Trends in glycemic, blood pressure, and lipid control in adults with diabetes in Switzerland: the CoLaus|PsyCoLaus Study
Authors' conclusion
Cardiovascular risk factor control in adults with diabetes in Switzerland has increased in the last 15 years, but there remains a margin for improvement.
Study context
- Population
- Adults with diabetes in the CoLaus|PsyCoLaus cohort of adults aged 35–75 years in Lausanne, Switzerlandwhole cohort
- Participants
- 6,733 adults
- Exposure
- 2018-21 vs 2003-6
- Outcome
- Glycemic (FPG <7 mmol/L), BP (<140/90 mm Hg) and lipid (non-HDL cholesterol <3.4 mmol/L) control
- Follow-up
- 2003-6 to 2018-21
Methodological detailsrepeated cross-sectional assessments at baseline and three follow-ups, Baseline 2003-6; follow-ups 2009-12, 2014-17 and 2018-21
- Repeated cross-sectional assessments at baseline and three follow-ups
- Baseline 2003-6; follow-ups 2009-12, 2014-17 and 2018-21
Main finding
As reported in the abstract
Rates of risk factor control
- Glycemic control, 2003-6
- 23.2% (95% CI 19.5 to 27.3)
- Glycemic control, 2018-21
- 32.8% (95% CI 28.1 to 37.8)
- BP control, baseline
- 51.5% (95% CI 46.8 to 56.2)
- BP control, 15 years later
- 63.3% (95% CI 58.2 to 68.1)
- Cholesterol control, 2003-6
- 29.1% (95% CI 25.1 to 33.6)
- Cholesterol control, 2018-21
- 56.3% (95% CI 51.1 to 61.4)
- Simultaneous control of all three, baseline
- 5.5% (95% CI 3.7 to 8.1)
- Simultaneous control of all three, 15 years later
- 17.2% (95% CI 13.7 to 21.5)
Observational data: associations, not effects.
Further findings
Medication use
- Improvements tallied with increased use of glucose-lowering agents, BP-lowering medication and statins
Control by sex and ethnicity
- Men less likely to achieve BP control but better non-HDL cholesterol control
- Caucasians less likely than non-Caucasians to achieve simultaneous control
Original publication
Trends in glycemic, blood pressure, and lipid control in adults with diabetes in Switzerland: the CoLaus|PsyCoLaus Study. BMJ Open Diabetes Res Care. Published 15 May 2023. doi:10.
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