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Article: Diabetes Prevalence and Therapeutic Target Achievement in the United States, 1999 to 2006

TitleDiabetes Prevalence and Therapeutic Target Achievement in the United States, 1999 to 2006
Authors
KeywordsBlood pressure
Cholesterol
Diabetes mellitus
Glycosylated hemoglobin A
Prevalence
Issue Date2009
PublisherExcerpta Medica, Inc. The Journal's web site is located at http://www.elsevier.com/locate/amj
Citation
American Journal Of Medicine, 2009, v. 122 n. 5, p. 443-453 How to Cite?
AbstractObjective: 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. © 2009 Elsevier Inc. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/91649
ISSN
2015 Impact Factor: 5.61
2015 SCImago Journal Rankings: 2.023
ISI Accession Number ID
Funding AgencyGrant Number
University of Hong Kong
Funding Information:

K. L. Ong is a recipient of a University of Hong Kong Postgraduate Fellowship (2007-2008).

References

 

DC FieldValueLanguage
dc.contributor.authorCheung, BMYen_HK
dc.contributor.authorOng, KLen_HK
dc.contributor.authorCherny, SSen_HK
dc.contributor.authorSham, PCen_HK
dc.contributor.authorTso, AWKen_HK
dc.contributor.authorLam, KSLen_HK
dc.date.accessioned2010-09-17T10:22:46Z-
dc.date.available2010-09-17T10:22:46Z-
dc.date.issued2009en_HK
dc.identifier.citationAmerican Journal Of Medicine, 2009, v. 122 n. 5, p. 443-453en_HK
dc.identifier.issn0002-9343en_HK
dc.identifier.urihttp://hdl.handle.net/10722/91649-
dc.description.abstractObjective: 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. © 2009 Elsevier Inc. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherExcerpta Medica, Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjen_HK
dc.relation.ispartofAmerican Journal of Medicineen_HK
dc.subjectBlood pressureen_HK
dc.subjectCholesterolen_HK
dc.subjectDiabetes mellitusen_HK
dc.subjectGlycosylated hemoglobin Aen_HK
dc.subjectPrevalenceen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAge Distributionen_HK
dc.subject.meshBlood Glucose - metabolismen_HK
dc.subject.meshDiabetes Mellitus - blood - drug therapy - epidemiologyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHemoglobin A, Glycosylated - metabolismen_HK
dc.subject.meshHumansen_HK
dc.subject.meshHypoglycemic Agents - therapeutic useen_HK
dc.subject.meshInsulin - blooden_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPrevalenceen_HK
dc.subject.meshPrognosisen_HK
dc.subject.meshQuestionnairesen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshSex Distributionen_HK
dc.subject.meshUnited States - epidemiologyen_HK
dc.subject.meshYoung Adulten_HK
dc.titleDiabetes Prevalence and Therapeutic Target Achievement in the United States, 1999 to 2006en_HK
dc.typeArticleen_HK
dc.identifier.emailCheung, BMY: mycheung@hku.hken_HK
dc.identifier.emailCherny, SS: cherny@hku.hken_HK
dc.identifier.emailSham, PC: pcsham@hku.hken_HK
dc.identifier.emailTso, AWK: awk.tso@gmail.comen_HK
dc.identifier.emailLam, KSL: ksllam@hku.hken_HK
dc.identifier.authorityCheung, BMY=rp01321en_HK
dc.identifier.authorityCherny, SS=rp00232en_HK
dc.identifier.authoritySham, PC=rp00459en_HK
dc.identifier.authorityTso, AWK=rp00535en_HK
dc.identifier.authorityLam, KSL=rp00343en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.amjmed.2008.09.047en_HK
dc.identifier.pmid19375554-
dc.identifier.scopuseid_2-s2.0-64349083605en_HK
dc.identifier.hkuros158062-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-64349083605&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume122en_HK
dc.identifier.issue5en_HK
dc.identifier.spage443en_HK
dc.identifier.epage453en_HK
dc.identifier.isiWOS:000265238000012-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridCheung, BMY=7103294806en_HK
dc.identifier.scopusauthoridOng, KL=8340854000en_HK
dc.identifier.scopusauthoridCherny, SS=7004670001en_HK
dc.identifier.scopusauthoridSham, PC=34573429300en_HK
dc.identifier.scopusauthoridTso, AWK=6701371436en_HK
dc.identifier.scopusauthoridLam, KSL=8082870600en_HK

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