Control metabólico en pacientes diabéticos ambulatorios de un hospital general / Metabolic control in diabetic patients attended as outpatients in a general hospital
Rev. méd. hered
; 26(3): 167-172, jul.-sept.2015. tab
Article
in Spanish
| LILACS, LIPECS
| ID: lil-781613
Responsible library:
PE1.1
RESUMEN
Describir el grado de control metabólico basado en los niveles de glicemia, hemoglobina glicosilada (HbA 1 C), presión arterial y perfil lipídico de los pacientes con diabetes mellitus tipo 2, atendidos ambulatoriamente en un hospital general. Material y métodos:
Estudio descriptivo-retrospectivo de una serie de casos. Se revisaron las historias clínicas de 107 pacientes. Se recogieron variables demográficas, antecedentes cardiovasculares, tiempo de enfermedad, número de controles por año, variables antropométricas, hemoglobina glicosilada, perfil lipídico y presión arterial. Se estableció el grado de control metabólico mediante HbA 1 C, colesterol LDL y presión arterial.Resultados:
El 51,4% de diabéticos mantuvo una glucosa basal entre 80 y 130 mg/dl, el 31,8% una hemoglobina glicosilada menor de 7%, el 68,2% un colesterol total menor de 200 mg/dl, el 37,4% el colesterol LDL inferior a 100 mg/dl, y el 40,2% triglicéridos menor a 150mg/dl. El 51,4% tuvo una presión arterial sistólica inferior a 130 mm Hg y el 73,8% una diastólica inferior a 80 mm Hg. Sólo el 9,3% presentó control metabólico adecuado tanto en niveles de HbA 1 C, colesterol LDL y presión arterial sistólica.Conclusiones:
Sólo el 9,3% de los pacientes diabéticos tipo 2 consiguió un control metabólico acorde a las recomendaciones de la Asociación Americana de Diabetes...ABSTRACT
To describe the degree of metabolic control based on fasting glucose levels, glycated hemoglobin levels (HbA 1 C), blood pressure values and lipid profile in type 2 diabetic patients attended as outpatients in a general hospital. Methods:
A retrospective study was carried-out reviewing the clinical charts of 107 patients. Demographic data, history of cardiovascular disease, disease duration, and number of medical controls per year, anthropometric variables, glycated hemoglobin, lipid profile and blood pressure were gathered. The degree of metabolic control was established by measuring HbA 1 C, LDL cholesterol and blood pressure.Results:
51.4% of diabetic patients had a basal glucose level between 80 and 130 mg/dl; 31.8% had glycated hemoglobin levels below 7%; and 40.2% had triglycerides below 150 mg/dl. Systolic blood pressures below 130 mmHg were observed in 51.4% and 73.8% had diastolic blood pressures below 80 mmHg. Only 9.3% had adequate metabolic control.Conclusions:
Only 9.3% of type 2 diabetic patients attained adequate metabolic control according to the recommendations of the American Diabetic Association...
Full text:
Available
Collection:
National databases
/
Peru
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
Health problem:
Goal 9: Noncommunicable diseases and mental health
/
Target 3.4: Reduce premature mortality due to noncommunicable diseases
Database:
LILACS
/
LIPECS
Main subject:
Outpatients
/
Diabetes Mellitus
Type of study:
Practice guideline
/
Observational study
/
Risk factors
Limits:
Humans
Language:
Spanish
Journal:
Rev. méd. hered
Year:
2015
Document type:
Article
Institution/Affiliation country:
Hospital Nacional Cayetano Heredia/PE
/
Universidad Peruana Cayetano Heredia/PE