Investigating the screening and treatment trends of diabetes mellitus in general cardiology patients
█ Original article
Pintér Jenő Antal*, Csuport Tibor*, Farkas Attila, Jdid Mahmoud Saddik, Csadi Róbert, Farkas András
Szegedi Tudományegyetem, Általános Orvostudományi Kar, Belgyógyászati Klinika, Kardiológia, Szeged
Introduction: The relationship between diabetes mellitus (DM) and cardiovascular diseases is known. Unfortunately, the management of DM is often overlooked in cardiac care, DM frequently remains undiagnosed resulting in a high risk to cardiology patients.
Objective: We aimed to assess the incidence, screening and treatment trends of DM among cardiology patients treated in our department.
Methods: We retrospectively analysed data from 324 patients treated at the Cardiology Ward at the Department of Internal Medicine, University of Szeged between 01/01/2019 and 31/12/2019.
Results: At admission, 34% of patients were known to have carbohydrate metabolism disorder, 87% of these patients had DM control tests in our ward: HbA1c exceeded 7.0% in 42% of cases. We modified the therapy of 54% of DM patients; 28% of patients received sulphonylurea at admission, 19% after treatment modification (p<0.05); 9.5% of patients received SGLT2-I at admission, 20% after treatment modification (p<0.05). 76% of patients without a known carbohydrate metabolism disorder at admission had DM screening tests in our ward. 55% of the tests identified dysglycaemia: 42% confirmed preDM, 13% confirmed DM. Overall, 62% of the admitted patients suffered from dysglycaemia.
Conclusion: Significant number of patients with known DM had not received sufficient antidiabetic treatment before admission; their therapy often had to be switched to more beneficial antidiabetic drugs. According to our results, nearly two third of the cardiology patients suffered from dysglycaemia, which was frequently undiagnosed before admission. DM screening and treatment, and the cardiometabolic approach should be incorporated into the everyday cardiology care of patients.