Abstract
Background
Diabetes mellitus is an important public health issue, responsible for great morbidity and significant public health burden. A glycated hemoglobin, which assessed mean blood glucose in the past sixty days, has been an important tool in preventing comorbidities.
Objective
To evaluate the prevalence of glycemic and metabolic uncontrolled and associated factors used in the central laboratory of southwest Bahia
Method
This is a cross-sectional study conducted with 352 diabetic patients treated at the Laboratory of the Unified Health System.
Results
The study demonstrated more than two thirds of the patients (70.2%) described lack of glycemic control. Multivariate analysis showed that receiving fewer visits from community health workers OR 1.96 (1.05 - 3.65) and not have comorbidities associated OR 1.86 (1.05 - 3.30) were associated with poor glycemic control.
Conclusion
The results suggested the need to improve patient care with a health team sensitive to the practices for better metabolic control. The best action of the health team can contribute to health promotion and better quality of life for patients and impact on the reduction of health costs by reducing hospitalizations and procedures related to diabetes complications.
Keywords:
diabetes mellitus; glycated hemoglobin; control