Resumen

COBOS, Ana Belén Orellana; COLLAZO, Carlos Alberto Román  y  COBOS, Danilo Fernando Orellana. Dyslipidemias in diabetic patients hospitalized at the Vicente Corral Moscoso Hospital. Vive Rev. Salud [online]. 2022, vol.5, n.14, pp.481-494.  Epub 04-Ago-2022. ISSN 2664-3243.  https://doi.org/10.33996/revistavive.v5i14.162.

Diabetes Mellitus type 2 as an endocrine metabolic disease can generate important alterations in the lipid profile of the patient, therefore, an important cardiovascular risk. Objective. To characterize dyslipidemias in diabetic patients hospitalized in the clinical area of the Vicente Corral Moscoso Hospital of Cuenca during 2019. Materials and Methods. Quantitative, non-experimental, cross-sectional, observational, descriptive and documentary research of 137 diabetic patients. Sociodemographic variables, lipidogram quantification, HbA1c, BMI, adherence to treatment, years of diagnosis, type of treatment, presence of hypothyroidism and hypertension were analyzed. Frequency analysis, measures of central tendency, chi-square, Odds ratio and Relative Risk were performed. For the analyses, p<0.05 was considered. Results. The mean age was 65.73±15.11 years, corresponding to the older adult age group; with a predominance of women. About 46% had normal BMI and 52.2% had obesity and overweight. Fifty-one percent of the patients had been diagnosed less than or equal to 10 years. 76.7% of patients presented dyslipidemia, 43.6% hypercholesterolemia, 57.9% hypertriglyceridemia; 60.9% decreased HDL; 50.4% elevated LDL values; and 74.4% elevated VLDL. A total of 83.3% of patients had elevated glycosylated hemoglobin, with a lack of adherence to treatment of 66.2%. Conclusion. Diabetic patients present dyslipidemias within the metabolic disorder, with maintained hypertriglyceridemia, hypercholesterolemia, decreased HDL and increased LDL. The association of dyslipidemia with glycosylated hemoglobin makes it a predictor of cardiovascular disease.

Palabras clave : Dyslipidemias; Diabetes mellitus; Body Mass Index; Glycated Hemoglobin.

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