Research Article
Volume 4 Issue 4 - 2020
Control of Diabetic Dyslipidemia in Primary and Hospital Health Care - Analytical Study
T Silva1*, M Santos1, A Duarte2 and F Rebelo3
1Internal Physicians of General and Family Medicine at USF Almedina, ACES Douro Sul, Portugal
2Graduated Assistant Physician in General and Family Medicine at USF Almedina, ACES Douro Sul, Portugal
3Hospital Assistant Doctor of Internal Medicine, Hospital Center of Trás-os-Montes and Alto Douro, Portugal
*Corresponding Author: T Silva, Internal Physicians of General and Family Medicine at USF Almedina, ACES Douro Sul, Portugal.
Received: February 07, 2020; Published: April 28, 2020




Abstract

Introduction: Diabetic dyslipidemia holds an important impact in cardiovascular morbidity and mortality in patients with diabetes. It is essential to study all factors associated with the management of this condition, where the intensity of a statin represents a crucial criteria. There were no studies that compared different levels of care in the management of diabetic dyslipidemia.

Methods: Analytic, cross-sectional study. Sample: diabetic patients with dyslipidemia from USF Almedina (n = 52) and from the diabetes department in CHTMAD. Review of medical records (September 2015 to April 2016). Exclusion criteria: medical appointment or lipid profile ≥ 12 months. Statistical analysis: significance level 5%; SPSS v19.0.

Results: No significant differences were observed between the two different health care settings and management of diabetic dyslipidemia or with regard to statin intensity applied to the subjects. A very high cardiovascular risk profile in a diabetic patient decreases its chance of attaining proper lipid level control.

Should read.

Conclusion: The level of care does not seem to have impact in the management of dyslipidemia, emphasizing the need of establishing joint strategies for improving lipid control.

Keywords: Diabetic Dyslipidemia; Triglycerides (TG); High-Density Lipoprotein (HDL-C); Low-Density Lipoprotein (LDL-C)

References

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  2. Kannel WB. “Lipids, diabetes, and coronary heart disease: insights from the Framingham Study”. American Heart Journal 5 (1985): 1100-1107.
  3. “U.K. Prospective Diabetes Study 27. Plasma lipids and lipoproteins at diagnosis of NIDDM by age and sex”. Diabetes Care1 (1997): 1683-1687.
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  6. Direção Geral de Saúde. Norma nº005/2013 de 21/01/2015. “Avaliação do Risco Cardiovascular SCORE”. Lisboa: DGS (2015).
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  9. Sever PS., et al. “The Anglo-Scandinavian Cardiac Outcomes Trial: 11-year mortality follow-up of the lipid-lowering arm in the U.K”. European Heart Journal 20 (2011): 2525-2532.
  10. ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group. “Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT)”. Journal of the American Medical Association 23 (2002): 2981-2997.
  11. American Diabetes Association. “Standards of medical care in diabetes-2015: summary of revisions”. Diabetes Care 38 (2015): S4.
Citation: T Silva., et al. “Control of Diabetic Dyslipidemia in Primary and Hospital Health Care - Analytical Study”. EC Nutrition 4.5 (2020): 04-12.

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