Factors associated with glycemic control in people with diabetes at the Family Health Strategy in Pernambuco

  • Rodrigo Fonseca Lima Fundação Oswaldo Cruz; Centro de Pesquisa Aggeu Magalhães; Departamento de Saúde Coletiva
  • Annick Fontbonne Institut de Recherche Pour Le Développement
  • Eduardo Maia Freese de Carvalho Fundação Oswaldo Cruz; Centro de Pesquisa Aggeu Magalhães; Departamento de Saúde Coletiva
  • Ulisses Ramos Montarroyos Universidade de Pernambuco; Instituto de Ciências Biológicas
  • Maria Nelly Sobreira de Carvalho Barreto Fundação Oswaldo Cruz; Centro de Pesquisa Aggeu Magalhães; Departamento de Saúde Coletiva
  • Eduarda Ângela Pessoa Cesse Fundação Oswaldo Cruz; Centro de Pesquisa Aggeu Magalhães; Departamento de Saúde Coletiva
Keywords: Diabetes Mellitus Type 2, Primary Health Care, Hemoglobin A, Glycosylated, Family Health Strategy

Abstract

OBJECTIVE Identifying factors associated with glycemic control in people with type 2 Diabetes Mellitus (DM) registered in the Family Health Strategy (FHS) in Pernambuco, Brazil. METHOD Associations between glycemic control (glycosylated hemoglobin A lower or equal to 7%) presented by people with DM and variables related to sociodemographic conditions, lifestyle, characteristics of diabetes, treatment and follow-up of patients by health services were investigated by multiple regression. RESULTS More than 65% of the participants presented inadequate glycemic control, especially those with lower age, longer illness duration, more annual contacts with FHS and complex therapeutic regimen. People with DM without referrals to specialists presented greater glycemic control. Associations with education level and obesity did not remain significant in the multivariate model. CONCLUSION The evolution of diabetes hinders adequate control, however, attention to younger people with DM and referrals to specialists are factors that can improve glycemic control.

Downloads

Download data is not yet available.
Published
2016-12-01
How to Cite
Lima, R., Fontbonne, A., Carvalho, E., Montarroyos, U., Barreto, M., & Cesse, E. (2016). Factors associated with glycemic control in people with diabetes at the Family Health Strategy in Pernambuco. Revista Da Escola De Enfermagem Da USP, 50(6), 937-945. https://doi.org/10.1590/s0080-623420160000700009
Section
Original Article