Factors associated with the alteration of baseline glycemia in the first posthospitalization checkup in patients with type 2 diabetes mellitus

• Autores: Alva Cabrera, Ana Denisse, Aguirre Quispe, Wilfor, Alva Díaz, Carlos Alexander, García Mostajo, Jorge Alonso, Zapana Mansilla, Alexander Amilcar
• Formato: artículo
• Fecha de Publicación: 2018
• Institución: Universidad de San Martín de Porres
• Repositorio: Horizonte médico
• Lenguaje: español
• OAI Identifier: oai:horizontemedico.usmp.edu.pe:article/727
• Enlace del recurso: https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/727
• Nivel de acceso: acceso abierto
• Materia: Diabetes mellitus; Blood glucose; Hospitalization; Glucemia; Hospitalización

Objective: To analyze the factors associated with the alteration of baseline glycemia in the first post-hospitalization checkup in patients with type 2 diabetes mellitus (T2DM). Materials and methods: A retrospective observational case-control study was performed in a 1:1 ratio. One hundred (100) medical records of patients of both genders and over 18 years of age with T2DM who had a medical checkup within the first 3 months after hospitalization were analyzed. Cases were defined as those with high baseline glycemia (> 130 mg/dL) and controls were defined as those who had normal glycemic levels (≤ 130 mg/dL). Mean and percentages were estimated using the chi-square test and binary logistic regression. Results: Elevated glycemic levels at admission (OR: 2.7, p <0.05), elevated glycemic levels at discharge (OR: 3.7, p <0.005), HbA1c ≥ 9 % during hospitalization (OR: 2.9, p <0.05), high levels of triglycerides (OR: 2.6, p <0.05), and failure to comply with prescribed treatment (OR: 2.15, p <0.005) were associated with high baseline glycemia in the first posthospitalization checkup. Conclusions: High levels of triglycerides and non-compliance with indications are risk factors associated with poor glycemic control at the first outpatient visit after hospitalization.