Hipoglicemia en pacientes diabéticos y causas. Estudio a realizarse en el Hospital Universitario de Guayaquil
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Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
El tratamiento de la Diabetes tiene como efecto secundario principal a la hipoglucemia, lo que llevo a realizar este estudio por su alta frecuencia en pacientes diabéticos tratados en el Hospital Universitario de Guayaquil.
En el estudio se utilizó el método descriptivo y retrospectivo con un universo de 750 pacientes y una muestra de 208 pacientes atendidos en el Hospital Universitario de Guayaquil del periodo 2013 – 2015. La fuente de donde se obtuvieron los datos fueron exclusivamente las historias clínicas de los pacientes; con la finalidad de evidenciar las causas que ocasionaron las hipoglicemias y sus factores de riesgo como Edad, Sexo, Tratamiento recibido y Complicación.
Resultados.
El estudio revela que la mayoría de pacientes diabéticos que presentaron hipoglicemia fueron pacientes diabéticos del sexo femenino con un porcentaje de 68.30% y de este grupo las mayores de 61 años con un porcentaje de 56.25%. En cuanto al tratamiento recibido la mayor parte de los que toman tratamiento a base de antidiabéticos orales presentan hipoglicemia (49,03%). Observamos además que en base a la complicación diabética concomitante la mayoría de pacientes que presentaron hipoglicemia son los que padecían neuropatía diabética con un porcentaje de 33,65%.
Conclusión
El mayor número de pacientes diabéticos que han presentado hipoglicemia son del sexo femenino mayores de 61 años. Además de estos pacientes la mayoría que presento hipoglicemia son los que han recibido tratamiento antidiabético, específicamente antidiabéticos orales. Y en cuanto a los que han presentado alguna complicación diabética concomitante, la mayoría presentaron neuropatía.
Treating Diabetes has as its main side effect of hypoglycemia, which led to this study by its high frequency in diabetic patients treated at the Hospital Universitario de Guayaquil. Descriptive and retrospective method with a universe of 750 patients and a sample of 208 patients treated at the Hospital Universitario de Guayaquil period 2013 was used in the study - 2015. The source from which the data were obtained were exclusively the medical records of patients; in order to highlight the causes that led to the hypoglycemia and risk factors such as age, sex, treatment received and Complication. Results. The study reveals that most diabetic patients who were diabetic hypoglycemia female patients with a percentage of 68.30% and this group over 61 with a percentage of 56.25%. As for the treatment received most of those taking treatment based on oral antidiabetic have hypoglycemia (49.03%). We also note that based on concomitant diabetic complication most patients experiencing hypoglycemia are suffering from diabetic neuropathy with a percentage of 33,65%. Conclusion The largest number of diabetic patients who have had hypoglycaemia are older female sex 61 years. In addition to these most patients who present hypoglycemia are those who have received antidiabetic treatment, specifically oral antidiabetic. And as for those who have presented any concomitant diabetic complications, most had neuropathy.
Treating Diabetes has as its main side effect of hypoglycemia, which led to this study by its high frequency in diabetic patients treated at the Hospital Universitario de Guayaquil. Descriptive and retrospective method with a universe of 750 patients and a sample of 208 patients treated at the Hospital Universitario de Guayaquil period 2013 was used in the study - 2015. The source from which the data were obtained were exclusively the medical records of patients; in order to highlight the causes that led to the hypoglycemia and risk factors such as age, sex, treatment received and Complication. Results. The study reveals that most diabetic patients who were diabetic hypoglycemia female patients with a percentage of 68.30% and this group over 61 with a percentage of 56.25%. As for the treatment received most of those taking treatment based on oral antidiabetic have hypoglycemia (49.03%). We also note that based on concomitant diabetic complication most patients experiencing hypoglycemia are suffering from diabetic neuropathy with a percentage of 33,65%. Conclusion The largest number of diabetic patients who have had hypoglycaemia are older female sex 61 years. In addition to these most patients who present hypoglycemia are those who have received antidiabetic treatment, specifically oral antidiabetic. And as for those who have presented any concomitant diabetic complications, most had neuropathy.
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HIPOGLUCEMIA, DIABETES MELLITUS, ESTUDIO DESCRIPTIVO, ESTUDIO RETROSPECTIVO, HOSPITAL UNIVERSITARIO DE GUAYAQUIL, CANTON GUAYAQUIL, ECUADOR