[Prevalence of type 2 diabetes mellitus in an internal medicine ambulatory care department].
The aim of the study was to evaluate Glico regulation disturbances prevalence (glycemia over 126 mg/dl). We analyzed, in a retrospective study, 3051 patients hospitalized in Internal Medicine Ambulatory Care Department, "St. Spiridon" Hospital, during a period of two years, 2000-2001. Our department was design for one-week spitalization for diagnostic, so the patients are not on emergency condition. The medium age was 53 +/- 3 years, 24% males, and 76% females. We were looking for clinical and biological criteria of diabetes and co-morbidities (hypertension, dyslipidemias, ischaemic heart diseases). We also studied symptoms of admission and complications as infections. We found a jeune glycemia ł126 mg/dl on 151 cases, 4.8% of total cases, predominantly women, 88 cases (58.3%), 63 males (41.7%). 44 cases were less than 50 years old and the rest over, 107 cases (70%). We excluded type 1 diabetes mellitus already known. The evaluation of BMI shows us the predominance of overweight and obesity (83.44%), 126 cases. 125 cases had cholesterol level over 200 mg/dl, 82.78%, and only 26 cases had lower. From these, 32% had triglycerides > 150 mg/dl. Study of co-morbidities revealed 42 cases with normal arterial tension, the rest had arterial hypertension, ischaemic heart diseases, 109 cases, 72.18%. More than a half had infections, especially urinary and pulmonary. Admission had relevant accuses: 34.27% came for diabetes suspicions, 28.31% had cardiovascular diseases, 12.36% had symptoms which were relevant for diabetes. We concluded that from the group of patients that are searching for diagnostic, on an internal medicine department, 4.8% had type 2 diabetes. We underline strong association with dyslipidemia and obesity.
Coman
Adorata
A
Ambulatorul Spitalului Sf. Spiridon, Facultatea de Medicină, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi.
Palel
Georgeta
G
Petrovanu
Cynthia
C
Petrovanu
Rodica
R
Hurduc
Valeria
V
D000368:Aged; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D003920:Diabetes Mellitus / Q000453:epidemiology*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology*; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000150:complications / Q000453:epidemiology*; D007388:Internal Medicine; D008297:Male; D008875:Middle Aged; D009765:Obesity; D015995:Prevalence; D012189:Retrospective Studies; D012383:Romania / Q000453:epidemiology