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

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.