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Current status of managing diabetes mellitus in Korea

View Article: PubMed Central - PubMed

ABSTRACT

Diabetes mellitus is an increasing global health problem. Guidelines for diabetic care recommend management of lifestyle and risk factors (glucose, blood pressure, and cholesterol), as well as regular screening for complications associated with treatment of the conditions related to diabetes. The prevalence of diabetes increased from 8.6% to 11.0% from 2001 to 2013. According to the diabetes fact sheet 2015, the proportion of patients with diabetes treated with antihypertensive medications increased from 56.0% to 62.5% from 2006 to 2013, and 49.5% of those with diabetes were being treated with lipid-lowering medications in 2013, a 1.8-fold increase since 2006. According to the 2014 Korea National Health and Nutrition Examination Survey data, 45.6% of patients with diabetes achieved a hemoglobin A1c level of < 7.0%, 72.8% achieved a blood pressure of < 140/85 mmHg, and 58.0% achieved a low density lipoprotein cholesterol level of < 100 mg/dL. Only 19.7% of patients with diabetes had good control of all three of these parameters. Despite improvements in health promotion efforts, the rates of adherence to medication and risk-factor control are low. Therefore, a systematic approach to managing diabetes, including self-management education, is needed to prevent or delay complications. The government needs to establish a long-term policy to address the growing burden of diabetes.

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Related in: MedlinePlus

The prevalence of achieving three targets for diabetes management and the smoking status among Korean adults aged ≥ 30 years diagnosed with diabetes in the 2014 Korea National Health and Nutrition Examination Survey. A1C, hemoglobin A1c; SBP, systolic blood pressure; DBP, diastolic blood pressure; LDL, low density lipoprotein; BP, blood pressure.
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f1-kjim-2016-253: The prevalence of achieving three targets for diabetes management and the smoking status among Korean adults aged ≥ 30 years diagnosed with diabetes in the 2014 Korea National Health and Nutrition Examination Survey. A1C, hemoglobin A1c; SBP, systolic blood pressure; DBP, diastolic blood pressure; LDL, low density lipoprotein; BP, blood pressure.

Mentions: According to the KDA, the medication adherence rate, which is estimated using the medication possession ratio, increased from 12.8% to 44.9% from 2002 to 2013 [31]. The proportion of patients with diabetes treated with antihypertensive medications increased from 56.0% to 62.5% during 2006 to 2013. Approximately 50% of patients with diabetes were being treated with lipid-lowering medications in 2013, a 1.8-fold increase since 2006 [12]. According to the 2014 Korea National Health and Nutrition Examination Survey (KNHANES) study, 45.6% of patients with diabetes achieved A1C < 7.0%, 72.8% achieved BP < 140/85 mmHg, and 58.0% achieved LDL-C < 100 mg/dL. Only 19.7% of patients with diabetes had good control of all three parameters (Fig. 1, unpublished data). Control rates in 2014 improved compared with those from the 2005 health insurance data, in which 40.3% of patients achieved A1C < 7.0%, 58.6% achieved BP < 140/90 mmHg, and 38.3% achieved LDL-C < 100 mg/dL [7,19]. In particular, the glycemic control rate (defined as A1C ≥ 8.0%) decreased steadily from 33.6% in 2005 to 25.9% in 2012 to 22.5% in 2014 (Fig. 2, unpublished data) [19]. Almost half of the male patients with diabetes are still smoking (Fig. 1, unpublished data).


Current status of managing diabetes mellitus in Korea
The prevalence of achieving three targets for diabetes management and the smoking status among Korean adults aged ≥ 30 years diagnosed with diabetes in the 2014 Korea National Health and Nutrition Examination Survey. A1C, hemoglobin A1c; SBP, systolic blood pressure; DBP, diastolic blood pressure; LDL, low density lipoprotein; BP, blood pressure.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5016294&req=5

f1-kjim-2016-253: The prevalence of achieving three targets for diabetes management and the smoking status among Korean adults aged ≥ 30 years diagnosed with diabetes in the 2014 Korea National Health and Nutrition Examination Survey. A1C, hemoglobin A1c; SBP, systolic blood pressure; DBP, diastolic blood pressure; LDL, low density lipoprotein; BP, blood pressure.
Mentions: According to the KDA, the medication adherence rate, which is estimated using the medication possession ratio, increased from 12.8% to 44.9% from 2002 to 2013 [31]. The proportion of patients with diabetes treated with antihypertensive medications increased from 56.0% to 62.5% during 2006 to 2013. Approximately 50% of patients with diabetes were being treated with lipid-lowering medications in 2013, a 1.8-fold increase since 2006 [12]. According to the 2014 Korea National Health and Nutrition Examination Survey (KNHANES) study, 45.6% of patients with diabetes achieved A1C < 7.0%, 72.8% achieved BP < 140/85 mmHg, and 58.0% achieved LDL-C < 100 mg/dL. Only 19.7% of patients with diabetes had good control of all three parameters (Fig. 1, unpublished data). Control rates in 2014 improved compared with those from the 2005 health insurance data, in which 40.3% of patients achieved A1C < 7.0%, 58.6% achieved BP < 140/90 mmHg, and 38.3% achieved LDL-C < 100 mg/dL [7,19]. In particular, the glycemic control rate (defined as A1C ≥ 8.0%) decreased steadily from 33.6% in 2005 to 25.9% in 2012 to 22.5% in 2014 (Fig. 2, unpublished data) [19]. Almost half of the male patients with diabetes are still smoking (Fig. 1, unpublished data).

View Article: PubMed Central - PubMed

ABSTRACT

Diabetes mellitus is an increasing global health problem. Guidelines for diabetic care recommend management of lifestyle and risk factors (glucose, blood pressure, and cholesterol), as well as regular screening for complications associated with treatment of the conditions related to diabetes. The prevalence of diabetes increased from 8.6% to 11.0% from 2001 to 2013. According to the diabetes fact sheet 2015, the proportion of patients with diabetes treated with antihypertensive medications increased from 56.0% to 62.5% from 2006 to 2013, and 49.5% of those with diabetes were being treated with lipid-lowering medications in 2013, a 1.8-fold increase since 2006. According to the 2014 Korea National Health and Nutrition Examination Survey data, 45.6% of patients with diabetes achieved a hemoglobin A1c level of &lt; 7.0%, 72.8% achieved a blood pressure of &lt; 140/85 mmHg, and 58.0% achieved a low density lipoprotein cholesterol level of &lt; 100 mg/dL. Only 19.7% of patients with diabetes had good control of all three of these parameters. Despite improvements in health promotion efforts, the rates of adherence to medication and risk-factor control are low. Therefore, a systematic approach to managing diabetes, including self-management education, is needed to prevent or delay complications. The government needs to establish a long-term policy to address the growing burden of diabetes.

No MeSH data available.


Related in: MedlinePlus