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2016, Number 3

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Rev Cub Med Mil 2016; 45 (3)

Dysglycemia and atherosclerosis in the working population

González TR, O Relly ND, Guirola FJ, Pérez BL, Acosta GFA, Navarro AOL

Language: Spanish
References: 32
Page: 277-290
PDF size: 225.33 Kb.


ABSTRACT

Introduction: the prevalence of diabetes mellitus and pre-diabetes has been increasing worldwide and in Cuba. Both increase the risk of atherosclerosis. In the labor-intensive population, a prevalence of 0.3% for diabetes is estimated, a figure that differs from other studies in the country. Prolonging the professionally useful life of the workforce actively requires to anticipate the harm, identifying those at risk for atherosclerosis related to dysglycemia.
Objective: determine the prevalence of dysglycemia and its relation with atherosclerosis risk factors and with atherosclerotic disease established in subjects attending a preventive medical examination.
Method: a cross-sectional, descriptive and analytical study was carried out on 2913 subjects who attended a medical check-up. General data, anthropometric data, atherosclerosis risk factors and cardiovascular disease were collected. Fasting blood glucose, total cholesterol, triglycerides, creatinine and calculation of glomerular filtration were performed. In addition, oral glucose tolerance test and glycosylated hemoglobin in the indicated cases. Patients were classified as diabetic, pre-diabetic and non-diabetic.
Results: a hundred seventy seven (177) diabetics and two hundred forty one (241) pre-diabetics were identified, corresponding to a prevalence of 6.1 % and 8.3 %, respectively. Twenty three (23) are new cases of diabetes mellitus (0.8%). A high relationship was found between dysglycemia, risk factors for atherosclerosis, and chronic cardiovascular and renal disease.
Conclusions: dysglycemia has high prevalence in the subjects studied. Both pre-diabetes and diabetes are related to risk factors for atherosclerosis and chronic cardiovascular and renal disease.


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