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Aims/Introduction  To estimate the prevalence of meeting  A merican  D iabetes  A ssociation clinical practice recommendations for hemoglobin  A 1c ( H b A 1c), blood pressure ( BP ) and low‐density lipoprotein cholesterol ( LDLC ) among  I ranian type 2 diabetes clinic attendees, and to identify the factors associated with therapeutic target achievement.    Materials and Methods  A total of 2,640 patients with type 2 diabetes (944 men and 1,696 women) from  I sfahan  E ndocrine and  M etabolism  R esearch  C enter outpatient clinics,  I ran, were examined. The main outcome measures were  H b A 1c,  BP  and  LDLC , in accordance with the  A merican  D iabetes  A ssociation recommendations. The mean (standard deviation) age of participants was 49.6 years (9.3 years) with a mean (standard deviation) duration of diabetes of 5.0 years (4.9 years) at initial registration.    Results  The percentages of patients who had  H b A 1c <7%,  BP  <140/90 mmHg and  LDLC  <100 mg/dL was 37.4% (95% confidence interval [ CI ] 35.6–39.3), 35.3% (95%  CI  33.5–37.3) and 48.9% (95%  CI  47.0–50.8), respectively. The proportion of patients meeting all three goals was 7.7% (95%  CI  6.7–8.8). Lower  BP , cholesterol level and higher education at registration, and higher follow up but lower number of follow‐up visits affected achievement of all three goals.    Conclusions  The present study highlights that a substantial proportion of  I ranian type 2 diabetes clinic attendees did not meet the  A merican  D iabetes  A ssociation clinical practice recommendations, and shows the difficult challenges physicians face when treating patients with type 2 diabetes.

Current status of glucose, blood pressure and lipid management in type 2 diabetes clinic attendees in I sfahan, I ran