Educational intervention to improve outcomes of patients with diabetes debut and a history of hypertension

Authors

  • Lázara Méndez Gálvez Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.
  • Ania Fleites Amores Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.
  • Miguel Ángel Batista Batule Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.
  • Helena Fernández Esperanza Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.
  • Lliliams Artiles Duarte Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.
  • Cruz Idania Monteagudo Méndez Policlínico Universitario “Chiqui Gómez Lubián”. Santa Clara. Villa Clara.

Keywords:

diabetes mellitus, type 2, angiotensin-converting enzyme inhibitors, life style

Abstract

The main cause of death of the person with type 2 diabetes mellitus is cardiovascular. Its prevention involves an integrated management of all risk factors.
Objective: To evaluate the results of an intervention to improve the outcome of patients with type 2 diabetes debut and a history of hypertension that were treated with betablockers at the Chiqui Lubián Gomez University Polyclinic.
Material and Method: prospective quasi-experimental study in an intentional sample of 22 patients with type 2 diabetes mellitus debut and a history of hypertension who attended the multidisciplinary consultation of diabetes mellitus in the period from January to December 2011.
Results: there was a prevalence of female patients -16 patients (72.7%) - and the age group between 50 and 69 years - (77.2%). The hypertension control was achieved with a change to inhibitors of angiotensin converting enzyme (90.9%). Metabolic control, by quarter, improved significantly until reaching a 95.4% in the last one. Favorable changes in lifestyle, such as incorporating the practice of physical exercises (81.8%), were achieved. They ensure a better quality of life. With regard to body weight, at the start of the intervention there were 12 (54.5%) overweight patients and at the end they were reduced to seven (31.8%). It was possible that 100% of patients had a proper diet to control the disease, but only one patient (18.1%) stopped smoking, which is not significant. Better results could be achieved in the long term. Generally, the intervention was successful in 90.9% of patients.
Conclusions: Patients presenting with type 2 diabetes mellitus and a history of hypertension evolve favorably with a treatment of angiotensin converting enzyme inhibitors as hypotensive and good metabolic control with lifestyle changes.

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How to Cite

1.
Méndez Gálvez L, Fleites Amores A, Batista Batule M Ángel, Fernández Esperanza H, Artiles Duarte L, Monteagudo Méndez CI. Educational intervention to improve outcomes of patients with diabetes debut and a history of hypertension. Acta Méd Centro [Internet]. 2012 Oct. 6 [cited 2025 Jun. 29];6(4):50-6. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/236

Issue

Vol. 6 No. 4 (2012): October-December

Section

Original Articles

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