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[Evaluation of factors related with glycemia control in type-2 diabetes mellitus]
E Fernández Herráez1, F Ferré Larrosa, L Jiménez Alfonso
1Centro de Salud de Cehegin, Murcia.
Objectives:
To analyse factors characteristic of the patient, supplier and process relating to Glucaemia control in type-2 Diabetes Mellitus (DM).
Design:
A retrospective, observational study.
Setting:
Semi-rural Health Centre.
Patients And Other Participants:
162 patients, the whole of the sample selected at random from the list of the DM programme. 32 patients who did not meet the study's inclusion criteria were excluded.
Measurements And Results:
Compliance with the different technical standards, with other variables relating to the patient (sex, age, BMI, year of diagnosis) and with doctor's training were measured. Also recorded was Glucaemia control through the Glycosilate Haemoglobin (HbA1c)level, with good and acceptable control defined as HbA1c less than 7.6%, and poor HbA1c control the same as or over 7.6%. There was highly significant correlation between the year of diagnosis of type-2 DM and HbA1c (r = 0.34). Patients with late DM complications also had higher HbA1c levels. In the disease's first five years of evolution, there was quite significant correlation (p = 0.034) between overall compliance with different technical standards and the HbA1c level.
Conclusions:
The variable most closely related to the level of metabolic control was the duration of the disease. The improvement in compliance with procedures in the first years of Diabetes diagnosis favours the patient's metabolic control.