Educational intervention to improve outcomes of patients with diabetes debut and a history of hypertension
The main cause of death of the person with type 2 diabetes mellitus is cardiovascular. Its prevention involves an integrated management of all risk factors. Objective: To evaluate the results of an intervention to improve the outcome of patients with type 2 diabetes debut and a history of...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | Spanish |
| Published: |
Editorial Ciencias Médicas
2012-10-01
|
| Series: | Acta Médica del Centro |
| Subjects: | |
| Online Access: | http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/236 |
| _version_ | 1829456335109881856 |
|---|---|
| author | Lázara Méndez Gálvez Ania Fleites Amores Miguel Ángel Batista Batule Helena Fernández Esperanza Lliliams Artiles Duarte Cruz Idania Monteagudo Méndez |
| author_facet | Lázara Méndez Gálvez Ania Fleites Amores Miguel Ángel Batista Batule Helena Fernández Esperanza Lliliams Artiles Duarte Cruz Idania Monteagudo Méndez |
| author_sort | Lázara Méndez Gálvez |
| collection | DOAJ |
| description | The main cause of death of the person with type 2 diabetes mellitus is cardiovascular. Its prevention involves an integrated management of all risk factors.
Objective: To evaluate the results of an intervention to improve the outcome of patients with type 2 diabetes debut and a history of hypertension that were treated with betablockers at the Chiqui Lubián Gomez University Polyclinic.
Material and Method: prospective quasi-experimental study in an intentional sample of 22 patients with type 2 diabetes mellitus debut and a history of hypertension who attended the multidisciplinary consultation of diabetes mellitus in the period from January to December 2011.
Results: there was a prevalence of female patients -16 patients (72.7%) - and the age group between 50 and 69 years - (77.2%). The hypertension control was achieved with a change to inhibitors of angiotensin converting enzyme (90.9%). Metabolic control, by quarter, improved significantly until reaching a 95.4% in the last one. Favorable changes in lifestyle, such as incorporating the practice of physical exercises (81.8%), were achieved. They ensure a better quality of life. With regard to body weight, at the start of the intervention there were 12 (54.5%) overweight patients and at the end they were reduced to seven (31.8%). It was possible that 100% of patients had a proper diet to control the disease, but only one patient (18.1%) stopped smoking, which is not significant. Better results could be achieved in the long term. Generally, the intervention was successful in 90.9% of patients.
Conclusions: Patients presenting with type 2 diabetes mellitus and a history of hypertension evolve favorably with a treatment of angiotensin converting enzyme inhibitors as hypotensive and good metabolic control with lifestyle changes. |
| first_indexed | 2024-04-11T08:46:49Z |
| format | Article |
| id | doaj.art-0ebfbc53e217419c896a5d020315ef42 |
| institution | Directory Open Access Journal |
| issn | 2709-7927 |
| language | Spanish |
| last_indexed | 2024-04-11T08:46:49Z |
| publishDate | 2012-10-01 |
| publisher | Editorial Ciencias Médicas |
| record_format | Article |
| series | Acta Médica del Centro |
| spelling | doaj.art-0ebfbc53e217419c896a5d020315ef422022-12-22T04:33:56ZspaEditorial Ciencias MédicasActa Médica del Centro2709-79272012-10-01645056215Educational intervention to improve outcomes of patients with diabetes debut and a history of hypertensionLázara Méndez Gálvez0Ania Fleites Amores1Miguel Ángel Batista Batule2Helena Fernández Esperanza3Lliliams Artiles Duarte4Cruz Idania Monteagudo Méndez5Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.The main cause of death of the person with type 2 diabetes mellitus is cardiovascular. Its prevention involves an integrated management of all risk factors. Objective: To evaluate the results of an intervention to improve the outcome of patients with type 2 diabetes debut and a history of hypertension that were treated with betablockers at the Chiqui Lubián Gomez University Polyclinic. Material and Method: prospective quasi-experimental study in an intentional sample of 22 patients with type 2 diabetes mellitus debut and a history of hypertension who attended the multidisciplinary consultation of diabetes mellitus in the period from January to December 2011. Results: there was a prevalence of female patients -16 patients (72.7%) - and the age group between 50 and 69 years - (77.2%). The hypertension control was achieved with a change to inhibitors of angiotensin converting enzyme (90.9%). Metabolic control, by quarter, improved significantly until reaching a 95.4% in the last one. Favorable changes in lifestyle, such as incorporating the practice of physical exercises (81.8%), were achieved. They ensure a better quality of life. With regard to body weight, at the start of the intervention there were 12 (54.5%) overweight patients and at the end they were reduced to seven (31.8%). It was possible that 100% of patients had a proper diet to control the disease, but only one patient (18.1%) stopped smoking, which is not significant. Better results could be achieved in the long term. Generally, the intervention was successful in 90.9% of patients. Conclusions: Patients presenting with type 2 diabetes mellitus and a history of hypertension evolve favorably with a treatment of angiotensin converting enzyme inhibitors as hypotensive and good metabolic control with lifestyle changes.http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/236diabetes mellitus tipo 2inhibidores de la enzima convertidora de angiotensinaestilo de vida |
| spellingShingle | Lázara Méndez Gálvez Ania Fleites Amores Miguel Ángel Batista Batule Helena Fernández Esperanza Lliliams Artiles Duarte Cruz Idania Monteagudo Méndez Educational intervention to improve outcomes of patients with diabetes debut and a history of hypertension Acta Médica del Centro diabetes mellitus tipo 2 inhibidores de la enzima convertidora de angiotensina estilo de vida |
| title | Educational intervention to improve outcomes of patients with diabetes debut and a history of hypertension |
| title_full | Educational intervention to improve outcomes of patients with diabetes debut and a history of hypertension |
| title_fullStr | Educational intervention to improve outcomes of patients with diabetes debut and a history of hypertension |
| title_full_unstemmed | Educational intervention to improve outcomes of patients with diabetes debut and a history of hypertension |
| title_short | Educational intervention to improve outcomes of patients with diabetes debut and a history of hypertension |
| title_sort | educational intervention to improve outcomes of patients with diabetes debut and a history of hypertension |
| topic | diabetes mellitus tipo 2 inhibidores de la enzima convertidora de angiotensina estilo de vida |
| url | http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/236 |
| work_keys_str_mv | AT lazaramendezgalvez educationalinterventiontoimproveoutcomesofpatientswithdiabetesdebutandahistoryofhypertension AT aniafleitesamores educationalinterventiontoimproveoutcomesofpatientswithdiabetesdebutandahistoryofhypertension AT miguelangelbatistabatule educationalinterventiontoimproveoutcomesofpatientswithdiabetesdebutandahistoryofhypertension AT helenafernandezesperanza educationalinterventiontoimproveoutcomesofpatientswithdiabetesdebutandahistoryofhypertension AT lliliamsartilesduarte educationalinterventiontoimproveoutcomesofpatientswithdiabetesdebutandahistoryofhypertension AT cruzidaniamonteagudomendez educationalinterventiontoimproveoutcomesofpatientswithdiabetesdebutandahistoryofhypertension |