Clinical-epidemiological characterization of patients with type 2 diabetes mellitus and microalbuminuria

Authors

Keywords:

type 2 diabetes mellitus, clinical-epidemiological characterization, microalbuminuria

Abstract

Introduction: Diabetes mellitus is a disease with high morbidity and mortality.

Objective: To characterize clinically and epidemiologically type 2 diabetes mellitus and the use of microalbuminuria in early kidney damage.

Materials and methods: A cross-sectional study was carried out using a non-probabilistic sample of 94 patients from a universe of 187 patients with type2 diabetes mellitus treated in the Internal Medicine Service of the Teaching Clinical-Surgery Hospital “Amalia Simoni”, of Camagüey. It was conducted between January 2020 and January 2021. Variables such as age, sex, toxic habits, nutritional status, time of evolution of diabetes, comorbidities; value of albuminuria and its relationship with the time of evolution of the disease were analyzed. The SPSS 19.0 statistical program was used for data processing.

Results: The age group of 60 years old and over, female sex, smoking as a toxic habit, and overweight prevailed. According to the time of evolution of the disease, the range of 6 to 10 years prevailed. The main comorbidities were arterial hypertension and ischemic heart disease. The relationship between the time of evolution of the disease and the appearance of pathological microalbuminuria demonstrated its usefulness in the detection of early kidney damage in patients with 6 to 10 years of evolution.

Conclusions: The role of microalbuminuria in the detection of early kidney damage in patients with type 2 diabetes mellitus was demonstrated.

Downloads

Download data is not yet available.

References

1. Gómez-Huelgas R, Martínez-Castelao A, Artola S, et al. Documento de consenso sobre el tratamiento de la diabetes mellitus tipo 2 en el paciente con enfermedad renal crónica. Nefrología (Madr.) [Internet]. 2014 [citado 04/07/2022];34(1):34-45. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0211-69952014000100005

2. Martínez Martín SM, Del Río Brito S, Castañer Moreno J. Valor de la microalbuminuria en la detección precoz de la enfermedad renal crónica. Rev Cubana Med Mil [Internet]. 2013 [citado 04/07/2022];42(1):12-20. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=40699

3. Villena JE. Epidemiología de la diabetes mellitus en el Perú. Diagnóstico [Internet]. 2019 [citado 04/07/2022];55(4):173-81. Disponible en: http://142.44.242.51/index.php/diagnostico/article/view/21

4. Muhammad R, Afridi MAR, Ali Z, et al. Microalbuminuria and its correlation with glycemic control in type 2 diabetic patients. J Postgrad Med Inst [Internet]. 2018 [citado 04/07/2022];32(3). Disponible en: http://jpmi.org.pk/index.php/jpmi/article/view/2411

5. Manne Goehler J, Geldsetzer P, Agoudavi K, et al. Health System performance for people with diabetes in 28 low -and middle-income countries: A cross-sectional study of nationally representative surveys. PLoS Med. 2019;16(3):e1002751. DOI: 10.1371/journal.pmed.1002751.

6. Sami W, Ansari T, Butt NS, et al. Effect of diet on type 2 diabetes mellitus: a review. Int J Health Sci (Qassim) [Internet]. 2017 [citado 04/07/2022];11(2):65-71. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5426415/

7. Hechavarría Naranjo S, Achiong Estupiñán F, Méndez Gómez H, et al. Caracterización clínico-epidemiológica de la diabetes mellitus en dos áreas de salud. Municipio Cárdenas. 2017. Rev Méd Electrón [Internet]. 2019 [citado 04/07/2022];41(4):899-913. Disponible en: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/3155

8. Artiles Visbal L, Otero Iglesias J, Barrios Osuna I. Metodología de la investigación para las ciencias de la salud [Internet]. La Habana: Editorial Ciencias Médicas; 2008 [citado 04/07/2022]. Disponible en: http://www.ecimed.sld.cu/2008/01/26/1172/

9. Guerreros Espino CN, Collazos Huamán LDC. Asociación entre el control glicémico y microalbuminuria en pacientes diabéticos tipo 2 en una clínica privada de Lima, Perú [tesis en Internet]. Santiago de Surco: Universidad Peruana de Ciencias Aplicadas; 2021 [citado 04/07/2022]. Disponible en: https://repositorioacademico.upc.edu.pe/handle/10757/655146

10. Besse Díaz R, Martínez Cantillo L, Ríos Vega L. Aspectos clínicos y epidemiológicos relacionados con la microalbuminuria en pacientes con diabetes mellitus tipo 2. Medisan [Internet]. 2018 [citado 04/07/2022];22(1):11-8. Disponible en: https://medisan.sld.cu/index.php/san/article/view/1764

11. López Báster J, Diéguez Martínez M, Rodríguez Hernández R, et al. Caracterización clínico epidemiológica de la hipertensión arterial en pacientes con diabetes mellitus tipo 2. Rev Cubana Med Gen Integ [Internet]. 2017 [citado 05/07/2022];33(1):3-19. Disponible en: https://revmgi.sld.cu/index.php/mgi/article/view/286

12. Álvarez Montano A, Bequer Mendoza LC, Gómez Hernández T, et al. Daño renal por hiperglucemias moderadas en un modelo animal de diabetes. Medicentro Electrónica [Internet]. 2017 [citado 05/07/2022];21(1):46-56. Disponible en: http://medicentro.sld.cu/index.php/medicentro/article/view/2215

13. Vázquez Morales E, Calderón Ramos ZG, Arias Rico J. Sedentarismo, alimentación, obesidad, consumo de alcohol y tabaco como factores de riesgo para el desarrollo de diabetes tipo 2. J Negat & No Posit [Internet]. 2019 [citado 05/07/2022];4(10):1011-21. Disponible en: http://www.redalyc.org/journal/5645/564561530005/

14. Pérez Ramírez LA. Caracterización clínico epidemiológico de la diabetes mellitus tipo 2 en pacientes hospitalizados. Mayarí, 2016. Rev Méd Electrón [Internet]. 2018 [citado 05/07/2022];40(6):1801-18. Disponible en: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/2444

15. Cabezas Meza AS. Evaluación de variables asociadas al diagnóstico de diabetes mellitus tipo 2 en pacientes atendidos en emergencia del Hospital María Auxiliadora en el período de enero-diciembre 2018 [tesis en Internet]. Santiago de Surco: Universidad Ricardo Palma; 2019 [citado 05/07/2022]. Disponible en: https://repositorio.urp.edu.pe/handle/20.500.14138/1797

16. Poblete F, Barticevic N, Sapag JC, et al. Apoyo social percibido en pacientes con hipertensión arterial y diabetes mellitus tipo II en Atención Primaria y su relación con autopercepción de salud. Rev Med Chile [Internet]. 2018 [citado 05/07/2022];146(10):1135-42. Disponible en: http://www.scielo.cl/scielo.php?pid=S0034-98872018001001135&script=sci_arttext

17. Pino Ibárcena PM, Del Águila Villar C, Rojas Gabulli MI, et al. Factores predictivos de la microalbuminuria en pacientes pediátricos con diabetes mellitus tipo 1 (DMt1). An Fac med [Internet]. 2012 [citado 05/07/2022];73(4):293-8. Disponible en: http://www.scielo.org.pe/scielo.php?pid=S1025-55832012000400005&script=sci_arttext

Downloads

Published

2023-07-26

How to Cite

1.
Sánchez-Álvarez GA, Betancourt-Reyes GL, Betancourt-Betancourt G de J. Clinical-epidemiological characterization of patients with type 2 diabetes mellitus and microalbuminuria. Rev Méd Electrón [Internet]. 2023 Jul. 26 [cited 2025 Jan. 10];45(4):e5045. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/5045

Issue

Vol. 45 No. 4 (2023)

Section

Research article

License

All content published in this journal is Open Access, distributed under the terms of the CC BY-NC 4.0 License.

It allows:

 - Copy and redistribute published material in any medium or format.

 - Adapt the content.

 This will be done under the following terms:

 - Attribute the authors' credits and indicate whether changes were made, in which case it must be in a reasonable way.

 - Non-commercial use.

 - Recognize the journal where it is published.

 The copyrights of each article are maintained, without restrictions.

Most read articles by the same author(s)