[Results of the epidemiological surveillance of diabetes mellitus in hospitals in Peru, 2012].
OBJECTIVE
To describe the findings of a year of epidemiological surveillance in pilot hospitals in Peru belonging to the diabetes surveillance (DS) system.


METHODS
Cross-sectional study involving diabetic patients in the DS system from 18 hospitals during 2012. The DS database was assessed and epidemiological and laboratory variables were obtained including age, sex, type of diabetes, complications, comorbidity, microalbuminuria, fasting blood glucose and glycosylated hemoglobin (HbA1c) at two time points - at the time of enrollment and the last followup.


RESULTS
2,959 cases were found. At the time of enrollment into the DS system, 91.2% had a fasting blood glucose test of which 65.4% had a level 130 mg/dL. 8.9% had a microalbuminuria test of which 20.5% had microalbuminuria and 6.5% proteinuria. In total, 1025 patients had a follow-up visit; 93.1% had a fasting blood glucose test and 22.3% had HbA1c test. 63.5% had a fasting glycemia level 130 mg/dL and 73.4% HbA1c level 7.0%. The most common complication was neuropathy (21.4 %) and the most frequent comorbidity was high blood pressure (10.5%). Tuberculosis and cancer cases were observed; the most frequent cancer was breast cancer, particularly in postmenopausal women.


CONCLUSIONS
The DS shows that among diabetics of the pilot hospitals, which have laboratory results, there is a high frequency of inadequate glycemic control and poor adherence to treatment. The high frequency of complications found highlights the need to strengthen early diagnosis.
Grupo Temático de Vigilancia de las Enfermedades no Transmisibles, Dirección General de Epidemiología, Ministerio de salud, Lima, Perú
Willy
W
Ramos
Grupo Temático de Vigilancia de las Enfermedades no Transmisibles, Dirección General de Epidemiología, Ministerio de salud, Lima, Perú
Tania
T
López
Grupo Temático de Vigilancia de las Enfermedades no Transmisibles, Dirección General de Epidemiología, Ministerio de salud, Lima, Perú
Luis
L
Revilla
Servicio de Endocrinología, Hospital Nacional Santa Rosa, Lima, Perú
Luis
L
More
Oficina de Epidemiología y Salud Ambiental, Hospital Nacional Santa Rosa, Lima, Perú
María
M
Huamaní
Unidad de Epidemiología y Salud Ambiental, Hospital General de Huacho, Huacho, Perú
Milagros
M
Pozo
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000453:epidemiology*; D062665:Epidemiological Monitoring; D005260:Female; D006761:Hospitals; D006801:Humans; D008297:Male; D008875:Middle Aged; D010568:Peru / Q000453:epidemiology; D055815:Young Adult