Estudo da distribuição dos casos de Diabetes Mellitus em Presidente Prudente - SP

• Autor(a) principal: Ortega, L. N.
• Data de Publicação: 2006
• Outros Autores: Simões, Maria Jacira Silva [UNESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://serv-bib.fcfar.unesp.br/seer/index.php/Cien_Farm/article/view/363; http://hdl.handle.net/11449/69330
• topic: Depression; Diabetes Mellitus; Glycemia (Index); glibenclamide; glucose; glycosylated hemoglobin; insulin; metformin; oral antidiabetic agent; adult; Brazil; controlled study; correlation analysis; depression; descriptive research; diabetes mellitus; diet therapy; dietary intake; female; glucose blood level; health program; health survey; human; major clinical study; male; medical record; morbidity; physical activity; prescription; prevalence; psychotherapy; public health service; questionnaire; socioeconomics

The main causes of illness and consequent death in patients affected by Diabetes Mellitus are the long-term complications. Depression can make it harder to control the level of glucose in the blood, as well as intensifying and worsening the clinical complications, thus reducing the quality of life. The aim of this study was to estimate the incidence of Diabetes Mellitus in Public Health Clinic in Presidente Prudente (SP) in patients enrolled in the Hiper-Dia Program. From October 2003 to July 2004, a descriptive survey was carried out. Data were obtained from doctor's records of 50 diabetes patients and also their answers to a specific questionnaire. The majority of the patients were female, had not completed elementary school, with a family income below five minimum wages, a nationally-defined amount related to the poverty line. It was observed that 24% of the patients had depression and 76% never followed a controlled diet. Pharmacological treatment was prescribed for 82% of the patients. Twenty-eight patients were receiving psyicological treatment, together with oral hypoglycemic agents. The glycated hemoglobin was measured in 68%. The association between depression and submission to treatment was not significant. No statistical association was found between the psychologically assisted patient's group and glucose control (p= 0.40), diet control (p= 0.37) and physical activities (p= 0.77). It was concluded that 24% patients had depression and the majority not under diet control, but 82% were under pharmacological treatment.