EVALUATION OF CLINICAL ASPECTS RELATED TO LOWER LIMB AMPUTATION AMONG INDIVIDUALS LIVING WITH TYPE 2 DIABETES MELLITUS IN MEXICO: EVALUACIÓN DE ASPECTOS CLÍNICOS RELACIONADOS CON LA AMPUTACIÓN DE MIEMBROS INFERIORES EN PERSONAS QUE VIVEN CON DIABETES MELLITUS TIPO 2 EN MÉXICO

• Autores: Parra Acosta, Julio Cesar, Ávila Jiménez, Laura, Monroy Noyola, Antonio, Gómez Galicia, Diana Lizbeth, Álvarez Escobedo, Daniel, Toledano Jaimes, Cairo
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Universidad Ricardo Palma
• Repositorio: Revistas - Universidad Ricardo Palma
• Lenguaje: español; inglés
• OAI Identifier: oai:oai.revistas.urp.edu.pe:article/5980
• Enlace del recurso: http://revistas.urp.edu.pe/index.php/RFMH/article/view/5980
• Nivel de acceso: acceso abierto
• Materia: diabetes; glycemic; glycated hemoglobin; amputation; pharmacotherapy; control glicémico; amputaciones; People living with Diabetes

Introduction: Diabetes continues to be one of the leading causes of disability and death in the global population. It is estimated that approximately 25% of people living with diabetes will develop an ulcer on one of their lower pelvic limbs. Objective: The present study evaluates the clinical aspects related to lower pelvic limb amputation in a cohort of patients with diabetes mellitus. Materials and Methods: A retrospective cross-sectional study was conducted consisting in a review of the total census of patients with type 2 diabetes. They received medical attention in the setting of the study in the period January-May 2022. According to the ICD-10 a total of 2021 patients with multiple complications of diabetes were identified through their clinical records. One hundred patients were diagnosed with diabetic foot. Results: Degree of average glycemic control in the 6 months following diagnosis of diabetic foot was a relevant variable. Since patients with optimal glycemic control by quantifying their fasting glucose levels (<130 mg/dl) as well as their glycated hemoglobin values (< 7%), had a less frequency of amputations (p˂0.001; Chi2) compared to those patients without an adequate glycemic control. Conclusions: After the analysis conducted in the population, it was found that being male, having glycated hemoglobin values higher than 7%, and having average fasting glucose values higher than 130 mg/L increase the probability of presenting a lower extremity amputation.