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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893


IBANEZ FRANCO, Elvis Javier et al. Frequency of chronic complications in patients with type 2 diabetes mellitus in a third level hospital. Rev. virtual Soc. Parag. Med. Int. [online]. 2022, vol.9, n.1, pp.45-54. ISSN 2312-3893.


diabetes mellitus is considered a serious problem in public health because it generates a great impact on the demand for medical services. In addition, it is disabling, causes work absenteeism, decreases quality of life and, finally, causes a high mortality rate due to its complications.


To determine the frequency of chronic complications in patients with type 2 diabetes mellitus.


Observational, descriptive, cross-sectional study carried out in adult male and female patients with type 2 diabetes mellitus, admitted to the Hospital Nacional of Itauguá in the 2020-2021 period. The study was based on the collection of data from clinical records.


One hundred and six patients were evaluated, with an mean age of 59±13 years, 60% were male, 80% came from urban areas and only 3% had a university education level. Eighty two percent were known carriers of diabetes mellitus, of which only 87% received some treatment, being irregular in 58% of them. Seventy five percent of the cases were associated with other comorbidities such as high blood pressure and obesity. Regarding laboratory control, most had poor glycemic control at admission, only 19% had glycated hemoglobin less than 7%, 15% had hypercholesterolemia, and 50% hypertriglyceridemia. Regarding chronic complications, they were present in 96% of the patients.


There is a high frequency of chronic complications in type 2 diabetics, predominantly retinopathy, followed by nephropathy and structural heart disease.

Keywords : diabetes mellitus; diabetes complications; diabetic retinopathy; diabetic nephropathies.

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