Diabetes complications

The management of cardiovascular risk in people with diabetes: Insights from an audit of health services providing diabetes care

Diabetes Res Clin PractPublished Retrospective analysis of clinical audit data

Authors' conclusion

Management of cardiovascular risk in adults with diabetes is sub-optimal, increasing the risk of preventable adverse health outcomes.

Study context

Population
Adults (≥18 years) with T1D or T2D attending diabetes centres participating in the Australian National Diabetes Audit in 202232.4 % T1D, 67.6 % T2D
Participants
4,341 adults
Exposure
Type 1 vs Type 2
Outcome
Proportion meeting evidence-based targets for modifiable CV risk factors
Methodological detailsAustralian National Diabetes Audit 2022, multicentre
  • Australian National Diabetes Audit 2022
  • Multicentre

Main finding

As reported in the abstract

Proportion of total cohort meeting targets
Met HbA1c target (≤7% or 53 mmol/mol)
25.9 %
Met LDL-C target (<2 mmol/L)
45.5 %
Met systolic BP target (<130 mmHg)
43.4 %
Met BMI target (<25 kg/m²)
19.8 %
Met physical activity target (≥150 mins/week of moderate-to-vigorous intensity)
30.2 %
Non-smokers
85.0 %

Observational data: associations, not effects.

Further findings

Meeting targets by diabetes type

Compared to patients with T1D, patients with T2D were less likely to meet targets

Meeting targets by cardiovascular disease (CVD) status

Compared to patients without existing CVD, patients with CVD were less likely to meet targets

Original publication

The management of cardiovascular risk in people with diabetes: Insights from an audit of health services providing diabetes care. Diabetes Res Clin Pract. Published 29 March 2025. doi:10.1016/j.diabres.2025.112121

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