Fructosamina cómo indicador de control glucémico en pacientes diabéticos tipo 2 con anemia. Atendidos en el Hospital Teodoro Maldonado Carbo en el periodo de enero 2021 a diciembre 2022.

Abstract

Introduction: Fructosamine is mainly used in diabetic patients, it is a support to be able to maintain strict control of blood glucose during the course of the disease over time. Its use increases in significance when for some reason the value of glycosylated hemoglobin (HbA1c) is not possible or reliable, as in the case of patients with anemia, allowing us to assess blood glucose levels in the last 2 to 3 weeks. Objective: To establish the serum levels of fructosamine as a control indicator in type 2 diabetic patients with anemia between 40 and 70 years of age. Attended in the outpatient clinic of the Teodoro Maldonado Carbo Specialty Hospital in the period from January 2021 to December 2022. Materials and methods: This research is an observational, descriptive, crosssectional and retrospective study. Results: It was determined that the prevalence of diabetic patients with anemia is higher in the female gender 66.92% (n=89), the most prevalent age group was between 60 to 79 years (n=80), the BMI range that The most frequent occurrence was grade 1 obesity with 38.35% (n=51), in the metabolic control of the patients studied the most prevalent glucose level was normal 58.65% (n=78), glycosylated hemoglobin with very high levels 84.96% (n=113). The correlation between serum fructosamine levels and glycemia levels is 51.3% with a statistically significant association between serum fructosamine levels and glycemia levels (p=0.000). Conclusion: Serum fructosamine levels are normal in more than 50% of diabetic patients who have anemia and present with very high glycosylated hemoglobin. The highest prevalence of type 2 diabetes mellitus that occurs with anemia in the female sex, the age group with the highest prevalence is 60 to 79 years, there is a statistically significant association between serum fructosamine levels and glycemia levels (p=0.000).