Diagnóstico de diabetes mellitus mediantes resultado de hemoglobina glicosilada, estudio a realizarse en pacientes de 40 a 50 años que acuden a la Clínica Corazón de Jesús de julio 2014 a enero 2015
No hay miniatura disponible
Archivos
Fecha
2016
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Tecnología Médica
Resumen
El diagnóstico de diabetes mellitus cada vez se torna más importante dentro de nuestra población debido al considerable crecimiento epidemiológico de esta patología; dentro de este campo diagnóstico la hemoglobina glicosilada es un pilar fundamental.
El presente estudio se basa en evaluar resultados de la hemoglobina glicosilada para diagnosticar diabetes mellitus en los pacientes de 40 a 50 años, de la Clínica Corazón de Jesús, conocer niveles más frecuentes de hemoglobina glicosilada frente a ciertas variables biológicas y factores de riesgo y correlacionar con escala diagnostica y niveles de glicemia. El estudio es de tipo exploratorio, transversal que permitió determinar hemoglobina glicosilada como indicador de diabetes en una muestra de 100 personas. En este estudio se encuentran el 14% con valores normales de hemoglobina glicosilada , el 12% fue de raza blanca, el 15% fueron mujeres, el 55% tenían normopeso y con valores de glicemia de 70110 mg/dl; el grupo de pre diabéticos fue de 65% los cuales pertenecían en un 71% raza blanca, el 68% tenían obesidad grado 1, los niveles de glicemia estuvieron en un 42 % entre 111-150mg/dl .Los pacientes diabéticos constituyeron el 21%, el 28% eran hombres de razas mestizas y afro en un 22% y 55% con obesidad extrema y con niveles de glicemia en un 75% mayor a 191 mg/dl. Dentro de los factores de riesgo no existe un predominio entre el alcoholismo, sedentarismo y la hipertensión en pacientes diabéticos y en los pre diabéticos la hipertensión ocupa el 54%.
Se tomará muestras a paciente que no han sido diagnosticadas con diabetes mellitus, pacientes que se excluirán son personas que padezcan enfermedades hematológicas, esplenectomía, pacientes con diabetes mellitus tipo I, gestacional u otros tipos de diabetes. Embarazadas, personas sometidas a transfusiones sanguíneas recientemente, enfermedades renales y personas con hemorragias y pacientes con hemoglobinopatias.
PALABRAS CLAVES: Diabetes mellitus, Hemoglobina glicosilada, pre diabético, glicemia.
The diagnosis of type 2 diabetes mellitus becomes increasingly more important in our population due to the significant growth of this disease epidemiological within this diagnostic field glycosylated hemoglobin has become a mainstay. This study is based on evaluating results of glycated hemoglobin to diagnose diabetes mellitus in patients 40 to 50 years of Clinical Heart of Jesus, to know more frequent glycated hemoglobin levels against certain biological variables of patients in study correlate glycated hemoglobin levels with the diagnostic scale to establish the clinical status or risk patients. The study is exploratory, descriptive, transversal allowed to determine glycated hemoglobin as an indicator of diabetes in a population of 109 people where the average value of hemoglobin was 5.8-6.3%, and in men the most common being constituting 5.1-6.0 36%, it is evident that 31% of those present in this study are normal glycosylated Hb values, 55% are prediabetic people in risk, and 21% were diagnosed diabetics according to the scale. Then we can set up so that our population is at serious of evolving this serious disease and that it is indifferent age, sex, body mass index or race. a patient who have not been diagnosed with diabetes mellitus, patients who are excluded are people who suffer from hematological diseases, splenectomy, patients with type I diabetes mellitus, gestational diabetes or other types of samples will be taken. Pregnant women, people undergoing blood transfusions recently, kidney disease and people with bleeding.
The diagnosis of type 2 diabetes mellitus becomes increasingly more important in our population due to the significant growth of this disease epidemiological within this diagnostic field glycosylated hemoglobin has become a mainstay. This study is based on evaluating results of glycated hemoglobin to diagnose diabetes mellitus in patients 40 to 50 years of Clinical Heart of Jesus, to know more frequent glycated hemoglobin levels against certain biological variables of patients in study correlate glycated hemoglobin levels with the diagnostic scale to establish the clinical status or risk patients. The study is exploratory, descriptive, transversal allowed to determine glycated hemoglobin as an indicator of diabetes in a population of 109 people where the average value of hemoglobin was 5.8-6.3%, and in men the most common being constituting 5.1-6.0 36%, it is evident that 31% of those present in this study are normal glycosylated Hb values, 55% are prediabetic people in risk, and 21% were diagnosed diabetics according to the scale. Then we can set up so that our population is at serious of evolving this serious disease and that it is indifferent age, sex, body mass index or race. a patient who have not been diagnosed with diabetes mellitus, patients who are excluded are people who suffer from hematological diseases, splenectomy, patients with type I diabetes mellitus, gestational diabetes or other types of samples will be taken. Pregnant women, people undergoing blood transfusions recently, kidney disease and people with bleeding.
Descripción
PDF
Palabras clave
Diabetes mellitus, Hemoglobina A glucada, Pie diabetico, Glucemia, Clínica Corazón de Jesús, Cantón Guayaquil, Ecuador