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Determinants of uncontrolled dyslipidaemia among adult type 2 diabetes in Malaysia: the Malaysian Diabetes Registry 2009

Numerous studies with compelling evidence had shown a clear relationship between dyslipidaemia and cardiovascular (CV) events in patients with diabetes mellitus. This was an observational study based on secondary data from the online registry database Adult Diabetes Control and Management (ADCM) loo...

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Main Authors: Chew, Boon How, Ismail, Mastura, Lee, Ping Yein, Taher, Sri Wahyu, Haniff, Jamaiyah, Mustapha, Feisul Idzwan, Bujang, Mohamad Adam
Format: Article
Language:English
Published: Elsevier 2012
Online Access:http://psasir.upm.edu.my/id/eprint/24705/1/Determinants%20of%20uncontrolled%20dyslipidaemia%20among%20adult%20type%202%20diabetes%20in%20Malaysia.pdf
http://psasir.upm.edu.my/id/eprint/24705/
https://www.sciencedirect.com/science/article/pii/S0168822712000393?via%3Dihub#!
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spelling my.upm.eprints.247052019-11-25T08:35:30Z http://psasir.upm.edu.my/id/eprint/24705/ Determinants of uncontrolled dyslipidaemia among adult type 2 diabetes in Malaysia: the Malaysian Diabetes Registry 2009 Chew, Boon How Ismail, Mastura Lee, Ping Yein Taher, Sri Wahyu Haniff, Jamaiyah Mustapha, Feisul Idzwan Bujang, Mohamad Adam Numerous studies with compelling evidence had shown a clear relationship between dyslipidaemia and cardiovascular (CV) events in patients with diabetes mellitus. This was an observational study based on secondary data from the online registry database Adult Diabetes Control and Management (ADCM) looking into the determinants of uncontrolled dyslipidaemia in type 2 diabetes mellitus patients. Independent predictors were identified using multivariate logistic regression. A total of 303 centres (289 health clinics, 14 hospitals) contributed a total of 70,889 patients (1972 or 2.8% patients were from hospital). About thirty eight percent were reported to have dyslipidaemia. There were 40.7% patients on lipid-lowering agents and of those above age 40 years old, only 38.1% of them were on a statin. Malay ethnicity and younger age groups (<50 years old) were two major determinants of uncontrolled LDL-C, TG and HDL-C. Female gender and uncontrolled blood pressure were determinants of uncontrolled LDL-C, and poor glycaemic control was related independently to high TG. This study has highlighted the suboptimal management of diabetic dyslipidaemia in Malaysia. Pharmacological treatment of dyslipidaemia could be more effective. Healthcare stakeholders in this country, especially in the primary care, have to recognize these shortfalls and take immediate remedial measures. Elsevier 2012 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/24705/1/Determinants%20of%20uncontrolled%20dyslipidaemia%20among%20adult%20type%202%20diabetes%20in%20Malaysia.pdf Chew, Boon How and Ismail, Mastura and Lee, Ping Yein and Taher, Sri Wahyu and Haniff, Jamaiyah and Mustapha, Feisul Idzwan and Bujang, Mohamad Adam (2012) Determinants of uncontrolled dyslipidaemia among adult type 2 diabetes in Malaysia: the Malaysian Diabetes Registry 2009. Diabetes Research and Clinical Practice, 96 (3). pp. 339-347. ISSN 0168-8227 https://www.sciencedirect.com/science/article/pii/S0168822712000393?via%3Dihub#! 10.1016/j.diabres.2012.01.017
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Numerous studies with compelling evidence had shown a clear relationship between dyslipidaemia and cardiovascular (CV) events in patients with diabetes mellitus. This was an observational study based on secondary data from the online registry database Adult Diabetes Control and Management (ADCM) looking into the determinants of uncontrolled dyslipidaemia in type 2 diabetes mellitus patients. Independent predictors were identified using multivariate logistic regression. A total of 303 centres (289 health clinics, 14 hospitals) contributed a total of 70,889 patients (1972 or 2.8% patients were from hospital). About thirty eight percent were reported to have dyslipidaemia. There were 40.7% patients on lipid-lowering agents and of those above age 40 years old, only 38.1% of them were on a statin. Malay ethnicity and younger age groups (<50 years old) were two major determinants of uncontrolled LDL-C, TG and HDL-C. Female gender and uncontrolled blood pressure were determinants of uncontrolled LDL-C, and poor glycaemic control was related independently to high TG. This study has highlighted the suboptimal management of diabetic dyslipidaemia in Malaysia. Pharmacological treatment of dyslipidaemia could be more effective. Healthcare stakeholders in this country, especially in the primary care, have to recognize these shortfalls and take immediate remedial measures.
format Article
author Chew, Boon How
Ismail, Mastura
Lee, Ping Yein
Taher, Sri Wahyu
Haniff, Jamaiyah
Mustapha, Feisul Idzwan
Bujang, Mohamad Adam
spellingShingle Chew, Boon How
Ismail, Mastura
Lee, Ping Yein
Taher, Sri Wahyu
Haniff, Jamaiyah
Mustapha, Feisul Idzwan
Bujang, Mohamad Adam
Determinants of uncontrolled dyslipidaemia among adult type 2 diabetes in Malaysia: the Malaysian Diabetes Registry 2009
author_facet Chew, Boon How
Ismail, Mastura
Lee, Ping Yein
Taher, Sri Wahyu
Haniff, Jamaiyah
Mustapha, Feisul Idzwan
Bujang, Mohamad Adam
author_sort Chew, Boon How
title Determinants of uncontrolled dyslipidaemia among adult type 2 diabetes in Malaysia: the Malaysian Diabetes Registry 2009
title_short Determinants of uncontrolled dyslipidaemia among adult type 2 diabetes in Malaysia: the Malaysian Diabetes Registry 2009
title_full Determinants of uncontrolled dyslipidaemia among adult type 2 diabetes in Malaysia: the Malaysian Diabetes Registry 2009
title_fullStr Determinants of uncontrolled dyslipidaemia among adult type 2 diabetes in Malaysia: the Malaysian Diabetes Registry 2009
title_full_unstemmed Determinants of uncontrolled dyslipidaemia among adult type 2 diabetes in Malaysia: the Malaysian Diabetes Registry 2009
title_sort determinants of uncontrolled dyslipidaemia among adult type 2 diabetes in malaysia: the malaysian diabetes registry 2009
publisher Elsevier
publishDate 2012
url http://psasir.upm.edu.my/id/eprint/24705/1/Determinants%20of%20uncontrolled%20dyslipidaemia%20among%20adult%20type%202%20diabetes%20in%20Malaysia.pdf
http://psasir.upm.edu.my/id/eprint/24705/
https://www.sciencedirect.com/science/article/pii/S0168822712000393?via%3Dihub#!
_version_ 1651869031138852864
score 13.211869

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