Controle glicêmico de portadores de diabetes mellitus tipo 1 atendidos em ambulatório específico no estado de Sergipe: dados de 2010 e 2014

Abstract

Introduction: In 2009, a specific outpatient clinic for the care of patients with DM1 was set up by the Unified 26 Health System (SUS, in portuguese) aiming clinical follow-up and improvement of glycemic control of these 27 patients. Objective: Compare fasting glucose, postprandial and glycated hemoglobin data from patients with 28 type 1 diabetes mellitus followed in a specific clinic of SUS between 2010 and 2014. Methods: A cross-29 sectional study was performed through the analysis of patient charts of patients with DM1. In 2014, the data 30 of fasting glucose (FG), postprandial glucose and glycated hemoglobin (HBA1C) were evaluated from medical 31 records of 91 patients and compared with 37 patients with DM1 evaluated in 2010. Data were expressed as 32 mean and standard deviation. Results: In 2014, FG was 176,04 ±115,36 mg/dl, postprandial was 191,21 33 ±122,68 mg/dl and glycated hemoglobin was 8,26 ±2,2%. In 2010, FG was 143.7 ± 87.9 mg / dl; postprandial 34 was 162.6 ± 105.5 mg / dl and HBA1C was 7.5 ± 2.3%. Besides, 56.7% had glycated =7.0%, p = 0.090; p = 35 0.194 and p = 0.094, respectively. In 2014, 31.4% of the patients presented HBA1C =7.0%. Conclusion: 36 Despite the significant increase in the number of patients followed, the loss of the nutritionist in the 37 multidisciplinary team, and greater difficulty in marking returns, there was no statistical difference in the 38 glycemic control of the patients treated at the DM1 outpatient clinic in 2010 and 2014. The percentage of 39 patientes with glycate within the targets is still higher than national data.