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To study the different factors involved in the proper control of type 2 diabetes mellitus.
Material and methods
Transversal study of 278 patients included in the Diabetes Mellitus Health Program of the Adult.
The metabolic control was good in 45.3% of the patients, acceptable in 26.9% and deficient in 27.6%. The bivariant analysis pointed as bad glucidic control associated factors: sex (worse control in women vs. men), time of disease evolution, cholesterol and triglycerids. The logistic regression analysis showed as associated factors: sex, triglycerid concentration, use of insulin therapy and tobacco consumption.
The consumption of tobacco increases the bad control prevalence, being its influence dependent on the triglycerid concentration and the Quetelet index.
A good lipid control is important to achieve a good glucidic control, mainly in women. This control is difficult to achieve in patients with long-term evolution of the disease who depend on insulin therapy. Moreover, tobacco consuption has to be considered as an added risk factor to the good control of the disease.
SEMERGEN - Medicina de Familia 08/2013; 26(5):239–243.