Manejo clínico y terapéutico de Diabetes Mellitus tipo 2 en pacientes atendidos en el Hospital Básico de Sucúa durante el año 2016

Abstract

Background: In Ecuador, in 2014 the INEC reported as the second cause of general mortality to diabetes mellitus, which together with ischemic diseases of the heart, dyslipidemias and cerebrovascular disease, contribute the highest burden of consultations and hospital admissions since two decades ago. Objective: To determine the clinical and therapeutic management of Type 2 Diabetes Mellitus in patients treated at the Basic Hospital of Sucúa, in 2016. Methodology: A descriptive and quantitative study was carried out; constituted by 143 patients diagnosed with Diabetes Mellitus type 2 treated in the outpatient service of the Basic Hospital of Sucúa. For the collection of data, medical records and a form were used. The data processing was done IBM SPSS 15.0. For the analysis descriptive statistics was used, the results are presented in the relevant tables. Results: 60.8% are between 35 and 64 years old, 70% are women, 26.6% self-identify as indigenous, the BMI of 81.9% is .925. In pharmacological treatment, 27.9% received biguanides, 11.8% insulin and 48.9% combined oral antidiabetics. With respect to the control, 22.4% presented a normal glycemia value, 28.5% an acceptable control of HbA1c and 45.5% of normal cholesterol. On the control of complications, 79% did not undergo an electrocardiogram and 45% had a reduction in the glomerular filtration rate. Conclusion: The patients with Diabetes Mellitus type 2 that go to the Basic Hospital of Sucúa do not have all the associated complications controls, respect to the therapeutic management the ADOs were the most used treatment