
我们旨在评估2012年至2016年期间在迪拜卫生局接受不同级别护理的高危糖尿病患者的糖化血红蛋白（HbA1c）和血脂水平。
这是一项对2012年至2016年期间在迪拜卫生局就诊的所有患者电子病历的回顾性分析。所有患有任何类型糖尿病且伴有心血管或肾脏疾病的患者均纳入研究。患者根据其HbA1c分为控制在<7.5%、7.5 - 8%和>8%。血脂分为低密度脂蛋白（LDL）<70mg/dl，非高密度脂蛋白（Non-HDL）<100mg/dl。
在总共26647例诊断为糖尿病的患者中，2015例符合本研究标准。1型糖尿病（T1DM）和2型糖尿病（T2DM）患者中分别有21.76%和28.94%达到了期望的平均HbA1c<7.5%。27.8%的患者实现了LDL<70mg/dl。
在患有糖尿病和多种并发症的患者中，血糖和血脂控制不理想。然而，多年来情况呈现出数字上的改善。
