Mixed
In tertiary-care diabetic populations, comprehensive management of glycemic, lipid, and blood pressure targets (ABC control) remains suboptimal, with only 20.2% of patients achieving all preset control goals despite high medication availability.
For patients managing diabetes, simply having access to medication is not enough to guarantee health outcomes. This data suggests that achieving comprehensive control (blood sugar, lipids, and blood pressure) is difficult, with only 1 in 5 patients succeeding in a high-resource setting. Focus on the 'why' behind uncontrolled numbers, as medication availability alone does not solve the metabolic burden.
Around 13.2%, 11.9% and 43.3% of patients with diabetes had controlled hyperglycemia, hyperlipidemia and hypertension, respectively... 20.2% of Iranian patients with different types of diabetes achieved all preset ABC (A1C, blood pressure and cholesterol [LDL-C]) control targets diabetes in the NPPCD-2016 survey.
Why this rating
Large prospective registry (n=30,202) with rigorous data collection, though observational in nature.
Source
Diabetes in Iran: Prospective Analysis from First Nationwide Diabetes Report of National Program for Prevention and Control of Diabetes (NPPCD-2016)
Alireza Esteghamati et al. · Scientific Reports · 2017
DOI 10.1038/s41598-017-13379-z
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