Thailand diabetes registry project: current status of dyslipidemia in Thai diabetic patients.

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dc.contributor.authorPratipanawatr, Thongchaien_US
dc.contributor.authorRawdaree, Petchen_US
dc.contributor.authorChetthakul, Thanyaen_US
dc.contributor.authorBunnag, Pongamornen_US
dc.contributor.authorNgarmukos, Chardpraornen_US
dc.contributor.authorBenjasuratwong, Yupinen_US
dc.contributor.authorLeelawatana, Rattanaen_US
dc.contributor.authorKosachunhanun, Natapongen_US
dc.contributor.authorPlengvidhya, Nattacheten_US
dc.contributor.authorDeerochanawong, Chaicharnen_US
dc.contributor.authorSuwanwalaikorn, Sompongseen_US
dc.contributor.authorKrittiyawong, Sirinateen_US
dc.contributor.authorMongkolsomlit, Sirimaen_US
dc.contributor.authorKomoltri, Chulaluken_US
dc.date.accessioned2009-05-27T18:01:59Z
dc.date.available2009-05-27T18:01:59Z
dc.date.issued2006-08-25en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractOBJECTIVE: To determine the prevalence of dyslipidemia in adult Thai type 2 diabetes who attended diabetes clinics in university and tertiary-care hospitals. MATERIAL AND METHOD: A cross-sectional, multi-center, hospital-based diabetes registry was conducted in 11 diabetic clinics in tertiary medical centers in Bangkok and major provinces between April and December 2003. A group of 9419 diabetic patients were registered. Individual Demographic data including education and socioeconomic status were collected. The results of the physical examination for complications, history screening and laboratory results were recorded. The prevalence of the various complications of diabetes was analyzed and the percentage achievement of metabolic control calculated. RESULTS: Of the 9419 diabetic patients registered 8769 had complete demographic and plasma lipid data. Mean age was 59.5 +/- 13.3 years. The percentage of male patients was 33.9%. In the present study, there were 8464 type 2 diabetes and 383 type I diabetes. History of coronary artery disease and cerebrovascular disease were present in 8.1 and 4.2 percent ofthepatients, respectively. More than 80% of the patients had dyslipidemia. The patients with CVD had higher proportion of achieving the LDL target (< 100 mg/dl, 43 vs. 34%). More than half of the patients (55%) were taking lipid lowering medications, but one-third (30%) did not despite havingfulfilled indications. The patients covered by government supported health plan were less likely to received lipid-lowering medication than the patients covered by private health plans (OR 0.65, 95% CI 0.57-0.75). The two most commonly used lipid-lowering agents were HMG CoA reductase inhibitors (76%) and fibrates (19%), both agents were used in combination in 5% ofthe patients. Only 40.1% ofthe patients on lipid-lowering medications reached the target LDL goal (<100 mg/dl). CONCLUSION: Elevated LDL cholesterol was the most common lipid abnormality in the present study. Although 55% of the patients were taking lipid lowering agents, another 42% of the patients needed the medication. More than half of the patients treated needed more intensive lipid lowering in order to achieve the LDL goal. If the authors wish to follow the current (2005) American Diabetes Association recommendations, we would have to treat up to 97% of diabetic patients with lipid loweringen_US
dc.description.affiliationDepartment of Medicine, Faculty of Medicine, Khon Kaen University, Thailand. thongcha@kku.ac.then_US
dc.identifier.citationPratipanawatr T, Rawdaree P, Chetthakul T, Bunnag P, Ngarmukos C, Benjasuratwong Y, Leelawatana R, Kosachunhanun N, Plengvidhya N, Deerochanawong C, Suwanwalaikorn S, Krittiyawong S, Mongkolsomlit S, Komoltri C. Thailand diabetes registry project: current status of dyslipidemia in Thai diabetic patients. Journal of the Medical Association of Thailand. 2006 Aug; 89 Suppl 1(): S60-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/38314
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAgeden_US
dc.subject.meshAntilipemic Agents --therapeutic useen_US
dc.subject.meshCardiovascular Diseases --epidemiologyen_US
dc.subject.meshCross-Sectional Studiesen_US
dc.subject.meshDiabetes Complicationsen_US
dc.subject.meshDiabetes Mellitus, Type 2en_US
dc.subject.meshDyslipidemias --epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHealth Statusen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshProgram Developmenten_US
dc.subject.meshProgram Evaluationen_US
dc.subject.meshRegistriesen_US
dc.subject.meshThailand --epidemiologyen_US
dc.titleThailand diabetes registry project: current status of dyslipidemia in Thai diabetic patients.en_US
dc.typeJournal Articleen_US
dc.typeMulticenter Studyen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
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