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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893

Abstract

GABETTA, Jorge et al. Glycemic control of diabetic patients in two Family Health Units, Paraguay, 2018. Pilot study. Rev. virtual Soc. Parag. Med. Int. [online]. 2019, vol.6, n.1, pp.21-30.  Epub Mar 01, 2019. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2019.06(01)21-030.

Introduction:

Diabetes mellitus (DM) is a prevalent disease in Paraguay and proper treatment requires strict glycemic control.

Objectives:

To determine the frequency of adequate glycemic control in diabetics of three Family Health Units in Areguá, Paraguay.

Methodology:

Observational, prospective design that included adult men and women, carriers of DM in three Family Health Units of Areguá and Asunción, Paraguay in 2018. Anthropometric, clinical and laboratorial variables were measured. Fasting blood glucose was obtained by a glucometer.

Results:

One hundred eleven diabetics were included, 97% of type 2. The average age was 62±9 years and the female sex predominated (70%). The frequency of diabetics with glycated hemoglobin <7% was 56%. The pre-obesity and obesity together were observed in 71%. The most frequent comorbidity was arterial hypertension (87%). Poor glycemic control was significantly associated with sedentary lifestyle and low income.

Conclusions:

The adequate glycemic control determined by the glycated hemoglobin was 56%. Studies in larger samples are required to determine the causes of lack of glycemic control in diabetics of Family Health Units.

Keywords : diabetes mellitus; glycemia; glycated hemoglobin A; hyperglycemia.

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