TY - JOUR
T1 - Diabetes Prevalence and Therapeutic Target Achievement in the United States, 1999 to 2006
AU - Cheung, Bernard M.Y.
AU - Ong, Kwok Leung
AU - Cherny, Stacey S.
AU - Sham, Pak Chung
AU - Tso, Annette W.K.
AU - Lam, Karen S.L.
N1 - Funding Information:
Funding: K. L. Ong is a recipient of a University of Hong Kong Postgraduate Fellowship (2007-2008).
PY - 2009/5
Y1 - 2009/5
N2 - Objective: Changes in the prevalence, treatment, and management of diabetes in the United States from 1999 to 2006 were studied using data from the National Health and Nutrition Examination Survey. Methods: Data on 17,306 participants aged 20 years or more were analyzed. Glycemic, blood pressure, and cholesterol targets were glycosylated hemoglobin less than 7.0%, blood pressure less than 130/80 mm Hg, and low-density lipoprotein (LDL) cholesterol less than 100 mg/dL, respectively. Results: The prevalence of diagnosed diabetes was 6.5% from 1999 to 2002 and 7.8% from 2003 to 2006 (P < .05) and increased significantly in women, non-Hispanic whites, and obese people. Although there were no significant changes in the pattern of antidiabetic treatment, the age-adjusted percentage of people with diagnosed diabetes achieving glycemic and LDL targets increased from 43.1% to 57.1% (P < .05) and from 36.1% to 46.5% (P < .05), respectively. Glycosylated hemoglobin decreased from 7.62% to 7.15% during this period (P < .05). The age-adjusted percentage achieving all 3 targets increased insignificantly from 7.0% to 12.2%. Conclusions: The prevalence of diagnosed diabetes increased significantly from 1999 to 2006. The proportion of people with diagnosed diabetes achieving glycemic and LDL targets also increased. However, there is a need to achieve glycemic, blood pressure, and LDL targets simultaneously.
AB - Objective: Changes in the prevalence, treatment, and management of diabetes in the United States from 1999 to 2006 were studied using data from the National Health and Nutrition Examination Survey. Methods: Data on 17,306 participants aged 20 years or more were analyzed. Glycemic, blood pressure, and cholesterol targets were glycosylated hemoglobin less than 7.0%, blood pressure less than 130/80 mm Hg, and low-density lipoprotein (LDL) cholesterol less than 100 mg/dL, respectively. Results: The prevalence of diagnosed diabetes was 6.5% from 1999 to 2002 and 7.8% from 2003 to 2006 (P < .05) and increased significantly in women, non-Hispanic whites, and obese people. Although there were no significant changes in the pattern of antidiabetic treatment, the age-adjusted percentage of people with diagnosed diabetes achieving glycemic and LDL targets increased from 43.1% to 57.1% (P < .05) and from 36.1% to 46.5% (P < .05), respectively. Glycosylated hemoglobin decreased from 7.62% to 7.15% during this period (P < .05). The age-adjusted percentage achieving all 3 targets increased insignificantly from 7.0% to 12.2%. Conclusions: The prevalence of diagnosed diabetes increased significantly from 1999 to 2006. The proportion of people with diagnosed diabetes achieving glycemic and LDL targets also increased. However, there is a need to achieve glycemic, blood pressure, and LDL targets simultaneously.
KW - Blood pressure
KW - Cholesterol
KW - Diabetes mellitus
KW - Glycosylated hemoglobin A
KW - Prevalence
UR - http://www.scopus.com/inward/record.url?scp=64349083605&partnerID=8YFLogxK
U2 - 10.1016/j.amjmed.2008.09.047
DO - 10.1016/j.amjmed.2008.09.047
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C2 - 19375554
AN - SCOPUS:64349083605
SN - 0002-9343
VL - 122
SP - 443
EP - 453
JO - American Journal of Medicine
JF - American Journal of Medicine
IS - 5
ER -
