University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Eli Lilly and Company, Indianapolis, IN, USA.
Adv Ther. 2019 Mar;36(3):746-755. doi: 10.1007/s12325-019-0871-9. Epub 2019 Feb 13.
It is unclear whether patients and their loved ones appreciate that cardiovascular disease (CVD) is the major cause of morbidity and mortality in type 2 diabetes mellitus (T2DM). The purpose of this survey was to evaluate the degree of awareness regarding the link between T2DM and CVD.
An online survey was conducted among US adults (general population) and adults with self-reported T2DM.
Of 13,027 participants recruited, 1505 completed the survey (12% response rate): 501 with T2DM and 1004 from the general population, of whom 364 knew someone with T2DM (e.g., partner, friend, relative, colleague: "SweetHearts"). Of those with T2DM, 52% were unaware that patients with T2DM are at increased risk of CVD and related macrovascular events. People with T2DM were more likely to be aware of the increased risk of microvascular disease (blindness [57%], nephropathy [57%], neuropathy [64%]) than macrovascular disease (myocardial infarction [41%], stroke [43%]). Despite CVD being the leading cause of death in T2DM, 67% of those with T2DM and 69% of SweetHearts were unaware of this, similar figures to those of the general population (74%). People with T2DM indicated they would take preventive measures if they were aware of their increased CVD risk: 88% would modify their diet and 81% would talk to their healthcare provider. Respondents with T2DM (73%) indicated that a desire to live longer/spend more time with family would motivate them to decrease their CVD risk.
Findings indicate that education regarding the association between T2DM and CVD in patients and their loved ones is warranted. Plain language summary available for this article. Please see Fig. 1 and the following link: https://doi.org/10.6084/m9.figshare.7546817 .
The "For Your SweetHeart™" survey was supported by the Boehringer Ingelheim & Eli Lilly and Company Diabetes Alliance, and was developed in partnership with KRC Research.
目前尚不清楚患者及其家属是否了解到心血管疾病（CVD）是 2 型糖尿病（T2DM）患者发病率和死亡率的主要原因。本研究旨在评估人们对 T2DM 与 CVD 之间关联的认知程度。
对美国成年人（普通人群）和自报患有 T2DM 的成年人进行了在线调查。
在招募的 13027 名参与者中，有 1505 人完成了调查（应答率 12%）：501 人患有 T2DM，1004 人来自普通人群，其中 364 人认识患有 T2DM 的人（例如，伴侣、朋友、亲属、同事：“甜心”）。在患有 T2DM 的人群中，有 52%的人不知道 T2DM 患者发生 CVD 和相关大血管事件的风险增加。与大血管疾病（心肌梗死[41%]、中风[43%]）相比，T2DM 患者更有可能意识到微血管疾病（失明[57%]、肾病[57%]、神经病变[64%]）的风险增加。尽管 CVD 是 T2DM 患者的主要死因，但有 67%的 T2DM 患者和 69%的“甜心”不知道这一点，这与普通人群的比例（74%）相似。患有 T2DM 的人表示，如果他们意识到自己的 CVD 风险增加，他们将采取预防措施：88%的人会改变饮食，81%的人会与医疗保健提供者交谈。患有 T2DM 的受访者（73%）表示，延长寿命/与家人共度更多时间的愿望将激励他们降低 CVD 风险。
研究结果表明，需要对 T2DM 患者及其家属进行有关 T2DM 与 CVD 之间关联的教育。本文提供通俗易懂的概要。请参见图 1 和以下链接：https://doi.org/10.6084/m9.figshare.7546817。
“为了你的甜心”调查由勃林格殷格翰和礼来公司糖尿病联盟支持，并与 KRC 研究合作开发。
