Chronic complications of type 2 diabetic attended at Family Health Units in the City of Recife, State of Pernambuco, Brazil

Isabel Cristina Ramos Vieira Santos Eduardo Freese de Carvalho Wayner Vieira de Souza Maria Carolina Wanderley Costa de Medeiros Milka Gabrielle de Lira Nóbrega Patrícia Michelly Santos Lima About the authors

OBJECTIVES: to analyze the complications associated with type 2 diabetes in patients seen by Family Health Units. METHODS: a study was conducted of the Family Health Units of the six health districts of the city of Recife, State of Pernambuco, Brazil, with a sample of 1374 records of diabetic patients registered on the Family Health Program. The variables used were: the occurrence of macro-and microvascular complications, age, sex, years of schooling, alcohol consumption, smoking, first and last glucose recorded. RESULTS: there was a higher rate of complications in women (71.5%) compared to men (29.5%). Of the total, 58.9% had at least one complication. The macrovascular complications corresponded to 95.6%. The peripheral vascular disease was responsible for 92.1%, when considered as a single complication. There was an association between the age of 66 years or more and macrovascular complications, with a prevalence of 37.8%. Microvascular complications were half as common among women as among men (3.6 x 6.4) and this represents a statistically significant difference (p=0.04). Smoking was shown to be associated with microvascular complications (p<0001). CONCLUSIONS: the results point to a need to strengthen, alongside basic health services, measures recommended by the Health department, aiming to reduce risk factors and the impact of complications.

Diabetes mellitus; Chronic complications; Family health units

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