Diabetes mellitus and impaired glucose tolerance in urban adult population / Diabete melito e tolerância diminuída à glicose em população adulta urbana

Objective: Estimating the prevalence of diabetes mellitus (DM) and impaired glucose tolerance (IGT) in the urban population aged between 30 and 69 years in the municipality of Campo Grande, state of Mato Grosso do Sul, Brazil. Methods: Population-based cross-sectional study conducted between October/2009 and February/2011. The investigation included the determination of fasting glucose and participants with blood glucose ≥ 200 mg/dL were considered diabetic. Nondiabetic patients, which showed blood glucose ≥ 100 mg/dL and < 200 mg/dL, underwent an oral glucose tolerance test (OGTT) to investigate whether they had DM or IGT. Results: 1.429 individuals participated in this investigation. The general prevalence, adjusted for sex and age, were: 12.3% for DM (95%CI: 10.5 to 13.9%) and 7.1% for IGT (95%CI: 5.7 to 8.4%). There was a higher prevalence of DM with increasing age in people with low educational level, family history of diabetes, overweight, obesity and central obesity. Among diabetic patients (n = 195), 25% were unaware they had the disease and were diagnosed through investigation. Among patients who already knew they had DM (n = 146), 37% were unaware of the potential chronic complications. Conclusion: This study confirms the increased prevalence of DM in Brazil and emphasizes the need for early diagnosis, as well as the importance of strict adherence to medical treatment in order to prevent its much feared complications. .

Objetivo: estimar a prevalência de diabete melito (DM) e a tolerância diminuída à glicose (TDG) na população urbana de idade entre 30 e 69 anos do município de Campo Grande/MS. Métodos: estudo transversal de base populacional realizado entre 10/2009 e 2/2011. Na investigação, foi realizada a dosagem da glicemia capilar em jejum e os participantes com glicemia ≥ 200 mg/dL foram considerados diabéticos. Os não diabéticos, que apresentaram glicemia ≥ 100 mg/dL e < 200 mg/dL, foram submetidos a um teste oral de tolerância à glicose (TOTG) para investigar se tinham DM ou TDG. Resultados: nesta investigação, participaram 1.429 indivíduos. As prevalências gerais, ajustadas por sexo e faixa etária, foram: para DM de 12,3% (IC95%: 10,5 a 13,9%) e para TDG de 7,1% (IC95%: 5,7 a 8,4%). Houve maior prevalência de DM com o aumento da idade, em pessoas com baixa escolaridade, histórico de diabete na família, sobrepeso, obesidade e obesidade central. Do total de diabéticos (n= 195), 25% não sabiam que tinham a doença e obtiveram o diagnóstico por meio da investigação. Dos pacientes que já sabiam ter DM (n= 146), 37% desconheciam as potenciais complicações crônicas. Conclusão: este estudo corrobora o aumento da prevalência de DM no Brasil e enfatiza a necessidade de sua constatação precoce, bem como da importância da adesão rigorosa ao tratamento médico com o intuito de prevenir suas temíveis complicações. .

Frecuencia de disfunción sexual en un grupo de pacientes diabéticas mexicanas / Frequency of sexual dysfunction in a group of Mexican diabetic patients

Introducción: la diabetes mellitus es el trastorno endocrino más frecuente en el mundo. Las complicaciones crónicas de esta enfermedad como la retinopatía, nefropatía y neuropatía tienen origen en los efectos vasculares, sin embargo existen otras complicaciones menos evidentes como las que ocurren a nivel de la función sexual.Objetivo: identificar si existe una mayor frecuencia de disfunción sexual en pacientes portadoras de diabetes mellitus tipo 2 en comparación con pacientes no diabéticas.Métodos: se realizó un estudio de casos y controles en la Unidad de Medicina Familiar "Marina Nacional" de la Ciudad de México. Fueron seleccionadas 32 pacientes portadoras de Diabetes Mellitus tipo 2 de 35 a 50 años de edad con más de dos años de evolución de la enfermedad. El grupo control se integró con 32 pacientes que acudieron a la misma unidad médica por otras causas diferentes a enfermedades crónicas, con el mismo rango de edad. A ambos grupos se les aplicó el cuestionario de autoevaluación estandarizado Arizona Sexual Experience Scale, posteriormente se correlacionó el grado de control metabólico y el tiempo de evolución de la enfermedad con la presencia de disfunción sexual.Resultados: se identificó mayor presencia de disfunción sexual en las pacientes portadoras de diabetes mellitus que en pacientes no diabéticas. No encontramos evidencia de asociación entre disfunción sexual y tiempo de evolución de la diabetes, así como tampoco entre disfunción sexual y control metabólico.Conclusiones: la disfunción sexual femenina se presentó con mayor frecuencia en mujeres diabéticas

Background: diabetes Mellitus is the most frequent endocrine disorder in the world. The chronic complications of this disease such as retinopathy, nephropathy and neuropathy originated from vascular effects although there are other less evident complications as the ones that occur at the sexual function level.Objective: to identify if there is a higher frequency of sexual dysfunction in patients who suffer from Type 2 diabetes mellitus as compared with non diabetic patients.Methods: we performed a case study and a control to the "Marina Nacional" Family Medicine Unit in Mexico City. We selected 32 patients suffering from Type 2 diabetes mellitus aged 35 - 50 years who had history of more than two years´ evolution of the disease. The control group was composed of 32 patients of the same age that presented to the same medical unit complaining of other health problems different from chronic diseases. Both groups were applied the same standardized self-assessment questionnaire Arizona Sexual Experience Scale (ASEX). Later, the degree of metabolic control and the time of evolution of the disease with sexual dysfunction were correlated.Results: it was identified that the presence of sexual dysfunction in patients suffering from diabetes mellitus was higher than in non diabetic patients. We found no evidence of the association between sexual dysfunction and the time of evolution of diabetes or between sexual dysfunction and metabolic control.Conclusions: female sexual dysfunction was more frequent in diabetic women