PROFILE OF TYPE 2 DIABETICS INSULIN-APPLICANTS FOLLOWED IN A MULTI HEALTH CENTER, SALVADOR, BAHIA, BRAZIL

Abstract

Objective: To describe the clinical and epidemiological profile of patients with insulin-inuming Type 2 Diabetes Mellitus followed by a multidisciplinary team in a Multicenter Health Unit in Salvador-BA, Brazil. Method: Epidemiological, cross-sectional, retrospective, descriptive study with patients treated in the Multicenter Health Unit from October/2017 to October/2019. The clinical and sociodemographic variables were collected from medical records and expressed in absolute and relative frequencies, mean and standard deviation (SD), in addition to median and interquartile range (IR). Results: We evaluated 163 patients with mean (SD) of age of 61.2 (± 10.6) years, with a predominance between 51 and 60 years (39.3%), 66.3% of which were female.The median time of diagnosis was 10 (3) years and 78.8% had been using insulin for less than 5 years. Half of the patients accepted their diabetic condition, 53.2% did not adequately correct hypoglycemic episodes, 68.1% glycated hemoglobin above the targets set by the Brazilian Diabetes Society and 59.9% had microalbuminuria. In addition, 96.3% did not exercise, 2.5% had an appropriate food profile, 71.0% were diagnosed with Systemic Arterial Hypertension, and 70.8% did not have the cholesterol fraction Low Density Lipoprotein (LDL) value in the goal established by the Brazilian Society of Cardiology. Conclusion: In this sample of insulin-applicant diabetic patients, most patients were female, had other comorbidities associated with DM, low adhering to hygienic dietary measures, elevation of glycated hemoglobin and signs of diabetic nephropathy.