Nivel de adherencia al tratamiento y el control glucémico en pacientes con diabetes mellitus tipo 2 descontrolados

González Pedraza Avilés,Alberto; Gilbaja Velázquez,Liliana Saret; Villa García,Eduardo; Acevedo Giles,Óscar; Ramírez Martínez,María Elena; Ponce Rosas,Efrén Raúl; Dávila Mendoza,Rocío

Nivel de adherencia al tratamiento y el control glucémico en pacientes con diabetes mellitus tipo 2 descontrolados

Alberto González Pedraza Avilés, División de Estudios de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), México, D.F.
Liliana Saret Gilbaja Velázquez, Clínica de Medicina Familiar «Dr. Ignacio Chávez», Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), México, D.F.
Eduardo Villa García, Clínica de Medicina Familiar «Dr. Ignacio Chávez», Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), México, D.F.
Óscar Acevedo Giles, Clínica de Medicina Familiar «Dr. Ignacio Chávez», Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), México, D.F.
María Elena Ramírez Martínez, Clínica de Medicina Familiar «Dr. Ignacio Chávez», Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), México, D.F.
Efrén Raúl Ponce Rosas, División de Estudios de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), México, D.F.
Rocío Dávila Mendoza, División de Estudios de Posgrado, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), México, D.F.

Introduction: The lack of treatment compliance is a problem of such great magnitude that the WHO has considered it a public health priority subject, and as such, actions for its prevention and control must be carried out. Objective: To evaluate treatment compliance level and glycemic control in patients with uncontrolled diabetes mellitus-2 after an educative intervention. Design: Quasi-experimental comparative study. Material and Methods: Uncontrolled diabetic patients from the diabetes module of the CMF “Dr. Ignacio Chavez” ISSSTE. Two working groups according to treatment compliance: Patients with none or low compliance, with educative intervention application, and patients with high compliance or control group, without intervention. An initial evaluation was made of both groups for: treatment compliance, glycated hemoglobin, weight and abdomen circumference, three months monitoring and final measuring. T Student was used, with 0.05 significance level. The SPSS V.17 Statistical Program. Results: 33 patients of the problem group and 17 control patients were included. For the first one; significant differences for all analyzed variables except for weight were obtained, and for the control group, only significant difference in glycated hemoglobin was obtained. Conclusions: By militating on compliance factor, favorable results on some used parameters to evaluate glycemic control were obtained.

Palabras clave: Glycemic control. Uncontrolled diabetic patients. Treatment adherence. Glycosylated hemoglobin.

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