National survey: Evaluation of cardiovascular risk factors in Thai patients with type 2 diabetes and chronic kidney disease after the development of cardiovascular disease

Abstract

Most Thai patients with T2DM and CKD with eGFR < 60 mL/min per 1.73 m could not achieve the therapeutic goals after the development of CVD. The national health policy should be planned to improve the quality of care to increase the number of patients who achieve the recommended goals.

Glycemic Control and Cardiovascular Risk Factor Management in Adults With Type 2 Diabetes With and Without Chronic Kidney Disease Before Sodium-Glucose Cotransporter Protein 2 Inhibitors: Insights From the Diabetes Mellitus Status in Canada Survey

“…In a cross-sectional study of 24,514 Italian patients with T2D and CKD, 42% achieved the A1C target of 7.0%, 13.6% achieved a BP of 130/80 mmHg and 55% achieved the LDL-C target of 2.6 mmol/L (19). Among 1,254 Thai patients with T2D and CKD, 42% attained the A1C target of 7%, 47% reached the BP target of 130/80 mmHg and the LDL-C target of 2.6 mmol/L was met by 50% (25). Compared with those studies, our patients with CKD had higher rates of achieving A1C and LDL-C targets.…”

“…The presence of CKD is associated with less success at achieving BP goals by impeding the effectiveness of antihypertensive medications (18). As CKD progresses, multiple medications are needed for target-directed BP management (25). Compared with the data from the 2001-2010 NHANES populationbased study, a higher proportion of our patients with CKD were on antihypertensive agents (93.7% vs 69.9%), but proportionally fewer achieved their BP target (34.8% vs 40.8%) (23).…”