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01.12.2014 | Research article | Ausgabe 1/2014 Open Access

BMC Family Practice 1/2014

Prevalence of complications among Chinese diabetic patients in urban primary care clinics: a cross-sectional study

Zeitschrift:
BMC Family Practice > Ausgabe 1/2014
Autoren:
Kenny Kung, Kai Ming Chow, Eric Ming-Tung Hui, Maria Leung, Shuk Yun Leung, Cheuk Chun Szeto, Augustine Lam, Philip Kam-Tao Li
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1471-2296-15-8) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

PKTL/ KK/ AL conceptualised the whole study. KK researched data and wrote the manuscript. KMC, EMTH, ML, SYL and AL reviewed the manuscript. CCS/PKTL contributed to results/discussion and reviewed the manuscript. All authors declare that there are no financial relationships with any organisations that might have an interest in the submitted work, and that no presentations have been made for this research. All authors read and approved the final manuscript.

Abstract

Background

A territory-wide diabetes management program (Risk Assessment Management Program – RAMP) was recently established, providing comprehensive management for all diabetics, helping to delineate current level of control and complications prevalence among primary care diabetic patients in Hong Kong.

Method

This cross-sectional study captured anonymous clinical data from RAMP patients. Data obtained include sociodemographic details, type of diabetes, illness duration, family history, drug usage, coexisting illnesses, diabetic complications and other clinical parameters.

Results

Data from 15,856 type 2 diabetic patients were analyzed. 57.1% were above 60 years old, with mean disease duration of 7.3 years. Hypertension was the commonest coexisting chronic illness (57.6%). 30.2% and 61.8% have their systolic and diastolic pressure controlled to below 130 mmHg and 80 mmHg respectively. Over half (51.5%) had an HbA1c level of less than 7.0%. 88.4% did not achieve target lipid level. 15% were on diet control alone. Only 22.2% were on statins. In patients with microalbuminuria and macroalbuminuria, 40.7% and 54.5% were on angiotensin converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) respectively. 12.9%, 38.8% and 2.4% had diabetic retinopathy, nephropathy and neuropathy respectively. Overall, 37.9%, 7.3% and 0.4% had single, two and three concurrent microvascular complications respectively.

Conclusion

The level of diabetic control is comparable with other developed countries. We demonstrated a high prevalence of microvascular complications among Chinese primary care patients despite achieving adequate HbA1c levels, highlighting the importance of managing all aspects of diabetes including weight, lipid and blood pressure. Efforts to improve holistic management must be tailored according to the needs of our population, with the challenges that the majority have low educational background and in the older age group.
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