Metabolic control in patients with type 2 diabetes mellitus in a public hospital in Peru: a cross-sectional study in a low-middle income country
Objective The objective of this study was to assess patients’ achievement of ADA (American Diabetes Association) guideline recommendations for glycosylated hemoglobin, lipid profile, and blood pressure in a type 2 diabetes mellitus (T2DM) outpatient clinic in a low-middle income country (LMIC) setti...
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PeerJ Inc.
2016-10-01
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| author | Irma Elizabeth Huayanay-Espinoza Felix Guerra-Castañon María Lazo-Porras Ana Castaneda-Guarderas Nimmy Josephine Thomas Ana-Lucia Garcia-Guarniz Augusto A. Valdivia-Bustamante Germán Málaga |
| author_facet | Irma Elizabeth Huayanay-Espinoza Felix Guerra-Castañon María Lazo-Porras Ana Castaneda-Guarderas Nimmy Josephine Thomas Ana-Lucia Garcia-Guarniz Augusto A. Valdivia-Bustamante Germán Málaga |
| author_sort | Irma Elizabeth Huayanay-Espinoza |
| collection | DOAJ |
| description | Objective The objective of this study was to assess patients’ achievement of ADA (American Diabetes Association) guideline recommendations for glycosylated hemoglobin, lipid profile, and blood pressure in a type 2 diabetes mellitus (T2DM) outpatient clinic in a low-middle income country (LMIC) setting. Methods This is a descriptive cross-sectional study with 123 ambulatory T2DM patients who are being treated at a public hospital in Lima, Peru. Data was gathered via standardized interviews, clinical surveys, and anthropomorphic measurements for each patient. Blood samples were drawn in fasting state for measures of glucose, glycosylated hemoglobin (HbA1c), and lipid profile. Laboratory parameters and blood pressure were evaluated according to ADA recommendations. Results Of the 123 patients, 81 were women and the mean age was 61.8 years. Glycemic control was abnormal in 82 (68.33%) participants, and 45 (37.50%) were unable to control their blood pressure. Lipid profile was abnormal in 73 (60.83%) participants. Only nine (7.50%) participants fulfilled ADA recommendations for glycemic, blood pressure, and lipid control. Conclusions Amongst individuals with type 2 diabetes, there was poor attainment of the ADA recommendations (HbA1c, blood pressure and LDL-cholesterol) for ambulatory T2DM patients. Interventions are urgently needed in order to prevent long-term diabetic complications. |
| first_indexed | 2024-03-09T06:52:01Z |
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| institution | Directory Open Access Journal |
| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T06:52:01Z |
| publishDate | 2016-10-01 |
| publisher | PeerJ Inc. |
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| series | PeerJ |
| spelling | doaj.art-5898de7e13bc42b38833f17590abfe392023-12-03T10:24:41ZengPeerJ Inc.PeerJ2167-83592016-10-014e257710.7717/peerj.2577Metabolic control in patients with type 2 diabetes mellitus in a public hospital in Peru: a cross-sectional study in a low-middle income countryIrma Elizabeth Huayanay-Espinoza0Felix Guerra-Castañon1María Lazo-Porras2Ana Castaneda-Guarderas3Nimmy Josephine Thomas4Ana-Lucia Garcia-Guarniz5Augusto A. Valdivia-Bustamante6Germán Málaga7Unidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia, Lima, PeruUnidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia, Lima, PeruUnidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia, Lima, PeruUnidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia, Lima, PeruRollins School of Public Health, Emory University, Atlanta, GA, United StatesUnidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia, Lima, PeruUnidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia, Lima, PeruUnidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia, Lima, PeruObjective The objective of this study was to assess patients’ achievement of ADA (American Diabetes Association) guideline recommendations for glycosylated hemoglobin, lipid profile, and blood pressure in a type 2 diabetes mellitus (T2DM) outpatient clinic in a low-middle income country (LMIC) setting. Methods This is a descriptive cross-sectional study with 123 ambulatory T2DM patients who are being treated at a public hospital in Lima, Peru. Data was gathered via standardized interviews, clinical surveys, and anthropomorphic measurements for each patient. Blood samples were drawn in fasting state for measures of glucose, glycosylated hemoglobin (HbA1c), and lipid profile. Laboratory parameters and blood pressure were evaluated according to ADA recommendations. Results Of the 123 patients, 81 were women and the mean age was 61.8 years. Glycemic control was abnormal in 82 (68.33%) participants, and 45 (37.50%) were unable to control their blood pressure. Lipid profile was abnormal in 73 (60.83%) participants. Only nine (7.50%) participants fulfilled ADA recommendations for glycemic, blood pressure, and lipid control. Conclusions Amongst individuals with type 2 diabetes, there was poor attainment of the ADA recommendations (HbA1c, blood pressure and LDL-cholesterol) for ambulatory T2DM patients. Interventions are urgently needed in order to prevent long-term diabetic complications.https://peerj.com/articles/2577.pdfDiabetes mellitus type 2HypertensionGlycosylated hemoglobinLMICCholesterolPeru |
| spellingShingle | Irma Elizabeth Huayanay-Espinoza Felix Guerra-Castañon María Lazo-Porras Ana Castaneda-Guarderas Nimmy Josephine Thomas Ana-Lucia Garcia-Guarniz Augusto A. Valdivia-Bustamante Germán Málaga Metabolic control in patients with type 2 diabetes mellitus in a public hospital in Peru: a cross-sectional study in a low-middle income country PeerJ Diabetes mellitus type 2 Hypertension Glycosylated hemoglobin LMIC Cholesterol Peru |
| title | Metabolic control in patients with type 2 diabetes mellitus in a public hospital in Peru: a cross-sectional study in a low-middle income country |
| title_full | Metabolic control in patients with type 2 diabetes mellitus in a public hospital in Peru: a cross-sectional study in a low-middle income country |
| title_fullStr | Metabolic control in patients with type 2 diabetes mellitus in a public hospital in Peru: a cross-sectional study in a low-middle income country |
| title_full_unstemmed | Metabolic control in patients with type 2 diabetes mellitus in a public hospital in Peru: a cross-sectional study in a low-middle income country |
| title_short | Metabolic control in patients with type 2 diabetes mellitus in a public hospital in Peru: a cross-sectional study in a low-middle income country |
| title_sort | metabolic control in patients with type 2 diabetes mellitus in a public hospital in peru a cross sectional study in a low middle income country |
| topic | Diabetes mellitus type 2 Hypertension Glycosylated hemoglobin LMIC Cholesterol Peru |
| url | https://peerj.com/articles/2577.pdf |
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