Type 2 Diabetes Clinical Trial
Official title:
Nationwide Assessment of Cardiovascular Risk Factors: Blood Pressure, Blood Lipid, and Blood Glucose, in Chinese Patients With Type 2 Diabetes, A Study of China Cardiometabolic Registries (CCMR)
The objective of this study is to evaluate the level of control of cardiovascular disease
risk factors, including blood pressure, blood lipid, and blood glucose, in out patients with
type 2 DM in 6 representative regions in China: Northeast, North, East, South, Southwest and
Northwest, measured by,
1. Proportion of patients reaching adequate control of blood glucose
2. Proportion of patients reaching adequate control of blood glucose and blood pressure,
or blood glucose and blood lipid
3. Proportion of patients reaching adequate control of all 3Bs, i.e. blood glucose, blood
pressure, and blood lipid.
The prevalence of patients with diabetes mellitus (DM) worldwide has increased from 30
million in 1985 to 180 million at the present time. In China, the incidence of overweight,
obesity, and DM has increased rapidly due to the significant change of diet and lifestyle
resulted from rapid economic development. As estimated by International Diabetes Federation
(IDF), the number of the patients with DM was about 39.8 million in China in 2007, and it is
anticipated that the number would reach 59.3 million in 2025 [11]. At the same time there
are a similar number of pre-diabetes patients with risk factors of cardiovascular diseases
in China. DM and its associated microvascular and macrovascular complications could severely
affects patients' quality of life and duration of survival and lead to significant increase
in medical expenditure.
There have been a number of epidemiological surveys of diabetes conducted in other
countries. However, there is little specific data available on the status of DM control and
clinical outcomes of prevention and treatment of diabetic cardiovascular complications and
other microvascular complications in China. This has made it difficult for clinicians to
effectively make medical choices for patients with a variety of risk factors and
complications.
This study is thus designed to assess the level of control of CVD risk factors, including
blood pressure, blood lipid, and blood glucose, in outpatients with type 2 DM nation-wide
across 6 representative regions in China: Northeast, North, East, South, Southwest and
Northwest. The difference in clinical outcomes between the regions and between the three
different tiers of hospitals, i.e. tier 3 (primary or teaching hospitals), tier 2 (secondary
or city level hospitals), and tier 1 (community hospitals/health centers), will be made. The
primary measurements include 1)Proportion of patients reaching adequate control of blood
glucose (1B); 2)Proportion of patients reaching adequate control of blood glucose and blood
pressure, or blood glucose and blood lipid (2B); and 3)Proportion of patients reaching
adequate control of all 3Bs, i.e. blood glucose, blood pressure, and blood lipid. Other
measurements include proportion of microvascular and macrovascular diabetic complications,
DM treatment pattern and influence factors, physician prescribing behaviors, etc.
;
Observational Model: Cohort, Time Perspective: Cross-Sectional
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