Micro and macro vascular complications in people with type 2 diabetes mellitus in outpatient care

Abstract

Objective: to analyze the factors related to micro and macro vascular complications in people with type 2 diabetes mellitus. Methods: a documentary survey of 134 patients with type 2 diabetes mellitus. Bivariate statistical analysis (Pearson's Chi-square test and Fisher's test), with statistical significance if p<0.05. Results: the frequency of micro vascular complications was 50.7%, and retinopathy was the most found (61.7%). There was a statistical association between the group with more than 10 years of disease and the presence of retinopathy. Cardiopathy was one of the most frequent macro vascular complications (69.0%). Regarding the use of insulin therapy in mono therapy, there was significance in the presence of nephropathy and vascular disease. Conclusion: results with statistical significance related to the appearance of complications with disease time, highlighting the presence of diabetic retinopathy. It was verified that the lower the schooling, the greater the onset of vascular disease.

Conhecimento sobre as medidas preventivas para o desenvolvimento do pé diabético

“…A presença de hipertensão arterial sistêmica foi prevalente entre os participantes, fato que se torna preocupante, pois esta morbidade constitui risco de doença cardiovascular, uma vez que a cardiopatia ocupa o segundo lugar dentre as complicações macrovasculares e está fortemente associada à mortalidade e morbidade de pessoas diabéticas (14) .…”

Resilience and self-care of elderly people with diabetes mellitus

“…Studies indicate that when elderly people face hostile situations, they tend to prioritize pleasurable experiences and minimize conflicts, because the burden of life experience becomes a determining factor for adjustment and overcoming of difficult circumstances experienced by this population (4,6) .…”

“…Glycemic control poses a great challenge for diabetes mellitus patients because it requires daily effort on their part and their relatives to adopt healthy behaviors, in order to modify the lifestyle and carry out self-care practices directed to adequate food, regular practice of physical activity, blood glucose monitoring, foot care, medication use, and more frequent health evaluations (4) .…”

“…Resilience is defined as a process that overarches the creation of resources and the ability to withstand negative physiological responses to traumatic situations, whether sudden events such as disasters or even changes triggered by chronic conditions, in which the stressor will be present throughout the rest of the life (8) . In elderly people with diabetes mellitus, resilience can act as an important tool for health maintenance and prevention of complications, promoting the adequate motivation for adherence to self-care practices and lessening negative feelings that may hamper disease control (4,7) .…”

Consumo De Fibras Dietéticas No Diabetes Mellitus: Avaliação Do Conhecimento E Frequência De Sua Ingestão Por Pacientes Atendidos Em Uma Unidade De Saúde Escola De Santa Catarina

“…Neuropatia, retinopatia, nefropatia e isquemia, são alguns dos agravamentos microvasculares mais comuns. Quanto aos macrovasculares, destacam-se o desenvolvimento de cardiopatia isquêmica, doença cerebrovascular e doença vascular periférica (ALMEIDA et al, 2017).…”