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Volume 2
Journal of Clinical Diagnosis and Treatment
Annual Nephrology & Chronic Diseases 2019
May 20-21, 2019
Nephrology
Chronic Diseases
May 20-21, 2019 London, UK
19
th
Annual Conference on
3
rd
International Conference on
&
Mingxia Yuan et al., J Clinical Diagnosis and Treatment, Volume 2
More sustained combined target control leading to less cardiovascular events and all-
cause mortality in patients with type 2 diabetes mellitus
Mingxia Yuan
1
, Gang Wan
2
, Guangran Yang
1
, Xuelian Zhang
1
, Liangxiang Zhu
1
, Jianping Feng
1
, Rongrong Xie
1
, Ning Zhuang
3
,
Hanjing Fu
1
and
Shenyuan Yuan
1
1
Beijing Tongren Hospital, Capital Medical University, China
2
Beijing Ditan Hospital, Capital Medical University, China
3
Jinsong Community Health Service Center, China
Chronic complications are the major causes of disabilities
and death for diabetic patients. It is well-established that
intensive glycemia, blood pressure and lipid management in
people with diabetes reduces the risk of microvascular and
macrovascular complications, mainly on the basis of evidence
from large randomized clinical trials. Yet, translation of these
interventions to day-to-day-life settings remains a major
challenge. Meanwhile, the GPs from the local healthcare
community remain a relatively untapped pool of resources in
China. An urgent problem is whether the quality of diabetes
care will be compromised as diabetes care shifts increasingly
from specialist to primary level. We thus launched the 10-year Beijing Community Diabetes Study (BCDS), to
develop a community-hospital integrated management system, with the purpose of translating optimal care to
the real-world clinical practice by increasingly involve community GPs in diabetes management.
Objective:
To assess the quality and effort of the community-hospital integrated diabetes care model, focusing
on the effect of the 10-year combined target control on all-cause mortality and cardiovascular events for the
patients with type 2 diabetes mellitus (T2DM)
．
Methods:
The patients aged 20 to 80 years with T2DM from 15 community health centers among five urban
districts were recruited at the baseline (betweenAugust 2008 and July 2009), andwere followed up to September
2018. Management adjustment strategies on guidelines have been applied by a group of collaborative team
members consisting of 15 specialists from tertiary hospital and 120 community GPs. A systemic scheduled
training course, including hand-by-hand tutor at the outpatient clinic, were applied to the GPs. The follow-
up visit for the patients was completed on schedule. All the metabolic variables were detected. HbA1c was
measured at a central laboratory by high-pressure liquid chromatographic assay. To ensure the integrity and
also quality of data collection, a supervision team which includes four trained specialists has been checking