Prevalence of diabetics controlled by glycosylated hemoglobin in two health areas. Cardenas, 2019
Keywords:
diabetes mellitus, prevalence, controlled diabetics, HbA1cAbstract
Introduction: diabetes Mellitus is a metabolic disorder characterized by chronic hyperglycemia with alterations in carbohydrates, fats and proteins. Due to the increase of the morbidity and mortality rates, this is a health problem in the world, in Cuba and the province of Matanzas.
Objective: to determine the prevalence of diabetics controlled with glycosylated hemoglobin (HbA1c), associated factors, and barriers to further intervention.
Materials and method: an epidemiological, cross-sectional, analytical study was carried out in a cohort of 601 previously studied, type 2 diabetics over 18 years of age, in two polyclinics. The patients were surveyed and data processed in the Epi-Info 7 program. Frequencies and proportions of variables, prevalence of diabetics controlled by hemoglobin HbA1c, associated factors, comorbidities with odds ratio, as well as differences of variables between the two polyclinics were calculated by using Chi2 and p value <0.05 %.
Results: the prevalence of controlled diabetics was 69.3 %. There were no statistically significant differences between demographic variables, co-morbidities and associated life style risk factors. All variables (presence and absence of the factor) showed control above 64 %. Healthy weight, overweight, heart and chronic respiratory diseases, sweet beverages intake and inadequate diet revealed statistically significant differences between the two polyclinics.
Conclusions: there were no differences between the variables controlled and non-controlled diabetics. Barriers to improve patients control were identified for the sake of performing a subsequent intervention and improving their life quality, because 30 % of uncontrolled diabetic patients had some of the studied risk factors.Downloads
References
2. American Diabetes Association. Summary of Revisions: Standards of Medical Care in Diabetes-2019. Diabetes Care [Internet]. 2019 Jan [citado 01/07/2019]; 42(Suppl 1): S4-S6. Disponible en: https://doi.org/10.2337/dc19-Srev01
3. Organización Mundial de la Salud. Informe mundial sobre la diabetes. Resumen de Orientación [Internet]. Ginebra: OMS; 2016. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/204877/WHO_NMH_NVI_16.3_spa.pdf?sequence=1
4. Ministerio de Salud Pública. Dirección de Registro Médicos y Estadísticas de Salud. Anuario estadístico de salud 2019 [Internet]. La Habana: MINSAP; 2020 [citado 20/01/2020]. Disponible en: https://salud.msp.gob.cu/wp-content/Anuario/anuario_2019_edicion_2020.pdf
5. González-Cárdenas LT, Cuesta-Mejías L, Pérez-Perea L, et al. El Programa del médico y enfermera de la familia: desarrollo del modelo de atención médica en Cuba. Rev Panam Salud Pública [Internet]. 2018 [citado 16/07/2018]; 42: e31. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386125/
6. DiMeglio LA, Acerini CL, Codner E, et al. Clinical Practice Consensus Guidelines 2018: Glycemic control targets and glucose monitoring for children, adolescents, and young adults with diabetes. Pediatr Diabetes [Internet]. 2018 Oct [citado 20/01/2020]; 19(Suppl 27): 105-14. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30058221/
7. Asociación Latinoamericana de Diabetes. Guías ALAD sobre el Diagnóstico, Control y Tratamiento de la Diabetes Mellitus Tipo 2 con Medicina Basada en Evidencia. Buenos Aires: Asociación Latinoamericana de Diabetes; 2019 [citado 20/01/2020]. Disponible en: https://revistaalad.com/guias/5600AX191_guias_alad_2019.pdf
8. Herrero-Gil AM, Pinillos-Robles J, Sabio-Repiso P, et al. Tendencias sobre los parámetros del grado de control de los pacientes con diabetes tipo 2 desde el año 2010 al año 2015. Aten Primaria [Internet]. 2018 Oct [citado 23/11/2018]; 50(8): 459-66. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836903/
9. Jasso-Huamán LE, Villena-Pacheco A, Guevara-Linares X. Control metabólico en pacientes diabéticos ambulatorios de un hospital general. Rev Med Hered [Internet]. 2015 Jul [citado 12/06/2018]; 26(3): 167-72. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1018-130X2015000300005&lng=es
10. Wacher NH, Silva M, Valdez L, et al. Causas de descontrol metabólico en atención primaria. Gac Med Mex [Internet]. 2016 [citado 12/06/2018]; 152:350-6. Disponible en: https://www.medigraphic.com/pdfs/gaceta/gm-2016/gm163k.pdf
11. Vélez JM, García R, Pina E, et al. Eficacia de una estrategia para mejorar los indicadores de calidad del Proceso Asistencial Integrado Diabetes Mellitus 2 en el Centro Avanzado de Diabetes Macarena. Aten Primaria [Internet]. 2019 Feb [citado 26/09/2019]; 51(1): 18-23. Disponible en: https://www.elsevier.es/es-revista-atencion-primaria-27-articulo-eficacia-una-estrategia-mejorar-los-s0212656717304080
12. Domínguez-Alonso E. Desigualdades sociales y diabetes mellitus. Rev Cubana Endocrinol [Internet]. 2013 Ago [citado 12/06/2019]; 24(2): 200-13. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532013000200009&lng=es
13. Casanova-Moreno MC, Trasancos-Delgado M, Prats-Álvarez OM, et al. Prevalencia de factores de riesgo de aterosclerosis en adultos mayores con diabetes tipo 2. Gac Méd Espirit [Internet]. 2015 Ago [citado 12/06/2018]; 17(2): 23-31. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1608-89212015000200003&lng=es
14. Morejón-Rodríguez W, Achiong-Estupiñán F, García-Delgado E, et al. Prevalencia de Hipertensión Arterial y factores asociados. Municipio Matanzas 2009-2010. Rev Med Electrón [Internet]. 2013 Oct [citado 01/07/2016]; 35(5): 461-9. Disponible en: http://scieloprueba.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242013000500002&lng=es
15. González-Pino MJ, Morales-Rigau JM, Fernández-Alfonso JM, et al. Prevalencia de sobrepeso y factores asociados. Municipio Matanzas 2009-2010. Rev Med Electrón [Internet]. 2013 [citado 01/08/2015]; 35(6): 586-95. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242013000600002&lng=es
16. Achiong-Alemañy F, Achiong-Alemañy M, Achiong-Estupiñán F. Prevención de la cardiopatía isquémica, un desafío de la atención primaria de salud. Rev Méd Electrón [Internet]. 2015 [citado12/06/2018]; 37(2): 141-53. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242015000200005&lng=es
17. Llorente-Columbié Y, Miguel-Soca PE, Rivas-Vázquez D, et al. Factores de riesgo asociados con la aparición de diabetes mellitus tipo 2 en personas adultas. Rev Cubana Endocrinol [Internet]. 2016 [citado 01/07/2018]; 27(2): 123-33. Disponible en: http://scieloprueba.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532016000200002&lng=es
18. Vázquez-Morales E, Calderón-Ramos ZG, Arias-Rico J, et al. Sedentarismo, alimentación, obesidad, consumo de alcohol y tabaco como factores de riesgo para el desarrollo de diabetes tipo 2. JONNPR [Internet]. 2019 [citado 01/12/2019]; 4(10): 1011-21. Disponible en: https://revistas.proeditio.com/jonnpr/article/view/3068/HTML3068
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