Subject(s)
Humans , Male , Female , Middle Aged , Risk Factors , Antihypertensive Agents/therapeutic use , Diabetes Complications/drug therapy , Cardiovascular Diseases/complications , Cardiovascular Diseases/prevention & control , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/drug therapy , Prospective StudiesSubject(s)
Humans , Female , Middle Aged , Primary Health Care/methods , Primary Health Care/statistics & numerical data , Diabetes Mellitus/epidemiology , Risk Factors , Hypertension/complications , Primary Health Care/organization & administration , Primary Health Care/standards , Signs and Symptoms , Surveys and Questionnaires , 28599 , Multivariate Analysis , Anthropometry/methodsABSTRACT
OBJECTIVE: To estimate the risk of Diabetes Mellitus in Primary Health Care Services and diabetes incidence after 18 months of follow-up. MATERIAL AND METHODS: A multicenter study, with a first cross-sectional phase, to estimate the risk of Diabetes using the FINRISC test in 261 patients without Diabetes Mellitus treated in Primary Health Care Services. A second phase was carried out to assess Diabetes incidence after 18 months of follow-up. RESULTS: 19.5% had an elevated risk of Diabetes Mellitus (FINDRISC score ≥15). The independent variables after adjusting for gender, which are not included in the FINDRISC test and were associated with increased risk of Diabetes, were low educational level and chronic ischemia of lower limbs. After 18 months of follow-up, 7.8% of patients with FINDRISC score ≥15 developed Diabetes versus 1.9% of patients with FINDRISC score <15. CONCLUSIONS: One out of five patients without Diabetes who are treated in Primary Care Health Services have a FINDRISC score ≥15, this being associated with low educational level and peripheral vascular disease, regardless of gender. The FINDRISC score ≥15 has a short-term association with a high risk of developing Diabetes Mellitus.
