Lipodistrofia en adultos con Diabetes Mellitus Tipo 2 en Hospital General Puyo. Mayo 2018 - enero 2019

Abstract

The present work sought to determine the frequency of Lipodystrophy in adults with Diabetes Mellitus Type 2 in insulin treatment, and its relationship with metabolic control in Puyo General Hospital. The methodology is based on a non-experimental, observational, analytical, prospective, cross-sectional design with a quantitative approach. The population consisted of 220 adult patients with diabetes mellitus type 2 in insulin treatment, and the data collection was done personally and manually in the hospital statistics area. The main results show that the frequency of Lipodystrophy is 60% physical examination through palpation and 61.33 by ultrasound, the age ranges that prevail in these patients is between 50-64 and over 65 years, of the female sex, with mestizo ethnicity and with primary school level. The clinical variables evaluated show abnormal values that lead to poor metabolic control. Patients in insulin treatment express that they have not had an excellent diabetes education. There is a high prevalence of overweight and obese patients, and it is significantly related to the presence of post-lipodystrophy cases. There is also an association between the presence of Lipodystrophy and the inadequate placement of insulin, as well as the application in the area of the abdomen, with 6 mm needles and more than twice the use of it.