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Multimed
On-line version ISSN 1028-4818
Abstract
RODRIGUEZ MARTINEZ., Madelín et al. Prognostic value of glycated hemoglobin HbA1c in diabetic retinopathy in patients with type II diabetes mellitus. Multimed [online]. 2020, vol.24, n.2, pp. 399-415. Epub Apr 23, 2020. ISSN 1028-4818.
A cross-sectional analytical study was carried out, with the objective of establishing the prognostic value of glycated hemoglobin in the appearance of diabetic retinopathy at the Ángel Ortiz Vázquez University Polyclinic. 2015-2019. The universe was made up of 181 patients diagnosed with type II diabetes mellitus, each patient was followed for two years with three glycated hemoglobins, three fasting glycemia and two ophthalmological controls. An incremental relationship of the risk of diabetic retinopathy was observed according to the level of ascending glycated hemoglobin based on the increase in the trend of the associated risk for diabetic retinopathy, from almost double (OR = 1.89) with HbA1c figures between 7.1 and 8.0 to more. triple (OR = 3.51) when HbA1c values were equal to or greater than 10.1. The presence of diabetic retinopathy is related to the levels of glycated hemoglobin, a fact that responds to sustained inappropriate glycemic control, which also promotes the appearance of other chronic complications of the disease.
Keywords : Diabetes mellitus type 2; Diabetic retinopathy; Glycated hemoglobin.