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2015, Number 3

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Sal Jal 2015; 2 (3)

Diabetes en población derechohabiente del ISSSTE en el Estado de Jalisco

Maldonado-Hernández HR, Aguirre-Moreno JA, Olivares-Orozco MPC, Morales-Flores EA, Aguirre-Moreno MA, Aguirre-Olivares TA, Avelar-Herrera CE, Cooper-Barrera DA
Full text How to cite this article

Language: Spanish
References: 10
Page: 132-140
PDF size: 269.59 Kb.


Key words:

Diabetes, ISSSTE, Jalisco.

ABSTRACT

Introduction: Th e panorama of Diabetes in ISSSTE is unfavorable, the nature of its population, mainly made up of older, sedentary adults with poor eating habits, overweight and obesity. To address this problem it has been adopted an innovative model that seeks the empowerment of the disease by the patient who has been called: Integrated Management Staged Diabetes (MIDE), which includes the active participation of the patient to control his disease and to develop the capacities that will allow responsible for their health. In order to know the magnitude of this disease have made a diabetic patient census. Material and methods: An observational, cross-sectional, retrospective, descriptive study during 2014, based on ton System (SIMEF), where data are obtained on the basis he registration information to Financial Medical Informatito capture daily physician personnel productivity in each of the medical units. Th e study population consisted of patients from fi ve Clinical Family Medicine (CMF) first class (CMF1, CMF2, CMF3, CMF Autlán, CMF Lagos de Moreno) and two secondlevel (CH Ciudad Guzman, CH Puerto Vallarta) Results: Th e number of population of the ISSSTE in the State of Jalisco consists of 353.655 benefi ciaries, these are 16.511 people living with diabetes, the Guadalajara metropolitan area presents 67.08% of cases of diabetes and the interior of the State 32.91%, with 9,371 (56.75%) were women and 7,140 (43.24%) male, which corresponds to 4.66% of the population. Diabetes Mellitus Insulin Dependent (DMIND) features 2,321 (14.05%), Diabet7%) and patients with complications 4,690 (28.40%). The number of inquiries having diabetes mellitus as es Mellitus No Insulin Dependent (NIDDM) 3,017 (18.2the main reason is 11.85%; Th is disease means 19.37% of the borough’s annual budget. Discussion: Th e insured population in our state has similar characteristics, which allows us respecting freedom of prescription medical personnel, standardize medical treatment, reducing the complications of the disease and thereby standardizing treatment costs in the state of Jalisco. Conclusions: We consider urgent need to strengthen MIDE clinics throughout the State of Jalisco to contribute to improving the quality of life of patients and decrease complications. With the growing volume of diabetic patients is a need to train all medical personnel in the management of this disease, coupled with other chronic degenerative diseases such as obesity, hypertension and metabolic syndrome.


REFERENCES

  1. 1 Olaiz-Fernandez, G, Rojas R, Aguilar-Salinas C, Rauda J, Villalpando S. Diabetes Mellitus in Mexican Adults: results from the 2000 National Health Survey. Salud Pública Mex. 2007; 49:331-7.

  2. 2 Villalpando S, Rojas R, Shamah-Levy T, Rojas R, Shamah-Levy T, Avila MA. Gaona B, De la Cruz V, et al. Prevalence and distribution of tupe 2 diabetes mellitus in Mexican adult population: A probabilistic survey. Salud Publica Mex. 2010: 52 (suppl 1): S19-S26.

  3. 3 Gutierrez JP, Dommarco J, Shamah T. Villalpando S, Franco A, Cuevas L, et al. Encuesta Nacional de Salud y Nutrición 2012, Resultados Nacionales Cuernavaca, México, Instituto Nacional de Salud Publica, 2012.

  4. 4 Van Dijk JW, Tummmers K, Stehouwer CD, Hartgens F, Van Loon LJ. Exercise Th erapy in type 2 diabetes: Is daily exercise required to optimize glycmic control? Diabetes Care. 2012:35:948-54-

  5. 5 Li CL, Chang HY, Hsu CC, Lu JF, Fang HL, Joint predictability of health related quality of life and leisure time physical activity on mortality risk in people with diabetes. BMC Public Health, 2013:13:67.

  6. 6 Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado. Plann rector para el desarrollo y mejoramiento de la infraestructura y los servicios de salud del ISSSTE, México: ISSSTE, 2009.

  7. 7 Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado. Programa “Manejo Integral de la Diabetes por Etapas” (MIDE), México: ISSSTE; 2009.

  8. 8 Mazze, R, et al. (2008) Prevención Detección y Tratamiento de la Diabetes en Adultos 3-26.

  9. 9 Rathmann W, Kostev K, Gruenberger JB, Dworak M, Bader G, Giani G. (2013) Treatment persistence, hypoglycaemia and clinical outcomes in type 2 diabetes patients with dipeptidyl peptidase-4 inhibitors and sulphonylureas: a primary care database analysis. Diabetes Obes Metab.15(1):55-61. doi:

  10. 10 Sicras-Mainar A, Navarro-Artieda R. Combinación de metformina frente a inhibidores de la dipeptidilpeptidasa y sulfonilureas en el tratamiento de la diabetes tipo 2: impacto clínico y económico. Rev Peru Med Exp Salud Pública. 2014;31(4):626-34.




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Sal Jal. 2015;2