Biochemical profiling, pharmacological management and clinical outcomes in type 2 diabetes in Danish primary care from 2001 to 2015
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Biochemical profiling, pharmacological management and clinical outcomes in type 2 diabetes in Danish primary care from 2001 to 2015. / Heinrich, Niels Søndergaard; Kriegbaum, Margit; Grand, Mia Klinten; Lind, Bent Struer; Andersen, Christen Lykkegaard; Persson, Frederik.
In: Primary Care Diabetes, Vol. 16, No. 6, 2022, p. 818-823.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Biochemical profiling, pharmacological management and clinical outcomes in type 2 diabetes in Danish primary care from 2001 to 2015
AU - Heinrich, Niels Søndergaard
AU - Kriegbaum, Margit
AU - Grand, Mia Klinten
AU - Lind, Bent Struer
AU - Andersen, Christen Lykkegaard
AU - Persson, Frederik
N1 - Publisher Copyright: © 2022 Primary Care Diabetes Europe
PY - 2022
Y1 - 2022
N2 - Aims: Primary care plays an integral role in the management of type 2 diabetes (T2D). We investigated in a large group of individuals in this setting the biochemical profiles, pharmacological management and clinical outcomes as well as their changes over time. Methods: This is a register-based study including relevant laboratory test results requested between 2000 and 2015 by general practitioners in the greater Copenhagen area. We identified 72,044 individuals with T2D on whom data concerning prescription medicine and clinical outcomes were obtained from national registries. Results: The number of individuals with T2D greatly increased from 2001 to 2015. Hemoglobin A1c, estimated glomerular filtration rate and urine albumin creatinine ratio did not change, but cholestrol levels improved. The proportion redeeming anti-diabetics remained around 80%, with an increase for metformin. The use of cardiovascular drugs increased. All-cause and especially cardiovascular mortality decreased over the period. Hospital admissions for non-fatal cardiovascular events dropped. Conclusion: The number of individuals with T2D in primary care increased dramatically whereas pharmacological management, control of risk factors and clinical outcomes seem to have improved. Nevertheless, a conspicuous minority did not receive diabetes-related medication.
AB - Aims: Primary care plays an integral role in the management of type 2 diabetes (T2D). We investigated in a large group of individuals in this setting the biochemical profiles, pharmacological management and clinical outcomes as well as their changes over time. Methods: This is a register-based study including relevant laboratory test results requested between 2000 and 2015 by general practitioners in the greater Copenhagen area. We identified 72,044 individuals with T2D on whom data concerning prescription medicine and clinical outcomes were obtained from national registries. Results: The number of individuals with T2D greatly increased from 2001 to 2015. Hemoglobin A1c, estimated glomerular filtration rate and urine albumin creatinine ratio did not change, but cholestrol levels improved. The proportion redeeming anti-diabetics remained around 80%, with an increase for metformin. The use of cardiovascular drugs increased. All-cause and especially cardiovascular mortality decreased over the period. Hospital admissions for non-fatal cardiovascular events dropped. Conclusion: The number of individuals with T2D in primary care increased dramatically whereas pharmacological management, control of risk factors and clinical outcomes seem to have improved. Nevertheless, a conspicuous minority did not receive diabetes-related medication.
KW - Clinical outcomes
KW - Medications
KW - Primary care
KW - Register study
KW - Type 2 diabetes
U2 - 10.1016/j.pcd.2022.10.006
DO - 10.1016/j.pcd.2022.10.006
M3 - Journal article
C2 - 36272916
AN - SCOPUS:85140328995
VL - 16
SP - 818
EP - 823
JO - Primary Care Diabetes
JF - Primary Care Diabetes
SN - 1751-9918
IS - 6
ER -
ID: 332824257