Utilidad del Péptido C y la Hemoglobina Glicosilada en el Diagnóstico y Control de Terapia de Pacientes Diabéticos Tipo 2 del Hospital Provincial General.

Abstract

"The peptide C analysis is a est infuencing on the decision of ho insuin treatment in type 2 diabetes and he measurement ol gycosted hemogiobin ls determined to control the diabetio eatment. In his investigaton these parameters were measured in 31 diabati patients from the. Hospital Provincial General Docente Riobamba over the Juno-October 2011 period. The study population conssted of patients wit ypo 2 diabetes meitu diagnosis in maes and females rom 3510 78 years old, uho administor themselves oral ant-dibetis andlor insulin, accompisting an hour fast. The patients were interviewed cinicaly which collected the following dat: ago, sex and recelved veatment.

Later, blood samples were taken through vein punciure, in tes tubes, one without ant-cioting for the peptide C analysis and the other one wiih ant-cloting EDTA K for the glycosllated hemoglobin analysis. These determination were carried out in automated equipment with the use ol appropriate reagents; the peptide C was determined through the immunichemioluminiscence: method and the glycosilated hemogiobin rough the spectrophotometric and the obtained results were analyzed through the student est.

The results show that 19% type 2 dlabetics patients are nsulin-dependent are 81% are not: 13% of these patients do not have an adequate treatment control and 87% do have one; 32% receive incorrect pharmacological treatment and 68% receive a correct treatment.

The type 2 diabetic patients receive an incorrect pharmacological treatment because the peptide C analysis is not carried out previously patients are not controlled because the treatment needs modifcations.

The glycosilated hemoglobin analysis must be carried out with certain frequency so ihat the Physician starts and modifles the therapeutic behavior according to the resul. At the Hospital Provincial General Docente Riobamba the peptide C analysis must be implemented so as to improve the health status and there by the patient life qualty."