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Revista mexicana de medicina familiar
On-line version ISSN 2696-1296Print version ISSN 2007-9710
Abstract
FABELA-MENDOZA, Karla et al. Glycemic control in patients with type 2 diabetes mellitus according to treatment scheme. Rev. Mex. med. familiar [online]. 2024, vol.11, n.1, pp.9-16. Epub May 31, 2024. ISSN 2696-1296. https://doi.org/10.24875/rmf.23000114.
Background
The glicated hemoglobin A1c(HbA1c) measurement, whose value is below 7% indicates adequate glycemic control. The pharmacological regimens are based on five therapeutic classes.
Objective
Describe the treatment schemes used and make an indirectly compare them concerning glucose control, determined by HbA1c, in patients with type 2 diabetes mellitus (DM2).
Materials and methods
Descriptive, cross-sectional and retrospective study, with systematic sampling. Registration number R-2022-2402-046 was approved. Information based on records between January 2019 and December 2022. Patients with DM2, over 18 years of age, both sexes, with recent Hb1Ac, control parameter 7% or less and with the same pharmacological treatment for at least 3 months were included. Type 1 and gestational diabetes were excluded. Analysis with descriptive statistics.
Results
180 women (64.1%) and 101 men (35.9%) were included. 58 pharmacological regimens were used (58). HbA1c control percentages: monotherapy 50%, dual therapy 45%, triple therapy 48% and quadruple regimen 28% were used.
Conclusions
The percentage of glucose control varies about the type of pharmacological treatment and there is little use of new drugs. The large number of schemes used reveals not standardizing treatments, but rather considering the individuality of the patient.
Keywords : Diabetes; Metformin; SGLT2i; GLP-1; Glycated hemoglobin.