Control and treatment profiles of 70,889 adult type 2 diabetes mellitus patients in Malaysia - a cross sectional survey in 2009

Background: Understanding the current diabetes care in Malaysia is the first step towards successful control. Many local studies have contributed toward knowledge of diabetes control and treatment profile but none had reported from such a large cohort of patients as in this registry. Aim & Obje...

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Main Authors: Ismail, Mastura, Chew, Boon How, Lee, Ping Yein, Cheong, Ai Theng, Shariff Ghazali, Sazlina, Haniff, Jamaiyah, Syed Abdul Rahman, Syed Alwi, Taher, Sri Wahyu, Ahmad, Zaiton
Format: Article
Language:English
Published: iMedPub 2011
Online Access:http://psasir.upm.edu.my/id/eprint/24427/1/Control%20and%20treatment%20profiles%20of%2070.pdf
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http://internalmedicine.imedpub.com/control-and-treatment-profiles-of-70889-adult-type-2diabetes-mellitus-patients-in-malaysia--a-cross-sectionalsurvey-in-2009.php?aid=6122
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spelling my.upm.eprints.244272019-11-25T06:32:32Z http://psasir.upm.edu.my/id/eprint/24427/ Control and treatment profiles of 70,889 adult type 2 diabetes mellitus patients in Malaysia - a cross sectional survey in 2009 Ismail, Mastura Chew, Boon How Lee, Ping Yein Cheong, Ai Theng Shariff Ghazali, Sazlina Haniff, Jamaiyah Syed Abdul Rahman, Syed Alwi Taher, Sri Wahyu Ahmad, Zaiton Background: Understanding the current diabetes care in Malaysia is the first step towards successful control. Many local studies have contributed toward knowledge of diabetes control and treatment profile but none had reported from such a large cohort of patients as in this registry. Aim & Objectives: To describe glycaemic control, risk factors, and treatment profile for quality assessment of diabetes care in Malaysia. Methods: This is a descriptive study based on secondary data from the online Adult Diabetes Control and Management (ADCM) looking into the control and treatment profiles of type 2 diabetes mellitus patients aged 18 years old and above from 1st January until 31st December 2009. Clinical characteristics included were age, sex, diabetes duration and treatment, glycaemic control, blood pressure, body mass index, and treatment for co-morbidity. Results: A total of 303 centres contributed a total of 70889 patients. Fifty-nine percent was female. The study population included 61.9% Malay, 19% Chinese and 18% Indian. The mean age at diagnosis was 52.3 years old (SD 11.10) and the mean duration of diabetes was 5.9 years (SD 5.56). The mean of HbA1c was 8.3% (SD 2.10); only 18.1% attained HbA1c < 6.5%. There were 61.8% diabetic hypertensive patients based on blood pressure measurements and about one third were treated to target BP ≤ 130/80 mmHg. The mean of low density lipoprotein-cholesterol was 3.2 mmol/L (SD 1.10); one-third achieved the target of ≤ 2.6 mmol/L. Eighteen percent was on more than two anti-hypertensive agents and 41.6% were on anti-lipid agents. Metformin (83.2%), angiotensin-converting enzyme inhibitors (63.9%) and statin (89.8%) were the mostly prescribed anti-diabetic, anti-hypertensive and anti-lipid agents respectively. Conclusion: Diabetes and its co-morbidities (hypertension and hyperlipidaemia) were less satisfactorily controlled. The choice of drugs was appropriate but probably inadequate. More effort and resources are needed to improve diabetes care in this country especially in the primary healthcare. iMedPub 2011 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/24427/1/Control%20and%20treatment%20profiles%20of%2070.pdf Ismail, Mastura and Chew, Boon How and Lee, Ping Yein and Cheong, Ai Theng and Shariff Ghazali, Sazlina and Haniff, Jamaiyah and Syed Abdul Rahman, Syed Alwi and Taher, Sri Wahyu and Ahmad, Zaiton (2011) Control and treatment profiles of 70,889 adult type 2 diabetes mellitus patients in Malaysia - a cross sectional survey in 2009. International Journal of Collaborative Research on Internal Medicine & Public Health, 3 (1). pp. 98-113. ISSN 1840-4529 http://internalmedicine.imedpub.com/control-and-treatment-profiles-of-70889-adult-type-2diabetes-mellitus-patients-in-malaysia--a-cross-sectionalsurvey-in-2009.php?aid=6122
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Background: Understanding the current diabetes care in Malaysia is the first step towards successful control. Many local studies have contributed toward knowledge of diabetes control and treatment profile but none had reported from such a large cohort of patients as in this registry. Aim & Objectives: To describe glycaemic control, risk factors, and treatment profile for quality assessment of diabetes care in Malaysia. Methods: This is a descriptive study based on secondary data from the online Adult Diabetes Control and Management (ADCM) looking into the control and treatment profiles of type 2 diabetes mellitus patients aged 18 years old and above from 1st January until 31st December 2009. Clinical characteristics included were age, sex, diabetes duration and treatment, glycaemic control, blood pressure, body mass index, and treatment for co-morbidity. Results: A total of 303 centres contributed a total of 70889 patients. Fifty-nine percent was female. The study population included 61.9% Malay, 19% Chinese and 18% Indian. The mean age at diagnosis was 52.3 years old (SD 11.10) and the mean duration of diabetes was 5.9 years (SD 5.56). The mean of HbA1c was 8.3% (SD 2.10); only 18.1% attained HbA1c < 6.5%. There were 61.8% diabetic hypertensive patients based on blood pressure measurements and about one third were treated to target BP ≤ 130/80 mmHg. The mean of low density lipoprotein-cholesterol was 3.2 mmol/L (SD 1.10); one-third achieved the target of ≤ 2.6 mmol/L. Eighteen percent was on more than two anti-hypertensive agents and 41.6% were on anti-lipid agents. Metformin (83.2%), angiotensin-converting enzyme inhibitors (63.9%) and statin (89.8%) were the mostly prescribed anti-diabetic, anti-hypertensive and anti-lipid agents respectively. Conclusion: Diabetes and its co-morbidities (hypertension and hyperlipidaemia) were less satisfactorily controlled. The choice of drugs was appropriate but probably inadequate. More effort and resources are needed to improve diabetes care in this country especially in the primary healthcare.
format Article
author Ismail, Mastura
Chew, Boon How
Lee, Ping Yein
Cheong, Ai Theng
Shariff Ghazali, Sazlina
Haniff, Jamaiyah
Syed Abdul Rahman, Syed Alwi
Taher, Sri Wahyu
Ahmad, Zaiton
spellingShingle Ismail, Mastura
Chew, Boon How
Lee, Ping Yein
Cheong, Ai Theng
Shariff Ghazali, Sazlina
Haniff, Jamaiyah
Syed Abdul Rahman, Syed Alwi
Taher, Sri Wahyu
Ahmad, Zaiton
Control and treatment profiles of 70,889 adult type 2 diabetes mellitus patients in Malaysia - a cross sectional survey in 2009
author_facet Ismail, Mastura
Chew, Boon How
Lee, Ping Yein
Cheong, Ai Theng
Shariff Ghazali, Sazlina
Haniff, Jamaiyah
Syed Abdul Rahman, Syed Alwi
Taher, Sri Wahyu
Ahmad, Zaiton
author_sort Ismail, Mastura
title Control and treatment profiles of 70,889 adult type 2 diabetes mellitus patients in Malaysia - a cross sectional survey in 2009
title_short Control and treatment profiles of 70,889 adult type 2 diabetes mellitus patients in Malaysia - a cross sectional survey in 2009
title_full Control and treatment profiles of 70,889 adult type 2 diabetes mellitus patients in Malaysia - a cross sectional survey in 2009
title_fullStr Control and treatment profiles of 70,889 adult type 2 diabetes mellitus patients in Malaysia - a cross sectional survey in 2009
title_full_unstemmed Control and treatment profiles of 70,889 adult type 2 diabetes mellitus patients in Malaysia - a cross sectional survey in 2009
title_sort control and treatment profiles of 70,889 adult type 2 diabetes mellitus patients in malaysia - a cross sectional survey in 2009
publisher iMedPub
publishDate 2011
url http://psasir.upm.edu.my/id/eprint/24427/1/Control%20and%20treatment%20profiles%20of%2070.pdf
http://psasir.upm.edu.my/id/eprint/24427/
http://internalmedicine.imedpub.com/control-and-treatment-profiles-of-70889-adult-type-2diabetes-mellitus-patients-in-malaysia--a-cross-sectionalsurvey-in-2009.php?aid=6122
_version_ 1651869028793188352
score 13.209306