2009, Number 1
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Med Int Mex 2009; 25 (1)
Intensive physio-pathogenic approach of diabetic patients at a general hospital
Carranza MJ, Escutia VY
Language: Spanish
References: 15
Page: 3-8
PDF size: 75.01 Kb.
ABSTRACT
Background: Diabetes mellitus is the fi rst cause of death in Mexico, which becomes a public health problem affecting 10% of adults older than 20 years.
Objective: To report the results of an intensive and physio-pathogenic treatment scheme applied to diabetic patients assisted in a second level hospital.
Patients and methods: Patients with diabetes diagnosis established at Metabolic Syndrome Clinic of General Hospital Dr. Miguel Silva, Morelia, Michoacan. All physicians assisted their patients following the specifi c guidelines about indication of diet, exercise and drugs (simple carbohydrate, starch and saturated fats restriction, increased intake of monounsaturated fats and soluble fi ber-rich foods and practicing of aerobic exercise).
Results: One hundred ninety-two patients with a mean age of 54.7 years were assisted, with evolution since diagnosis, in average, of 6.9 years. With the intensive treatment signifi cant decrements in fasting glycemia, postprandial glycemia, glycated hemoglobin, total cholesterol, triglycerides, LDL-C and diastolic blood pressure were registered.
Conclusions: Intensive medical assistance of diabetes, which includes lipids and blood pressure goals, besides of glucose’s, has demonstrated to reduce the cardiovascular risk.
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