Abstract

OVELAR VAIDA1, Jazmín Dahiana. Risk factors associated with poor metabolic control in patients with diabetes mellitus treatedwith insulin. Rev. Nac. (Itauguá) [online]. 2016, vol.8, n.1, pp.10-16. ISSN 2072-8174.  https://doi.org/10.18004/rdn2016.0008.01.010-016.

Introduction: diabetes mellitus (DM) is a priority public health problem, both for its incidence, prevalence, morbidity and mortality that derive from it. Objective: to determine the risk factors associated with poor metabolic control in patients with DM treated with insulin and admitted to the Internal Medicine Department of the Hospital Nacional. Metodology: cases design (diabetics with poor metabolic control at discharge) and control group. (Diabetics with metabolic control at discharge). Non-probabilistic sampling of consecutive cases.Results: 119 patients were recruited, with an average age of 60 years, 57% of them female and 43% male. The predominant type 2 DM was (96.5%). All were treated with both fast, intermediate and prolonged insulin. The type of insulin had no influence on metabolic control. NPH insulin was the predominant use. The control group used insulin doses lower than average. The effect of hypertension was analyzed, chronic kidney disease and infections in glycemic control and none of them influenced the control at discharge. Conclusion: the only statistically significant factor for good metabolic control at discharge was a longer hospital stay.

Keywords : Diabetes mellitus. Risk factors.Cohort-study. Prevalence..

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