medigraphic.com
ISSN 1029-3035 (Electronic)

2016, Number 3

<< Back Next >>

Mediciego 2016; 22 (3)

Behavior of some clinical variables in patients with diabetic nephropathy

Cardoso AE, Hernández SJC, Companioni LR, García GAL, García MD

Language: Spanish
References: 15
Page: 10-18
PDF size: 115.10 Kb.


ABSTRACT

Introduction: diabetic nephropathy is a microvascular complication of diabetes mellitus expressing the structural and functional impairment of the glomerular apparatus as a result of metabolic disorder of the disease; it is the presence of persistent albuminuria (equal or greater than 300 mg/24 h, or equal or greater than 200 µg/min) with diabetic retinopathy and within other kidney or urinary tract disease.
Objective: to describe the behavior of some clinical variables in patients with diabetic nephropathy.
Method: a descriptive cross-sectional study was carried out on type 2 diabetic population, belonging to six doctors’ offices of the Teaching Polyclinic "Juan Olimpio Valcárcel" of Venezuela municipality. The universe was composed of 72 patients suffering of type 2 diabetes mellitus; the sample consisted of 50 diabetic patients over 18 years.
Results: patients were predominantly female, white skin and more than 60 years. The disease had a period of evolution of less than five years and nearly a third of the sample showed signs of diabetic nephropathy stage III; all patients suffered metabolic disorder and had several associated risk factors; diabetic retinopathy and neuropathy were the most common chronic vascular complications.
Conclusions: for effective approach of diabetic nephropathy in patients with type 2 diabetes mellitus are indispensable requirements an early diagnosis and the development of educational work leading patients to modify risk factors affecting the deterioration of the renal function.


REFERENCES

  1. Poch López de Briñas E. Nefropatía diabética. En: Rozman Borsnart C, Cardellach López F, editores. Farreras-Rozman. Medicina Interna. 18va ed. Madrid: Elsevier; 2016. p. 863-5.

  2. Núñez Izquierdo M, Sánchez Ledesma M, Sánchez Rodríguez A. Protocolo diagnóstico de detección y seguimiento de nefropatía diabética. Medicine: Programa de Formación Médica Continuada Acreditado. 2008;10(17):1162-8.

  3. Gutiérrez Gutiérrez C, Suárez Rodríguez JC. Nefropatía diabética: prevención o retraso por el médico general integral versus lamentos del nefrólogo. Rev Cubana Med Gen Integr [Internet]. 1997 [citado 14 May 2014];13(1):19-27. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21251997000100004

  4. Galcerán JM. ¿Es posible prevenir la nefropatía diabética? El estudio ROADMAP. Hipertens riesgo vasc [Internet]. 2011 [citado 12 Feb 2015];28 Supl 1:24-9. Disponible en: https://d1niluoi1dd30v.cloudfront.net/18891837/S1889183711X70010/S1889183711700034/ main.pdf?Expires=1474318388&Key-Pair- Id=APKAICLNFGBCWWYGVIZQ&Signature=cMdC0Hy5ehQjcprd85hDL% 7ENgDpDDfuKd4Yp2YJ0MOa0HR%7EwXXIbXR9aBwAf1kqhMRmWelksgS0o4rSNZmhsdBPsY Gx2UqJVV9LgrKMbbvq382GKNWCJjR%7Ebog4KKo4mhSFygepHVD34sq3RkK8GTDCwkw6Mhm6ogCLWY% 7EsxGc_

  5. American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care [Internet]. 2014 [citado 23 Dic 2015];37 Supl 1:S81-90. Disponible en: http://s3.amazonaws.com/academia.edu.documents/33955057/ADA_- _Diagnosis_and_Classification_of_Diabetes_Mellitus_2014.pdf?AWSAccessKeyId=AKIAJ56TQJ RTWSMTNPEA&Expires=1474318129&Signature=FjY7oSwZN4RbvfukPECvPR9gWN8%3D&res ponse-content-disposition=inline%3B%20filename%3DADA_- _Diagnosis_and_Classification_of_Di.pdf

  6. Cruz Abascal RE, Fuentes Febles O, Gutiérrez Simón O, Garay Padrón R, Águila Moya O. Nefropatía diabética en pacientes diabéticos tipo 2. Rev cubana med [Internet]. 2011 [citado 19 May 2015];50(1):29-39. Disponible en: http://scielo.sld.cu/pdf/med/v50n1/med03110.pdf

  7. Núñez Moscoso LE. Prevalencia de la microalbuminuria en pacientes con diabetes mellitus tipo 2 en un hospital de nivel 1 de Arequipa. Rev Soc Peru Med Interna [Internet]. 2010 [citado 8 May 2014];23(4):140-4. Disponible en: http://www.medicinainterna.org.pe/revista/revista_23_4_2010/revista_spmi_2010_n4.pdf

  8. Bouaziz A, Zidi I, Zidi N, Mnif W, Zinelabidine HT. Nephropathy following Type 2 diabetes mellitus in Tunisian population. West Indian Med J [Internet]. 2012 [citado 4 Dic 2014];61(9):881-9.Disponible en: http://caribbean.scielo.org/pdf/wimj/v61n9/a07v61n9.pdf

  9. Galiano MA, Calvo MS, Feito MA, Aliaga MW, Leiva S, Mujica B. Condición de salud de pacientes diabéticos y su satisfacción con el tratamiento para la enfermedad. Cienc Enferm [Internet]. 2013 [citado 7 Jun 2015];19(2):57-66. Disponible en: http://www.scielo.cl/pdf/cienf/v19n2/art_06.pdf

  10. Benítez Estévez AJ, Calvo Malvar M. A propósito de la adecuación de la demanda. Nefropatía Diabética. Rev Lab Clin [Internet]. 2010 [citado 12 May 2015];3(2):63-8. Disponible en: http://www.aefa.es/wp-content/uploads/2014/04/A-proposito-de-la-adecuacion-de-lademanda.- Nefropatia-diabetica.pdf

  11. Guay Woodford LM. Nefropatías hereditarias y alteraciones del sistema urinario. En: Goldman L, Schafer AI, editores. Cecil y Goldman. Tratado de Medicina Interna. 24ta ed. Barcelona: Elsevier; 2013. p. 910-5.

  12. Le Floch JP, Doucet J, Bauduceau B, Verny C, SFD/SFGG Intergroup. Retinopathy, nephropathy, peripheral neuropathy and geriatric scale scores in elderly people with Type 2 diabetes. Diabet Med [Internet]. 2014 [citado 4 Dic 2014];31(1):107-11. Disponible en: http://onlinelibrary.wiley.com/store/10.1111/dme.12327/asset/dme12327.pdf?v=1&t=itafbg 2x&s=a62cc65b5887d2b5905a88055cdb547f781fd338

  13. Pérez Muñoz ME, Triana Casado I, Pérez Rodríguez L, Isas Cordové M. Caracterización clínica de la retinopatía diabética en diabéticos tipo 2 atendidos en el Servicio de Retina del Centro Oftalmológico “Dr. Salvador Allende” de la Habana. MediCiego [Internet]. 2012 [citado 12 May 2015];18(1):[aprox. 8 p.]. Disponible en: http://www.bvs.sld.cu/revistas/mciego/vol18_01_2012/pdf/T8.pdf

  14. Esmatjes E, Nicolau J, Fernández C, Rueda S. Tratamiento de la nefropatía diabética. Endocrinol Nutr [Internet]. 2008 [citado 9 May 2015];55 Supl 2:105-8. Disponible en: http://appswl.elsevier.es/publicaciones/item/pdf/watermark?idApp=UINPBA00004N&piiItem= S1575092208762715&origen=zonadelectura&web=zonadelectura&urlApp=http://www.elsevie r.es&estadoItem=S300&idiomaItem=es

  15. Trevisan R. La prevencione primaria della nefropatia diabetica. G Ital Nefrol [Internet]. 2012 [citado 9 May 2015];29 Supl 58:S49-53. Disponible en: http://www.nephromeet.com/web/eventi/gin/dl/storico/2012/s58/g_ital_nefrol_s58_12_trevis an_s49-s53.pdf




2020     |     www.medigraphic.com