Asociación de niveles de hemoglobina glicosilada y pie diabético en pacientes con diabetes mellitus tipo II en el Hospital General Guasmo Sur de Guayaquil en el período de enero del 2018 a diciembre del 2020.

Abstract

Background: Diabetes Mellitus is currently one of the most frequent chronic non-communicable diseases worldwide, reaching epidemic figures, it is related to persistently high levels of serum glucose and due to its silent pathology, it is a disease with a great morbidity and mortality worldwide causing great costs for public health in different countries around the world. Objective: To determine the association of glycosylated hemoglobin and diabetic foot in patients with Type II Diabetes Mellitus at the Guasmo Sur General Hospital in Guayaquil from January 2018 to December 2020. Methodology: The present study is of a relational type as it associates glycosylated hemoglobin values with vascular complications of the diabetic foot, observational by recording data without direct intervention of the researchers in the information of the clinical histories of the patients, retrospective information is taken from the registry of the hospital and analytical for analyzing more than one variable. Results: The values of HBA1C with the stage of vascular damage in the diabetic foot, it was found that the patients with values 6.5%-7.4%, the majority presented stage 1. In the group 7.5%-8.0%, the majority of patients were in stage 3 In the group of 8.1%-9.5%, the majority of patients in stage 5. In the group of 9.6%-10%, in stage 2, followed by stage 1 and 3. In the group >10%, the majority of patients in stage 5. Of the patients with a range of 5.7%-6.4%, it was found in stage 0 and in stage 1, these differences presented p 0.001 being significant. Conclusion: The average of HBA1C values in the studied sample was 8.8% + - 2.1 together with the average of the Meggit-Wagner classification was 2.4 + - 1.7, the differences between the studied averages were significant, that is to say that HbA1C values on average of 8% occur in most cases of diabetic foot and mean a higher risk of developing more advanced stages of the same.