Nighat Majeed, Nausheen Sohail, Muhammad Abdul Rehmaan.
Evaluation of achievement of cardiovascular targets in patients of diabetes mellitus and factors predicting goal achievement.
J Cardiovascular Dis Jan ;11(4):101-6.

Type 2 diabetes mellitus management requires tight control of hyperglycemia, hyperlipidemia and hypertension. Measuring exposure to these factors helps in risk assessment for patients in primary cardiovascular prevention and achievement of preset targets helps in cardiovascular control. Patients and Methods. Cross sectional study was performed on theree hundred patients attending inpatient and outpatient clinics of services hospital Lahore & khair-un-nisa hospital Lahore from June 1st 2014 to December 31st 2014. Three key parameters HbA1c, systolic blood pressure and LDL-C of all patients were recorded .patients were divided on the basis of above mentioned goals that is HbA1c ≤7%, Systolic blood pressure ≤140mmHg and LDL-C≤100mg/dl in two groups. Patients achieving all the three goals were compared with no achievers for duration of diabetes mellitus, body mass index, glucose lowering therapy, cardiovascular therapy, and micro and macro vascular complications. Results. Out of 300 patients only 14 patients achieved all three targets and 102 patients did not achieve any of these targets (p=.021).95.34% patients was non-achievers and only 4.66% patients achieved all three goals. There was no significant difference of micro & macro vascular complications amongst two patients groups (p=0.48). No significant difference was found in cardiovascular therapy amongst two groups (p= 0.52).No significant difference was recorded in duration of diabetes mellitus (p=0.41), gender (p=0.38), body mass index (p=0.64) and duration of diabetes mellitus, type of diabetes mellitus (P=0.56) between goal achievers and non-achievers. But there is high prevalence of obesity in study population . Conclusion. A low proportion of patients of diabetes mellitus meet all recommended goals. Good control of blood pressure, blood glucose and hyperlipidemia is recommended to prevent the complications in patients of diabetes mellitus.

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