Compliance with Recommendations for Lipid Management among Patients with Type 2 Diabetes in an Academic Family Practice

Article Figures & Data

Table 1.

Percentage of Patients Who Attained Lipid Treatment Goals

Clinical characteristics	Percentage of Patients Attaining Goal
Clinical characteristics	N (%)	LDL	HDL	Triglycerides
Gender
Male	101 (51)	58.4^*	28.9^***	74.0
Female	97 (49)	35.1	56.4	64.4
Marital Status
Married	112 (76)	50.0^***	37.6	66.4
Unmarried	36 (24)	41.9	47.8	72.2
Race/ethnicity
Black	23 (12)	34.8	75.0^**	83.3
Hispanic	20 (10)	35.0	35.0	55.0
Other	22 (11)	50.0	37.5	82.6
White	133 (67)	50.4	38.1	66.2
Insurance
Private fee-for-service	82 (41)	51.2	37.7	62.4
Private, HMO	39 (20)	41.0	41.9	61.9
Medicare + supplemental	23 (12)	34.8	56.6	91.3
Medicare alone	45 (23)	51.0	43.5	76.1
Other	9 (4)	44.4	40.0	70.0
Smoking status
Nonsmoker	180 (95)	46.7	42.6	69.5
Smoker	9 (5)	0.0	36.8	63.2
Education
Less than high school	52 (26)	36.5	40.7^*	64.8
High school graduate	67 (34)	49.3	54.9	71.4
Post high school	79 (40)	51.9	31.7	69.5
Patient received patient education
Yes	127 (64)	46.5	42.1	68.4
No	71 (36)	47.9	41.9	69.9
Patient taking ACE inhibitor or receptor blocker
Yes	100 (51)	53.0	38.6	73.3
No	98 (49)	40.8	45.3	64.8
Patients taking lipid-lowering drug
Yes	81 (41)	65.4^***	34.9	63.5
No	117 (59)	35.0	47.1	72.7
Patients taking sulfonylurea
Yes	73 (37)	46.6	43.6	65.4
No	125 (63)	47.2	41.1	71.1
Patients taking metformin
Yes	109 (55)	48.6	38.1	63.7
No	89 (45)	44.9	46.8	75.3
Patients on insulin therapy
Yes	25 (13)	32.0	46.2	61.5
No	173 (87)	49.1	41.4	70.0
Patients on a thiazolidinedione
Yes	34 (17)	58.8	48.6	71.4
No	164 (83)	44.5	40.7	68.4

Table 2.

Logistic Regression: Clinical Predictors of Diabetic Patients Who Attained LDL Goal (LDL <100 mg/dL)

Clinical Predictors	Odds Ratio	95% Confidence Interval	P Value
Gender
Male	2.33	1.21–4.51	.01
Female		1.00
Patient taking a statin
Yes	3.48	1.78–6.83	.0003
No			1.00
History of hypertension
Yes	2.57	1.26–5.23	.009
No			1.00

Table 3.

Logistic Regression: Clinical Predictors of Diabetic Patients Who Attained HDL Goal (HDL >45 mg/dL)

Clinical Predictors	Odds Ratio	95% Confidence Interval	P Value
Gender
Male	0.18	0.08–0.39	<.0001
Female			1.00
Body mass index^*	0.92	0.87–0.98	.006
Race-ethnicity
Black	5.42	1.59–18.47	.007
All others			1.00
Triglyceride level^*	0.99	0.99–1.0	.006

* Odds ratios for BMI and triglyceride level reflect change in the odds of attaining HDL goal with each unit change in BMI and triglyceride level, respectively.