Diabetes

Tema:
determination of the levels of glucose as a forecast of pre-diabetes in patients aged 30 to 40 years who come to the laboratory clinic of the Hospital of the Ecuadorian Institute of Social Security Portoviejo February - July 2012.

SUMMARY
It is considered to Diabetes Mellitus as a public health problem given its high prevalence and rapid increase in the last 20 years. With the changein lifestyle and other risk factors, diseases such as this and cardiovascular events have increased in parallel, the WHO has indicated that this increase in Latin American countries can be up 160% over the next 25 years. With the support of epidemiological studies and the knowledge that it is possible to identify 2 diabetes mellitus in asymptomatic stage has allowed the development of strategiesfor early detection diagnostic procedures economic, simple and sensitive, in order to take timely preventive measures. The present work approaches the development of the “Determination of the glicemia levels like prediabetes presage in patient of 30 to 40 years that Portoviejo goes to the Clinical Laboratory of the Hospital of the Social safe-deposit Ecuadorian Institute in February-July of 2012,from a point of view focused in looking for the relationship of the development of the pathology with the situation of the family, social environment and factors predisponentes to present prediabetes. In this study 346 patients were included, which were evaluated in variable antropométricas and with the study of the glicemia tests. For the study the field method was used, bibliographical,descriptive, prospective, cross section and correlacional, with the techniques of surveys and interviews, which helped auscultate the problem to open the way to the proposal from a managed training plan to patients that Portoviejo goes to the Clinical Laboratory of the Hospital of the Social safe-deposit Ecuadorian Institute.


DESCRIBERS OF THESIS
Prediabetes, DiabetesMellitus, Public Health, early detection, diagnosis, Hospital of the Social safe-deposit Ecuadorian Institute Portoviejo, pathology, family and social environment.












ANTECEDENT AND JUSTIFICATION.
Fornumerous individuals the diagnosis of Diabetes is an event late, relative to the global environment of his health and is often co-exist and even re-shuffling him other vascular damage factors that are part of the metabolic syndrome, such as Dyslipidemia, hypertension, insulin resistance and has even presented any vascular complications before diagnosis of Diabetes.
Pre-diabetes is when bloodglucose levels are higher than normal but not high enough to be diagnosed with diabetes. In the body long term damage already may be occurring.
The diabetes pandemic that exists today in developed countries and increasingly more increases in developing countries, do not have, by now, possibility of stop, and on the basis of current definitions, million people have pre-diabetes, and some are alreadyaffected by microvascular alterations. Prediabetes increases by 5 to 6 times the absolute risk of diabetes type 2, and it may be even higher in certain population groups.
The increasing prevalence and progression of pre-diabetes to diabetes has become to the morbidity and mortality related to it in an important public health problem. People with diabetes are vulnerable to multiple and complexcomplications (heart disease, stroke, peripheral arterial disease and microangiopathy among others).5
 
taking into account that there is precedent for research in the Hospital Ecuadorian Institute of Social security of Portoviejo concerning the determination of the levels of glucose as a forecast of pre-diabetes in patients attending the clinical laboratory of said institution, and that the...