Studying the Psychological Wellbeing and the Risk Factors Related to Glycemic Control and Development of Complications in Patients Diagnosed with type Ii Diabetes Mellitus who Come to the Private Medical Center "Consulmed"

Abstract

Type II DIABETES MELLITUS (DM II) is a complex chronic disease requiring ongoing medical care with multifactorial risk reduction strategies beyond glycemic control, continuing education for diabetes self-management, and support are critical to reducing the risk of long-term complications. Objective: to  determine the risk factors related to glycemic control and development of complications in patients diagnosed with type II diabetes mellitus who attend the private medical center "CONSULMED". Materials and methods: Descriptive observational and cross-sectional study. A binary logistic regression model was estimated to determine risk factors related to glycemic control and occurrence of complications. Results: The present study was carried out from the information obtained from the medical records of 48 patients, where their sociodemographic and clinical characteristics were identified, being able to establish the risk factors related to glycemic control prevalent in this population. It was shown that by increasing the patient's age by 1 year, the probability of being at risk increases by 1.12%, as the weight increases by 1 kg, the probability of being at risk increases by 1.94%, as the patient's time with diabetes increases by one year, the probability of being at risk increases by 11.74%,  for patients who follow dietary hygiene measures, the probability of being at risk is 86.75% less than patients who do NOT follow dietary hygiene measures. Conclusions: In the present study, the main main risk factors were determined, such as dietary hygienic measures, consumption of oral antidiabetics, evolution of the disease, age and weight of the patient, thus considering patients at risk those who do not follow dietary hygienic measures or consume oral antidiabetics, as well as those patients over 60 years of age. Taking into account the variable weight, patients with more than 60 kilos present a greater risk of externalizing glycemic alteration, however, patients with more than 6 years of disease who follow dietary hygienic measures, but who do not consume oral antidiabetics are also considered patients at risk to produce complications. Patients who, despite following dietary hygiene measures and consumption of treatment based on oral antidiabetics, but with 12 years of disease evolution are considered patients at risk.