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Rev Esp Cardiol (Engl Ed). 2013 Jan;66(1):39-46. doi: 10.1016/j.recesp.2012.07.016. Epub 2012 Nov 2.

The diabetic immigrant: cardiovascular risk factors and control. Contributions of the IDIME study.

[Article in English, Spanish]

Author information

1
Institut Català de la Salut, EAP Raval Sud, Barcelona, España. josep.franch@gmail.com

Abstract

INTRODUCTION AND OBJECTIVES:

The aim of this study was to determine the clinical characteristics of diabetes and associated cardiovascular risk factors in immigrants with diabetes in Spain.

METHODS:

A multicenter, observational, cross-sectional study including a cohort of 605 diabetic immigrants and 307 native diabetics was conducted in patients diagnosed with diabetes and treated in primary and specialized care in Spain. A consecutive sampling method was followed. We studied epidemiological, clinical and laboratory variables related to diabetes and the presence of classical risk factors.

RESULTS:

The immigrant diabetic patient was younger (50.4 [11.5] vs 62.7 [13] years) and had fewer years of diabetes progression (5.8 [6.4] vs 10.5 [8.3] years) (P<.001) compared with native diabetic patients. Immigrants from South America with diabetes were more obese. No statistically significant differences were found in abdominal obesity or the waist/height ratio. Glycemic control was worse in immigrants than in the native Spaniard group (glycosylated hemoglobin, 7.8 [2.2] vs 7.1 [1.5%]), especially among South Asians (8.1[2.5%]) (P<.001), in whom insulin use was lower (12.8% vs 30.7% in other immigrants) (P<.001). However, the prevalence of chronic complications of diabetes was lower among immigrants, particularly that of macrovascular complications (7.7% vs 24.4%) (P<.01).

CONCLUSIONS:

In our study the profile of immigrant diabetics in Spain is one of a young diabetic without complications, but with worse metabolic control. These findings provide an excellent opportunity to implement preventive measures.

PMID:
23122758
DOI:
10.1016/j.recesp.2012.07.016
[Indexed for MEDLINE]
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