Hemoglobina glicosilada de III generación para el diagnóstico precoz de la diabetes mellitus Hospital Regional 2 del IESS Dr. Teodoro Maldonado Carbo 2010 - 2012
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2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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En la actualidad la diabetes se diagnostica midiendo la concentración de glucosa plasmática en ayunas (umbral de 7 mmol / l) o después de una prueba oral de tolerancia a la glucosa (11,1 mmol / l). Sin embargo, el Comité Internacional de Expertos en Diabetes recomendó que se realice el análisis de la hemoglobina glicolisada. La HbA1c identifica el tipo de diabetes en los diferentes grupos de personas. El propósito del estudio determinar si la Hemoglobina glicolisada de III generación permite llegar al diagnóstico de la diabetes mellitus en los pacientes del Hospital Regional del IESS 2 “Dr. Teodoro Maldonado Carbo, julio 2010 a junio 2012. Tipo de investigación: descriptiva, correlacional, diseño de la investigación: no experimental; retrospectivo, realizada en adultos de ambos sexos.Resultados La mayoría de los pacientes sometidos a las pruebas están comprendidos entre los 41 a 70 años, correspondiente al 71%. El sexo más afectado fue el de mujeres con el 58% Los exámenes básicamente son pedidos por los consultorios de consulta externa de endocrinología y medicina interna, especialmente. Los factores de riesgo detectados son hipertensión arterial, sedentarismo, obesidad y tabaquismo. En el grupo de mujeres el 4% no presenta factores de riesgo. El diagnóstico del estado diabético incluye valores de HbA1c ≥ 6,5 % fue del 57% y de GA del 36%.La HbA1c es un método específico, sus valores son suficientemente sensibles y predictivos ya que presentan una buena correlación con la exposición a la hiperglucemia crónica.
Diabetes currently is diagnosed by measuring the concentration of FPG glucose fasting plasma (umbral de 7 mmol / l) or after an oral glucose tolerance (11,1 mmol / l). However, the International Expert Committee on Diabetes recommended that analysis be performed glicolisada hemoglobin. The HbA1c identifies the type of diabetes in different groups of people. The purpose of the study is to determine whether hemoglobin glicolisada Generation III allows to reach the diagnosis of diabetes mellitus in patients IESS Regional Hospital 2 "Dr. Teodoro Maldonado Carbo, July 2010 to June 2012. Type of research: descriptive, correlational, research design: not experimental; retrospective, conducted in adults of both sexes. Results Most patients undergoing the tests are between the 41-70 years corresponding to 71%. The sex was women affected with 58%. Basically tests are ordered by outpatient clinics endocrinology and internal medicine in particular. Risk factors identified include high blood pressure, physical inactivity, obesity and smoking. In the women's group 4% no risk factors. The diagnosis of diabetic state includes HbA1c ≥ 6.5% was 57% and 36% GA. HbA1c is a specific method. , their values are sufficiently sensitive and predictive as they have a good correlation with the la exposure to chronic hyperglycemia.
Diabetes currently is diagnosed by measuring the concentration of FPG glucose fasting plasma (umbral de 7 mmol / l) or after an oral glucose tolerance (11,1 mmol / l). However, the International Expert Committee on Diabetes recommended that analysis be performed glicolisada hemoglobin. The HbA1c identifies the type of diabetes in different groups of people. The purpose of the study is to determine whether hemoglobin glicolisada Generation III allows to reach the diagnosis of diabetes mellitus in patients IESS Regional Hospital 2 "Dr. Teodoro Maldonado Carbo, July 2010 to June 2012. Type of research: descriptive, correlational, research design: not experimental; retrospective, conducted in adults of both sexes. Results Most patients undergoing the tests are between the 41-70 years corresponding to 71%. The sex was women affected with 58%. Basically tests are ordered by outpatient clinics endocrinology and internal medicine in particular. Risk factors identified include high blood pressure, physical inactivity, obesity and smoking. In the women's group 4% no risk factors. The diagnosis of diabetic state includes HbA1c ≥ 6.5% was 57% and 36% GA. HbA1c is a specific method. , their values are sufficiently sensitive and predictive as they have a good correlation with the la exposure to chronic hyperglycemia.
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HEMOGLOBINA GLICOSILADA, DIABETES MELLITUS, DIAGNOSTICO, EPIDEMIOLOGIA DESCRIPTIVA, ESTUDIOS RETROSPECTIVOS, HOSPITAL DE ESPECIALIDADES DR. TEODORO MALDONADO CARBO, CANTON GUAYAQUIL, ECUADOR