Avances en Diabetologia
Volume 26, Issue 2, 2010, Pages 107-111

Metabolic control in diabetic immigrants [El control metabólico en pacientes diabéticos inmigrantes] (Article)

Morató Griera J. , Canadell Rusiñol J. , Martínez Sierra M.C. , Patitucci Gómez M.F. , Artal Traveria E. , Franch Nadal J.*
  • a ABS Raval Sud-CAP Drassanes (ICS Barcelona), ABS Raval Sud., Avda. Drassanes 17-21, 08001 Barcelona, Spain
  • b ABS Raval Sud-CAP Drassanes (ICS Barcelona), ABS Raval Sud., Avda. Drassanes 17-21, 08001 Barcelona, Spain
  • c ABS Raval Sud-CAP Drassanes (ICS Barcelona), ABS Raval Sud., Avda. Drassanes 17-21, 08001 Barcelona, Spain
  • d ABS Raval Sud-CAP Drassanes (ICS Barcelona), ABS Raval Sud., Avda. Drassanes 17-21, 08001 Barcelona, Spain
  • e ABS Raval Sud-CAP Drassanes (ICS Barcelona), ABS Raval Sud., Avda. Drassanes 17-21, 08001 Barcelona, Spain
  • f ABS Raval Sud-CAP Drassanes (ICS Barcelona), ABS Raval Sud., Avda. Drassanes 17-21, 08001 Barcelona, Spain

Abstract

Objective: To assess the degree of metabolic control and the presence of type 2 diabetes complications in diabetic immigrants. Methods: Cross-sectional case-control observational study, matched by age and sex. Cases: Hindustani diabetic immigrants (n = 116) and non-hindustani (n = 113). Controls: native diabetic patients with type 2 diabetes (n = 229). The relation male/female was 6.7, 0.8 y 2, respectively. Metabolic control and presence of chronic complications were assessed. Results: Compared to native diabetics, immigrant diabetics had a lower average age (51.9 vs. 60.7 years), with longer diabetes duration (5.5 vs. 4.4 years). Hindustani immigrants presented statistically significant higher HbA1 c figures (8 vs. 7.4%). In general, diabetic immigrants presented a better lipid profile (LDL 120.4 vs. 146 and HDL 46.3 vs. 42.5 mg/dL) and better blood pressure figures (135/79 vs. 141/82 mmHg) than native diabetics (p < 0.001). As well, immigrants had lower BMI (27.5 vs. 29.3). Considering age-adjusted complications, immigrant diabetics had fewer neuropathy than native (OR = 0.22; IC: 0.11-0.54) and considering non-hindustani diabetics, fewer coronary heart disease (OR = 0.36; IC: 0.14-0.88). Conclusions: Immigrant diabetics have a different metabolic risk profile compared to native diabetics, with poor glycaemic control, especially among hindustani immigrants. © 2010 AVDIAB.

Author Keywords

Immigration diabetes metabolic control

Index Keywords

immigrant blood pressure non insulin dependent diabetes mellitus human diabetes mellitus controlled study statistical significance hemoglobin A1c diabetic patient male female observational study Article major clinical study adult ischemic heart disease case control study metabolic regulation diabetic neuropathy
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867146033&doi=10.1016%2fS1134-3230%2810%2962007-8&partnerID=40&md5=69dee825714d8276c6526133f9a3748e
DOI: 10.1016/S1134-3230(10)62007-8
ISSN: 11343230
Cited by: 1
Original Language: Spanish