Factores asociados al control metabólico, en pacientes con diagnóstico de diabetes mellitus tipo 2 del Centro de Promoción del Adulto y Adulto Mayor del Instituto de Seguridad Social, Cuenca 2014

Abstract

OBJECTIVE: To determine the associated factors with the metabolic control of DMT2, in the patients of the Center for the Promotion of adult and Older Adult IESS - Basin 2014. MATERIALS AND METHODS: we performed a crossectional study with a sample of 80 patients of the Center for the Promotion of adult and older adult of the IESS - Basin, during the period of study; inclusion criteria was to have a previous diagnosis of DMT2. To obtain information we measured the nutritional status, the values of hemoglobin dextrose, fasting glucose, lipograma, nutritional status, blood pressure; in addition to the interrogation via a survey to identify the demographic characteristics, and other biological factors partner, level of physical activity, characteristics of food, diagnosis, treatment and control of the disease, data were analyzed in the program SPSS. RESULTS: The mean age was 71.30 years; still the female was the population more frequent 62.5 %; 56.3 % had primary instructional level; 56.3 % were married; the frequency of physical activity was 67.5 %; overweight was presented by 18.8 %; obesity in a 2.5 %; abdominal obesity: 72.5 %; the metabolic control inappropriate according glycosylated Hb was 66.3 % and according to levels of glycemia 43.8 %; high total cholesterol 37.5 %; HDL high 62.5 %; 61.3 % high LDL and triglycerides 67.5 %; the hyperglycemia and glycosylated Hb was influenced by the treatment with insulin (OR 0.3 and OR 0.337 respectively), in addition to the age of 70 years and over had an OR of 0.2 (95% CI 0.09 -0.7) to high levels of Glycosylated Hb. CONCLUSIONS: The metabolic control in this population presents deficiencies because in more than half of the patients is bad, there was associated with insulin treatment and patients with age over 70 years.