Factores asociados al control metabòlico en pacientes chilenos con diabetes mellitus tipo 2

Abstract

Background: Nowadays, the 8.3% of the adult population worldwide presents Diabetes Mellitus (DM), being estimated that in 2030 this disease will affect 9.9% of the population. The objective of this study is to determine what environmental factors are associated with optimal values of glycosylated hemoglobin 1A, (HbAlc) in patients with type 2 diabetes mellitus (DM2). Methods:722 type 2 diabetic men and women were evaluated. Participants were interviewed at Family Health Centers of Santiago and Talcahuano. Each person was applied an anthropometric assessment, a Pittsburgh Sleep Quality Survey, and information was collected on their tobacco consumption and physical activity. Result: 37.7% of subjects had HbAlc < 7%, tobacco consumption OR = 8.38 [95% CI 5.29-13.27] and snoring OR = 1.60 [95% CI 1.11-2.30] are risk factors for making a HbAlc, however exercises OR = 0.532 [95% CI 0.35-0.79] and have a normal BMI OR = 0.58 [0,33-0,86] are protective factors. Conclusions: Tobacco consumption and snoring are risk factors for having high levels of HbAlc, in contrast practice of regular exercise and a normal BMI are protective factors.