Control de diabetes mellitus tipo 2 mediante valoración de hemoglobina glicosilada A1c e intervención educativa en pacientes del departamento de endocrinología del Hospital Vicente Corral Moscoso Cuenca-Ecuador 2011

Abstract

We determined the values of glycated hemoglobin A1c and blood glucose in patients with Type 2 diabetes mellitus Department of Endocrinology, Hospital Vicente Corral Moscoso of the city of Cuenca, Ecuador in 2011.

This educational intervention descriptive study was conducted in the Clinical Laboratory Diagnostic Centre, Faculty of Medical Sciences. Universe was taken as all people with type 2 diabetes mellitus Department of Endocrinology, Hospital Vicente Corral Moscoso, with a sample of 150 patients who had to answer a survey and found at baseline.

Universe was taken as all people with type 2 diabetes mellitus Department of Endocrinology, Hospital Vicente Corral Moscoso, with a sample of 150 patients who had to answer a survey and found at baseline.

HbA1c values was associated with the variables: age, sex, education level, physical activity, time of suffering and fasting glucose. We obtained the following results: average value of fasting blood glucose of 135 ± 2.8 mg / dl, standard deviation 34.6 mg / dl, maximum value 317.6 mg / dl, minimum value 98.9 mg / dl , median 123.5 mg / dl, fashion 102.0 mg / dl and variance 1195.1 mg / dl, mean value of glycosylated hemoglobin A1c is 8.3 ± 0.1%, 1.6% standard deviation, value 14.5% maximum, minimum value 5.4%, median 8.0%, 7.8% fashion and variance 2.6%.

By relating the results obtained with the variables found that there is statistical significance between glycosylated hemoglobin and time of illness (p=0.000), glycosylated hemoglobin and fasting glucose (p=0.000) on the other hand in the relationship between glycosylated hemoglobin and sex (p=0.442), glycosylated hemoglobin and age (p = 0.376), and glycated hemoglobin level of education (p = 0.468) no statistical significance.

There were three educational interventions in the Auditorium of the Hospital Vicente Corral Moscoso, we applied a pre-test and post-test to deepen understanding of the issues and encouraged patients to adequately control their disease to achieve better lifestyle.

We conclude that the realization of an educational intervention thesis involves research group directly with the community, allowing health staff awareness and know the reality of the research population.

DeCS: Diabetes Mellitus Type 2 – epidemiology; Hemoglobin A Glycosylated; Blood Glucose - Analysis; Health Education – Methods; Health Knowledge, Attitudes, Practice; Patients; Hospital Regional Vicente Corral Moscoso; Cuenca-Ecuador.