Title
Magnitude and Factors associated with complications of type 2 diabetes: Analysis of a Diabetes Mellitus Surveillance System
Other title
Magnitud y Factores asociados a complicaciones de diabetes tipo 2: Análisis de un SistemadeVigilanciadeDiabetesMellitus.
Date Issued
01 November 2021
Access level
open access
Resource Type
journal article
Author(s)
Cornetero-Muro V.
Inolopú-Cucche J.
Ugarte-Gil C.
Publisher(s)
Medical Body of the Almanzor Aguinaga Asenjo National Hospital
Abstract
Background: Type 2 diabetes (DT2) complications has been increased the demand for specialized services in Peruvian Social Security(EsSalud), so it is necessary to determine the magnitude and factors associated with chronic complication due to DT2 in this population. Material and Methods: Cross-sectional study based on 7875 patients with DT218 years attended by ambulatory care during 2016-2017, notified in the Diabetes Mellitus Surveillance System of EsSalud. Sociodemographic, clinical and comorbidity variables were evaluated using a bivariate analysis and Poisson regression model with robust variance to determine the prevalence ratio of chronic complication due to DT2. Results: The microvascular complication of DT2 was associated with male sex (PR=1.25; 95% CI:1.10-1.42; p<0.01), HbA1c>9.0% (PR=1.25; 95% CI:1.08-1.46; p<0.01), hypertension (PR=1.30; 95% CI: 1.14-1.49; p<0.01), anemia (PR=1.57; 95% CI: 1.31-1.88; p <0.01), thyroid disease (PR=1.48; 95% CI:1.07-2.03; p=0.02), cancer (PR=1.70; 95% CI: 1.26-2.30; p<0.01) and fatty liver (PR=1.78; 95% CI:1.28-2.48; p<0.01). Receiving education for DT2 self-care showed a negative association with microvascular complication (RR=0.84; 95% CI:0.73-0.96; p<0.01). DT2s macrovascular complication was associated with male sex (PR=1.52; 95% CI:1.21-1.91; p <0.01), arterial hypertension (PR=2.72; 95% CI:1.90-3.91; p <0.01), anemia (PR=1.98; 95% CI:1.33-2.95; p<0.01) and fatty liver (PR=1.92; 95% CI:1.03-3.62; p=0.04), while education in DT2 showed a negative association (PR=0.47; 95% CI: 0.36-0.61; p <0, 01). Conclusions: Education in DT2 showed an association consistently with the absence of micro and macrovascular complications, suggesting that it is an important preventive factor. We consider it necessary to evaluate the impact of education through appropriate designs.
Start page
322
End page
329
Volume
14
Issue
3
Language
Spanish
OCDE Knowledge area
Endocrinología, Metabolismo (incluyendo diabetes, hormonas)
Subjects
Scopus EID
2-s2.0-85123633562
Source
Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo
ISSN of the container
22255109
Sources of information:
Directorio de Producción Científica
Scopus