Risks of cardiovascular complications in patients with type 2 diabetes mellitus (by the example of polyclinics in Almaty)

Introduction. In diabetes mellitus, uncontrolled hyperglycemia and a combination of risk factors (RF) of cardiovascular complications (CVC) are the causes of fatal cardiovascular events. Achieving target levels of glycemia, blood pressure, lipid profile, and weight loss has been shown to slow or stabilize CVC. Patients and Methods. We examined 398 patients with type 2 diabetes in outpatient clinics of Almaty city according to conventional criteria of carbohydrate and fat metabolism disorders, arterial hypertension (AH) and detection of nephropathy. Depending on the duration of diabetes mellitus, patients were divided into 4 groups. Risk groups of CVC were identified according to ESC / EASD (2019) and ESC / EACPR (2016) categories. Results. All examined patients did not reach (glycated hemoglobin 8.18-8.7 %, LDL cholesterol 3.24-3.79 mmol / l, triglycerides 1.94-2.24 mmol / l, blood pressure 138.7-150.6 / 84.4-91.9 mm Hg) target levels of carbohydrate (glycated hemoglobin