medigraphic.com

2006, Number 5

<< Back Next >>

Rev Med Inst Mex Seguro Soc 2006; 44 (5)

Chronic Complications of Diabetes Mellitus. What is the Prevalence of Diabetes in a Family Medical Unit?

Sabag-Ruiz E, Álvarez-Félix A, Celiz-Zepeda S, Gómez-Alcalá AV

Language: Spanish
References: 20
Page: 415-422
PDF size: 180.47 Kb.


ABSTRACT

Introduction: the roll of the family doctor is fundamental in the prevention of diabetic complications, because these complications will be minor if there is a good glycemic level control during life.
Objective: determine the frequency of late complications of diabetes mellitus (DM) among IMSS-insured population in Ciudad Obregón, Sonora, México.
Materials and methods: a retrospective analysis included 252 diabetic patients selected by a systematized and stratified randomized sampling including all patients files available in the Family Medicine Unit 1 in Ciudad Obregón, So-nora. The information was taken from the clinical charts got by family physicians and specialists. We used descriptive statistics and correlation of Pearson looking for the association between glicemia’s level and enough time to produce complications.
Results: arterial hypertension was found in 168 ca-ses (67 %), hypertriglyceridemia in 148 (59.4 %), neuropathy in 106 (42.6 %), hypercholestero-lemia in 89 (35.7 %), retinopathy in 69 (27.5 %), nephropathy in 51 (20.5 %), diabetic foot in 27 (10.8 %), ischemic cardiopathy in 25 (10 %), cerebral thrombosis in 11(4.4 %). The period between the DM diagnosis and the appearance of complications was 3.2 to 13.1 years. The corre-lations were high and significant in every complication.
Conclusions: the frequency of DM complications in this study was very high, with an increasing tendency of develop complications throughout the time.


REFERENCES

  1. Krolewski AS, Warren JH, Freire BS. Chronic complications of diabetes. Epidemiology of late diabetic complications. Endocrinol Metabol Clin North Am 1996;25:217-242.

  2. Barnett AH. Pathogenesis of diabetic microangiopathy. Am J Med 1991;90(Suppl 6A):675-679.

  3. Manaviat MR, Afkhami M, Shoja MR. Retinopathy and microalbuminuria in type II diabetic patients. BMC Ophthalmol 2004;4(1):9-11.

  4. Natham DM. Long-term complications of diabetes mellitus. N Engl J Med 1993;328:1676- 1683.

  5. Mogensen CE, Christensen CK. Predicting diabetic nephropathy in insulindependent patients. N Engl J Med 1994;331:854-860.

  6. Idriss KS, Kanoun F, Hsairi H, Machgoul M, Bahri M, Ben-Khalifa F. Prevalence of degenerative complications of diabetes in an outpatient population. Tunis Med 2002;80(7):380-386.

  7. Caputo GM, Cavanagh PR, Ulbreght JS, Gibbons GW, Karchmer AW. Assessment and management of the foot disease in patients with diabetes. N Engl J Med 1994;331:854-860.

  8. Malgrange D, Richard JL, Leymarie F, French Working Group on the Diabetic Foot. Screening diabetic patients at risk for foot ulceration. A multicentre hospital-based study in France. Diabetes Metab 2003;29(3):261-268.

  9. Zangaro GA, Hull MM. Diabetic neuropathy: pathophysiology and prevention of foot ulcers. Clin Nurse Spec 1999;13(2):57-65, 66-68.

  10. Lundman B, Engstrom L. Diabetes and it’s complications in a Swedish county. Diabetes Res Clin Pract 1998;39(2):157-164.

  11. Motala AA, Pirie FJ, Gouws E, Amod A, Omar MA. Microvascular complications in South African patients with long-duration diabetes mellitus. S Afr Med J 2001;91(11):987-992.

  12. Shera AS, Jawad F, Maqsood A, Jamal S, Azfar M, Ahmed U. Prevalence of chronic complications and associated. J Pak Med Assoc 2004;54(2):54-59.

  13. Basit A, Hydrie MZ, Hakeem R, Ahmedani MY, Masood Q. Frequency of chronic complications of type II diabetes. J Coll Physicians Surg Pak 2004;14(2):79-83.

  14. Clarck CH, Lee A. Prevention and treatment of the complications of diabetes mellitus. N Engl J Med 1995;332:1212-1217.

  15. Lloyd A, Sawyer W, Hopkinson P. Impact of long-term complications on quality of life in patients with type 2 diabetes not using insulin. Value Health 2001;4(5):392-400.

  16. Boulton AJ. Lowering the risk of neuropathy, foot ulcers and amputations. Diabet Med 1998; 15(Suppl 4):S57-S59.

  17. Ramachandran A, Snehalatha C, Satyavani K, Latha E, Sasikala R, Vijay V. Prevalence of vascular complications and their risk factors in type 2 diabetes. J Assoc Physicians India 1999; 47(12):1152-1156.

  18. Tzeng TF, Hsiao PJ, Hsieh MC, Shin SJ. Association of nephropathy and retinopathy, blood pressure, age in newly diagnosed type 2 diabetes mellitus. Kaohsiung J Med Sci 2001;17(6):294-301.

  19. Haupt E, Benecke A, Haupt A. The KID Study VI: diabetic complications and associated diseases in younger type 2 diabetics still performing a profession. Prevalence and correlation with duration of diabetic staten. Exp Clin Endocrinol Diabetes 1999;107(7):435-441.

  20. Cornitescu G, Mota M, Mota E, Stanescu L. Clinical considerations concerning progressive diabetic renal diseases. Severe complications of early onset diabetes mellitus. Rom J Intern Med 2003;41(1):53-60.




2020     |     www.medigraphic.com