FACTORS ASSOCIATED WITH LACK OF CONTROL IN DIABETIC GLYCEMIC SERVED IN PRIMARY HEALTH UNITS

Abstract

PURPOSE: To investigate the factors associated with lack of glycemic control in patients with type 2 DM. METHODS: This was a cross-sectional study conducted with patients diagnosed with Diabetes Mellitus and who were being treated in health units Cabula Beiru District Health. Considered the absence of glycemic control values equal to or above 126 mg / dl obtained by examination of plasma glucose in the patient’s fasting blood and reported by them. The magnitude of the association between variables and the lack of glycemic control was estimated by calculating the ratio of the odds ratio, adopting the confidence interval of 95% (95%). Later, there were multivariate analysis using logistic regression, from a theoretical model established in advance, specifying the risk factors in hierarchical blocks. The research project was approved by the CEP / UNEB (241434/2013) and funded by the Health PRO / PET-Health 2012. RESULTS: The study included 127 users that adequately met the eligibility criteria, among these, 51 (40.2 %) had glucose levels considered uncontrolled. The lack of glycemic control was shown to be independently associated with not practicing mild to moderate physical activity regularly (OR = 2.14; 95% CI: 1.88 to 2.22), even after adjustment for gender, income, related to habits life and quality of care. CONCLUSION: The high number of individuals who denied the practice of physical activity was significantly associated with the absence of glycemic control. This factor may contribute to the increase in cardiovascular complications and an unfavorable prognosis in terms of injuries and deaths.