alexa Gender differences in risk factor control and treatment profile in diabetes: a study in 229 swedish primary health care centres.


Journal of Health Education Research & Development

Author(s): Nilsson PM, Theobald H, Journath G, Fritz T

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Abstract OBJECTIVE: To measure the risk factors and treatment profile of diabetes patients treated in primary health care (PHC) in order to evaluate potential gender differences. DESIGN: Cross-sectional survey of consecutive diabetes patients. SETTING: 229 PHC centres in Sweden. SUBJECTS: 5082 men and 4293 women with diabetes were investigated (1998-2001). MAIN OUTCOME MEASURES: Glycaemic control (HbA1c), blood pressure, lipid levels, prevalence of left ventricular hypertrophy and microalbuminuria. Proportions of patients with previous ischaemic heart disease (IHD) and specific drug treatment. RESULTS: Male patients generally had better blood pressure ( < 140 and/or 85 mmHg) and glycaemic (HbA1c < 6.5\%) control than corresponding female patients (44\% and 59\%, versus 40\% and 54\% in the 60-75 year age group; p < 0.01). Females showed higher levels of total (p < 0.01) and HDL cholesterol (p < 0.05) than males in all age groups. No gender difference was detected for LDL cholesterol levels in the younger or elderly patients, but in the age group 60-75 years female patients had significantly higher mean LDL cholesterol level than male patients (3.3 vs 3.2 mmol/L; p < 0.05). Previously known manifestations of IHD were more common (p < 0.01) in male patients. CONCLUSION: Elderly male patients with diabetes had a more favourable risk factor control than corresponding female patients.
This article was published in Scand J Prim Health Care and referenced in Journal of Health Education Research & Development

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