Therapeutic approach of diabetes mellitus type 2 in Primary Care in special situations
Abstract
Introduction: There is an urgent need to individualize each diabetes mellitus type 2 treatment according to the special situations of each patient diagnosed with the disease.
Objective: To describe the therapeutic approach of patients with diabetes type 2.
Methods: A descriptive and cross-sectional study was carried out in 96 patients diagnosed with diabetes mellitus type 2, belonging to the Camilo Torres Restrepo polyclinic, in the period from January to December 2021. Variables such as age, sex, type of treatment, individualized treatment, metabolic control and adherence to treatment were studied. Descriptive statistical techniques were used, such as absolute frequency and percentage for qualitative variables, as well as measures of central tendency for quantitative variables.
Results: There was a predominance of older ages (over 60 years) with 72.9 % of the casuistry and females (58.3 %). 97.0 % of the participants received pharmacological and non-pharmacological treatment, and 21.8% required more than one drug. Metformin was the most used drug (37.5 %). Treatment of diabetic patients in special situations was inadequate, except in overweight and obese patients, and patients who adhered to treatment achieved better metabolic control of the disease (48%).
Conclusions: The therapeutic approach in the studied patients was inadequate. The treatment of diabetes mellitus type 2 must be individualized, from a comprehensive basis of the baseline condition of each patient, taking into account their comorbidities to achieve comprehensive actions at the primary level of prevention.
DeCS: DIABETES MELLITUS, TYPE 2/drug therapy; TREATMENT ADHERENCE AND COMPLIANCE; METFORMIN/therapeutic use; AGED; PRIMARY HEALTH CARE.
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