Are adults diagnosed with diabetes achieving the American Diabetes Association clinical practice recommendations

摘要: Objective: This study assessed the proportion of adults with previously diagnosed diabetes mellitus (DM) who met selected preventive practices and treatment goals according to American Diabetes Association (ADA) standards medical care. Methods: A secondary analysis data collected for a previous epidemiologic that used probability cluster design select 859 persons aged 21-79 years in San Juan metropolitan area was undertaken. focused on 136 (15.8%) self-reported DM. The Standards Medical Care published by ADA 2011 were determine achieving clinical practice recommendations. Results: Less than half achieved recommended LDLcholesterol (47.8%), HDL-cholesterol (44.1%), blood pressure (41.2%) HbA1c (28.7%). percentage levels HbA1c, LDL-cholesterol simultaneously 6.6%; pressure, LDL-cholesterol, HDL-cholesterol, triglycerides albumin-to-creatinine ratio target only 2.2%. More (60.2%) reported daily self-monitoring foot ulcers testing at least twice over past year (52.3%). However, less annual dilated eye examination (49.2%), comprehensive (43.8%), glucose (37.5%), moderate or vigorous physical activity (33.8%), self-management DM education (28.9%). Conclusion: showed substantial did not achieve recommendations goals. Strategies improve care surveillance preventive-care among affected individuals are essential planning further initiatives contribute reduce burden complications.