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Revista Universitaria

2020, Number 2

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Universidad Médica Pinareña 2020; 16 (2)

Characterization of patients with type II diabetes mellitus treated at 'Dr. Juan Bruno Zayas Alfonso' General Teaching Hospital

Arencibia-Alvarez MC, Bell-Castillo J, George-Carrión W, Gallego-Galano J, George-Bell MJ

Language: Spanish
References: 17
Page: 1-8
PDF size: 305.07 Kb.


ABSTRACT

Introduction: chronic non-contagious diseases represent a growing pandemic, among them diabetes mellitus.
Objective: to characterize the patients with type II diabetes mellitus who were treated at Dr. Juan Bruno Zayas Alfonso General Teaching Hospital during 2016.
Method: an observational, descriptive and cross-sectional study of diabetic patients admitted Internal Medicine Service at Dr. Juan Bruno Zayas Alfonso General Teaching Hospital during 2016. The target group comprised 216 patients, and the sample included 81 of them. Data were processed applying descriptive statistics.
Results: the age group from 50 to 59 (30,9 %) predominated, and female sex (51,90 %). Hyperglycemia was frequent (88,89 %), inadequate diet (86,42 %) and sedentary lifestyles (80,25 %), were reported as the main predisposing factors. The 35,8 % of the patients presented an evolution between 16-20 years and 49,4 % developed three complications. It was found that cardiovascular (39,78 %), as well as ophthalmological complications (17,20 %) predominated in the series studied; 25,68 % of the patients presenting cardiovascular complications developed hypertension and 24,32 % arterial insufficiency.
Conclusions: adults after the fourth decade of life were prone to develop type II diabetes mellitus, mainly female gender; where eating habits and poor lifestyles favored its onset. The natural history of the disease determine the incidence of complications, affecting mainly cardiovascular system, which is conducive to the development of high blood pressure.


REFERENCES

  1. Ramos Rangel Y, Morejón Suárez R, Cabrera Macías Y, Herranz Brito D, Rodríguez Ortega W. Adherencia terapéutica, nivel de conocimientos de la enfermedad y autoestima en pacientes diabéticos tipo 2. Gac. Méd. Espirit [Internet]. 2018 [citado 10/12/2019]; 20(3):13-23. Disponible en: http://revgmespirituana.sld.cu/index.php/gme/article/view/1498

  2. Chávez Ivisate G, Casanova Moreno M de la C, Socarrás López C, Silva Sánchez DM, Gómez Guerra DB. Costos de la atención en un Centro de Atención al Diabético de Pinar del Río. Rev Ciencias Médicas [Internet]. 2018 [citado 10/12/2019]; 22(4): 708-718. Disponible en: www.revcmpinar.sld.cu/index.php/publicaciones/article/view/3547

  3. CDC. CDC health disparities and inequalities report-United States, 2016. MMWR [Internet]. 2016 [citado 10/12/2019]; 65(Suppl. 1). Disponible en: https://www.cdc.gov/minorityhealth/strategies2016/index.html

  4. World Health Organization. World health statistics 2017: monitoring health for the SDGs, Sustainable Development Goals [Internet]. Geneva: World Health Organization; 2017 [citado 10/12/2019]. Disponible en: https://www.apps.who.int/iris/bitstream/10665/255336/1/9789241565486-eng.pdf

  5. American Diabetes Association. Standards of medical care in diabetes -2018. Diabetes Care [Internet]. 2017 [citado 10/12/2019];41(Suppl. 1):S1–S142. Disponible en: http://onlinelibrary.wiley.com/doi/10.1111/1753-0407.12524/full

  6. Aviles-Santa L, Colon-Ramos U, Lindberg NM. From Sea to Shining Sea, and the Great Plains to Patagonia: A Review on Current Knowledge of Diabetes Mellitus in Hispanics/Latinos in the U.S. and Latin America. Frontiers in Endocrinology [Internet]. 2017 [citado 10/12/2019];8:298. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5687125/

  7. Ministerio de Salud Pública. Dirección de Registros Médicos y Estadística de salud. Anuario Estadístico de Salud 2018. [Internet]. 2019 [citado 10/12/2019]. [aprox. 193 p.]. Disponible en: http://files.sld.cu/dne/files/2019/05/Anuario-2018-Ingles-compressed.pdf

  8. Silva Sánchez DM, Casanova Moreno M de la C, Trasancos Delgado M, Gómez Guerra DB. Invalidez secundaria a complicaciones de la diabetes mellitus tipo 2 en Pinar del Río. 2010-2016. Rev Ciencias Médicas [Internet]. 2018 [citado 10/12/2019]; 22(4):697-707. Disponible en: http://www.revcmpinar.sld.cu/index.php/publicaciones/article/view/3546

  9. Díaz Alfonso H, Paz Paula E, González Hernández ID, García Cordero L. Asociación de los componentes del síndrome metabólico a la cardiopatía isquémica en diabéticos tipo 2. Rev. Ciencias Médicas de Pinar del Río [Internet]. 2016 [citado 10/12/2019]; 20(5):584-592. Disponible en: http://www.revcmpinar.sld.cu/index.php/publicaciones/article/view/2741

  10. Pérez Ramírez LA. Caracterización clínico epidemiológico de la diabetes mellitus tipo 2 en pacientes hospitalizados. Mayarí, 2016. Rev Méd Electrón [Internet]. 2018 Nov-Dic [citado 10/12/2019]; 40(6):[aprox. 10 p.]. Disponible en: http://www.revmedicaelectronica.sld.cu/index.php/rme/article/view/2444/4079

  11. Prieto Souto R, Miranda González D, Tosar Pérez MA. Características de la población diabética en el policlínico Victoria Cuba-Angola. Rev Cub Med Gen Int [Internet]. 2019 [citado 10/12/2019]; 35(2):[aprox. 10 p.]. Disponible en: http://www.revmgi.sld.cu/index.php/mgi/article/view/362

  12. Arredondo Bruce AE, Rodríguez Téllez S, Arredondo Rubido AE. Caracterización de los pacientes diabéticos tipo 2 con hipertensión arterial. Rev Méd Electrón [Internet]. 2019 [citado 10/12/2019];41(4). Disponible en: http://www.revmedicaelectronica.sld.cu/index.php/rme/article/view/3081/4306

  13. Hechavarría Naranjo S, Achiong Estupiñán F, Méndez Gómez H, Vega Rico O, Díaz Piñera A, Rodríguez Salvá A, Londoño Agudelo E. Caracterización clínica epidemiológica de la diabetes mellitus en dos áreas de salud. Municipio Cárdenas. 2017. Rev Méd Electrón [Internet]. 2019 [citado 10/12/2019];41(4). Disponible en: http://www.revmedicaelectronica.sld.cu/index.php/rme/article/view/3155/4378

  14. Nazare JA, Smith J, Borel AL, INSPIRE ME IAA Investigators. Usefulness of measuring both body mass index and waist circumference for the estimation of visceral adiposity and related cardiometabolic risk profile (from the INSPIRE ME IAA study). Am J Cardiol [Internet]. 2015 [citado 10/12/2019]; 115:307–15. Disponible en: http://www.sciencedirect.com/science/article/pii/S0002914914020748

  15. Jiménez Almaguer D, Casado Méndez PR, Santos Fonseca RS, Jiménez Almaguer D, Hernández Ramírez G. Percepción de la calidad de vida en pacientes adultos mayores con diabetes mellitus tipo II. Medimay [Internet]. 2019[citado 10/12/2019];26(1):54-62. Disponible en: http://www.medimay.sld.cu/index.php/rcmh/article/view/1353

  16. López Báster J, Diéguez Martínez M, Rodríguez Hernández R, Miguel-Soca PE. Caracterización clínico epidemiológica de la hipertensión arterial en pacientes con diabetes mellitus tipo 2. Rev Cub Med Gen Int [Internet]. 2017[citado 10/12/2019]; 33(1):[aprox. 10 p]. Disponible en: http://www.revmgi.sld.cu/index.php/mgi/article/view/286

  17. Shulman GI. Ectopic Fat in Insulin Resistance, Dyslipidemia, and Cardiometabolic Disease. N Engl J Med [Internet]. 2014 [citado 10/12/2019];371:1131-41. Disponible en: https://ww.nejm.org/doi/full/10.1056/NEJMra1011035




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