Achievement of metabolic control in diabetic patients treated at a healthcare facility in Boyacá

Abstract

Introduction: the growing prevalence of diabetes calls for specific tests to detect diabetes and prediabetes in at-risk groups. Setting clear goals in this population is an effective strategy for achieving glycemic and metabolic control, reducing the risk of complications, mortality and related sequelae.

Objective: to evaluate the rate of paraclinical goal achievement in diabetic patients seen at a healthcare facility in Boyacá.

Methods: this was a cross-sectional descriptive observational study of patients with type 2 diabetes mellitus in the outpatient department of a healthcare facility in the department of Boyacá. It evaluated the achievement of goals related to anthropometric and paraclinical measurement follow-up. Results: altogether, 6,128 patients were enrolled, of whom 55.7% were women and 2% were under age 40. A total of 90.96% had adequate systolic and diastolic blood pressure control. However, only 6.7% also met all the treatment goals (glycemia, lipid profile, anthropometric measurements and kidney function).

Conclusions: patients with diabetes have micro and macrovascular abnormalities that are associated with the onset of complications. Despite this, a large proportion of these patients have poor adherence to treatment and poor accomplishment of therapeutic goals, which contributes to the persistence of adverse outcomes and disease-related problems