Physician attitudes and practices and patient awareness of the cardiovascular complications of diabetes.

摘要: Abstract Objectives Studies were conducted to: 1) assess physicians’ attitudes and practices in managing cardiovascular disease (CVD) risks diabetes; 2) determine the awareness of CVD among diabetic patients. Background Cardiovascular is leading cause premature death As diabetes often seen as a “glucose-centric” disease, it unclear whether patients are talking with their doctors about other key clinical parameters care such blood pressure cholesterol. Methods An online survey was completed by nationally representative sample 900 physicians. The 95% confidence interval approximately ±2.5%. Before this study, telephone 2,008 people using random, direct-dial screenings U.S. households. Results Ninety-one percent physicians believe that “very” or “extremely” likely to have event. Although report discussing risk factors 88% patients, they perceive being only moderately knowledgeable increased risks. Sixty-eight do not consider be serious complication more aware complications blindness (65%) amputation (36%) rather than heart (17%), attack (14%), stroke (5%). Physicians “poor compliance” behavioral modifications medication regimens greatest barriers management Conclusions Materials should made available help facilitate communication risks, strategies for improving compliance life-style multiple drug therapies explored. Efforts continue promote comprehensive approach include aggressive control glucose factors.