Incidencia y causas desencadenantes de hipoglicemia en pacientes diabéticos entre las edades de 40 a 60 años en el Hospital Abel Gilbert Pontón del 1 de enero del 2014 al 31 de diciembre del 2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La Diabetes es una enfermedad catastrófica que produce una alta incidencia y prevalencia de complicaciones debido al aumento de factores de riesgo por lo cual se considera que la hipoglicemia como complicación es uno de los principales factores limitantes para lograr los objetivos de control glicémico dirigidos a prevenir las complicaciones crónicas de la diabetes. La gravedad de los episodios es muy variable y puede afectar notablemente a la calidad de vida y la productividad de las personas con diabetes.
Objetivo de este estudio es determinar la incidencia y causas que producen hipoglicemia en pacientes diabéticos hospitalizados para así lograr obtener un mejor control glicémico y evitar complicaciones irreversibles.
Materiales y métodos: Estudio retrospectivo en que se analizó las historias clínicas del departamento de estadísticas del hospital de Especialidades Abel Gilbert Pontón de todos los pacientes diabéticos.
Resultados: De un universo de 131 pacientes Diabéticos el 56% corresponden al sexo masculino y el 44% al sexo femenino, entre esto 52 pacientes presentaron hipoglicemia el 40 % corresponde al sexo femenino y con un 60% el sexo masculino determinando así que hay una mayor prevalencia de hombres Diabéticos en realizar hipoglicemia, aumentando el riesgo con la edad siendo mayor en personas entre los 50- 60 años con un 37% , siendo la principal causa el uso de insulina representando un 63% siguiendo así el uso de antidiabéticos orales entre ellos las sulfonilurias y la metformina siendo los principales desencadenantes en un 27% de acuerdo a los datos obtenidos.
The Diabetes is a catastrophic disease that cause a high impact and prevalence of complications due to the increase of risk factors. Hypoglycemia is considered as a complication, it is one of the main limiting factors there for is considered that the hipoglicemia, as a complication is one of the main limited factors to achieve the goals of glycemic control aimed at preventing the chronic Diabetes of complications. The severity of episodes is very variable and can affect to the quality and can productivity of the people with Diabetes. Objetive: The objective of this study is to determine the incidence and causes that produce hypoglycemia in diabetic patients hospitalized to get better achieve in glycemic control and avoid irreversible Materials and Methods: A retrospective study in which clinical histories of the statistics department of the hospital of specialties Abel Gilbert Ponton of all diabetic patients was analyzed. Results: From a universe of 131 diabetic patients, 56% are males and 44% females, between that 52 patients had hypoglycemia corresponds to 40% female and 60% males and determining that there is a higher prevalence of diabetic men to perform hypoglycemia, increasing the risk with age and was higher in people aged 50- 60 years with 37%, the main cause insulin use representing 63% thus following the use of oral antidiabetic between them the sulfonilurias and metformin being the main triggers by 27% according to the data.
The Diabetes is a catastrophic disease that cause a high impact and prevalence of complications due to the increase of risk factors. Hypoglycemia is considered as a complication, it is one of the main limiting factors there for is considered that the hipoglicemia, as a complication is one of the main limited factors to achieve the goals of glycemic control aimed at preventing the chronic Diabetes of complications. The severity of episodes is very variable and can affect to the quality and can productivity of the people with Diabetes. Objetive: The objective of this study is to determine the incidence and causes that produce hypoglycemia in diabetic patients hospitalized to get better achieve in glycemic control and avoid irreversible Materials and Methods: A retrospective study in which clinical histories of the statistics department of the hospital of specialties Abel Gilbert Ponton of all diabetic patients was analyzed. Results: From a universe of 131 diabetic patients, 56% are males and 44% females, between that 52 patients had hypoglycemia corresponds to 40% female and 60% males and determining that there is a higher prevalence of diabetic men to perform hypoglycemia, increasing the risk with age and was higher in people aged 50- 60 years with 37%, the main cause insulin use representing 63% thus following the use of oral antidiabetic between them the sulfonilurias and metformin being the main triggers by 27% according to the data.
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Hipoglucemia, Diabetes mellitus, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Estudios retrospectivos, Cantón Guayaquil, Ecuador, Adulto