The trend of achieving ABC goals in patients with type 2 diabetes between 2010-2014 and 2015–2019

Abstract

The increasing rate of diabetes and its complications are inevitably increasing the economic burden on healthcare systems. Hence, achieving diabetes ABC goals (HbA1c <7%, Blood pressure <140/90 mmHg, and LDL-C <100 mg/dl) is an essential part of diabetes management. In this retrospective study, 1900 patients with type2 diabetes were recruited. These patients were divided into two 5-year groups; the years 2010–2014 and 2015–2019 and were evaluated based on the achievement of ABC goals. This study showed that in the second 5 year period (2015–2019) there was a significant increase in the achievement of the all three ABC goals compared to 2010–2014. The achievement of LDL<100 mg/dl in patient without cardiovascular disease and LDL<70 mg/dl in patient with cardiovascular disease was better in 2015–2019 compared to that of 2010–2014 (65.4% vs 54.6% Pvalue<0.001). In this study, HbA1C (P value = 0.007), LDL-C (Pvalue <0.001), and coronary heart disease (Pvalue <0.001) were significantly lower in 2015–2019 compared to that of 2010–2014. Duration of diabetes, albuminuria and triglyceride level negatively associated with achievement of all three ABC goals (OR: 0.962, OR: 0.485, OR: 0.994, respectively) (all pvalue <0.05). The proportion of patients who had achieved the ABC goals in the years 2015–2019 was significantly more than that of 2010–2014. However; achievement of goals was generally suboptimal.