Sökning: onr:"swepub:oai:gup.ub.gu.se/49464" > Glycemic and risk f...
Fältnamn | Indikatorer | Metadata |
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000 | 04781naa a2200613 4500 | |
001 | oai:gup.ub.gu.se/49464 | |
003 | SwePub | |
008 | 240910s2007 | |||||||||||000 ||eng| | |
009 | oai:DiVA.org:uu-10354 | |
009 | oai:lup.lub.lu.se:6649df99-4e31-4cc6-99ac-e1f661a877d2 | |
024 | 7 | a https://gup.ub.gu.se/publication/494642 URI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-103542 URI |
024 | 7 | a https://doi.org/10.2337/dc06-14062 DOI |
024 | 7 | a https://lup.lub.lu.se/record/6701732 URI |
040 | a (SwePub)gud (SwePub)uud (SwePub)lu | |
041 | a eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Eeg-Olofsson, Katarina,d 1968u Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,Institutionen för kvinnors och barns hälsa4 aut0 (Swepub:uu)kaede030 |
245 | 1 0 | a Glycemic and risk factor control in type 1 diabetes: results from 13,612 patients in a national diabetes register |
264 | 1 | b American Diabetes Association,c 2007 |
520 | a OBJECTIVE: This study was designed to investigate the clinical characteristics of a large type 1 diabetic population and to evaluate the degree of fulfillment of recently updated treatment goals. RESEARCH DESIGN AND METHODS: The Swedish National Diabetes Register was initiated in 1996 as a tool for quality assurance in diabetes care. A1C levels, treatment, and risk factors were analyzed in two cross-sectional samples of 9,424 patients in 1997 and 13,612 patients in 2004 and in a smaller longitudinal sample from 1997 to 2004. RESULTS: Mean A1C decreased from 8.2 +/- 1.3% in 1997 to 8.0 +/- 1.2% in 2004 (P < 0.001). The proportion of patients reaching A1C <7.0% increased from 17.4 to 21.2% in 2004. A slow but significant improvement in blood pressure levels was seen, but only 61.3% reached the blood pressure goal of <130/80 mmHg in 2004. Lipid control improved, and the use of lipid-lowering drugs increased. Among patients treated with lipid-lowering agents, 38% reached the goal of total cholesterol <4.5 mmol/l, and 48% reached the goal of LDL cholesterol <2.5 mmol/l. Successful long-term glycemic and blood pressure control were both independently predicted by low BMI and the absence of microalbuminuria in 1997. CONCLUSIONS: In this large cohort of type 1 diabetic patients, there was a slow improvement in glycemic and risk factor control from 1997 to 2004, although the gap between the clinical results and current Swedish and American treatment goals is still unsatisfactory. It is crucial that additional measures be taken to improve risk factor control in type 1 diabetic patients. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Endokrinologi och diabetes0 (SwePub)302052 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Endocrinology and Diabetes0 (SwePub)302052 hsv//eng |
653 | a Adult | |
653 | a Blood Glucose/*metabolism | |
653 | a Blood Pressure | |
653 | a Diabetes Mellitus | |
653 | a Type 1/*blood/*epidemiology | |
653 | a Female | |
653 | a Hemoglobin A | |
653 | a Glycosylated/*metabolism | |
653 | a Humans | |
653 | a Male | |
653 | a Middle Aged | |
653 | a Registries | |
653 | a Regression Analysis | |
653 | a Risk Factors | |
653 | a Sweden/epidemiology | |
653 | a Immunopathology | |
653 | a MEDICINE | |
700 | 1 | a Cederholm, Janu Uppsala universitet,Allmänmedicin och klinisk epidemiologi4 aut0 (Swepub:uu)janceder |
700 | 1 | a Nilsson, Peteru Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups4 aut0 (Swepub:lu)medf-pni |
700 | 1 | a Gudbjörnsdottir, Soffia,d 1962u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xgudso |
700 | 1 | a Eliasson, Björn,d 1959u Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine4 aut0 (Swepub:gu)xelibj |
710 | 2 | a Göteborgs universitetb Institutionen för medicin4 org |
773 | 0 | t Diabetes Cared : American Diabetes Associationg 30:3, s. 496-502q 30:3<496-502x 1935-5548x 0149-5992 |
856 | 4 | u https://care.diabetesjournals.org/content/diacare/30/3/496.full.pdf |
856 | 4 | u http://dx.doi.org/10.2337/dc06-1406x freey FULLTEXT |
856 | 4 8 | u https://gup.ub.gu.se/publication/49464 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-10354 |
856 | 4 8 | u https://doi.org/10.2337/dc06-1406 |
856 | 4 8 | u https://lup.lub.lu.se/record/670173 |
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