Correlación entre glucosa basal y hemoglobina glucosilada en el adulto mayor en el cantón Cuenca, 2015

Abstract

INTRODUCTION: The metabolic syndrome and diabetes among elderly people are caused by alterations in the metabolism of glucose. The determination of glycosylated Hemoglobin has been an exact indicator of glycaemia among individuals for the last three months allowing to have a proof of their health condition. OBJECTIVE: To establish the correlation between the basal glucose and the glycosylated hemoglobin and its association with the metabolic syndrome among elderly people in the city of Cuenca. METHODOLOGY: It is a descriptive research, the participants were 126 elderly people. For this study, the automatic calculator EPI INFO was used. A group of participants with metabolic syndrome met to the Adult Treatment Panel (APT III) criterion. A survey was applied to collect information and blood samples were taken to determine basal glucose and glycosylated Hemoglobin. The gathered data was processed through the SPSS 20.0 version, Excel, and MedLab programs. The values were classified according to age and sex frequency and the relation to the metabolic syndrome. RESULTS: 126 patients between 65 and 96 years old were analyzed, being female elders more frequent, with a 65.1%. The population with metabolic syndrome was 50.8%. The mean of glucose was 87.16% and of HbA1 was 5.65%. After the analysis, a 92% were found in the normal rank of glycaemia and a 92.8% of HbA1. A 4.8% was located in the rank of prediabetes and in the rank of diabetes, a 2.4%. Through Pearson correlation ratio, it was determined a moderated correlation between basal glycaemia and glycosylated hemoglobin: 0,418. It was observed a small relationship, between glucose metabolism alteration and metabolic syndrome due to the 12.5% of patients with this illness showed hyper glycaemia and an 11% HbA1 alteration