Indian Heart Journal (Sep 2022)

Association of country economy and socioeconomic factors on risk factor control for primary prevention of cardiovascular disease in patients with diabetes mellitus: Insights from the DISCOVER study

  • Ali O. Malik,
  • Hungta Chen,
  • Fengming Tang,
  • Paul S. Chan,
  • Andrew Cooper,
  • Marίlia B. Gomes,
  • Vittal Hejjaji,
  • Linong Ji,
  • Kamlesh Khunti,
  • Mikhail Kosiborod,
  • Antonio Nicolucci,
  • Poghni A. Peri-Okonny,
  • Marina V. Shestakova,
  • Jiten Vora,
  • Hirotaka Watada,
  • Suzanne V. Arnold

Journal volume & issue
Vol. 74, no. 5
pp. 398 – 405

Abstract

Read online

Background: We sought to describe global patterns in achievement of risk factor control for primary prevention in patients with T2D and explore the association of country's GNI/capita with risk factor control. Methods: The DISCOVER study is a prospective, observational study of patients with T2D from 38 countries enrolled at initiation of second-line glucose-lowering therapy. We examined achievement of risk factor control (glycosylated hemoglobin 0.08 for all). Interpretation: In a global, prospective study of patients with T2D, we found that cardiovascular risk factor control achievement was suboptimal despite 3 years of follow-up in specialized health care systems. Neither country-level nor patient-level socioeconomic factors fully explained this finding.

Keywords