Abstract

VALDES RAMOS, Eduardo; CAMPS ARJONA, María del Carmen  and  ESCALONA, Francisco de Jesús. Frequency and factors associated with insulin therapy in type 2 diabetics in Granma Province. Rev cubana med [online]. 2014, vol.53, n.2, pp.116-126. ISSN 0034-7523.

Objective: to determine how often insulin for people with type 2 diabetes mellitus is indicated in Granma province, and to determine the associated factors with the indication for this treatment. Methods: a cross-sectional descriptive study of 520 type 2 diabetic patients admitted to the Diabetic Care Center of Bayamo, Granma, from September 2011 to June 2013. Patients were divided into two groups: those with insulin therapy with and those with no insulin therapy. Results: 308 patients (59.2 %) had insulin treatment. 156 (30 %) out of them used it continuously and 152 (29.2 %) had it briefly. The percentage of patients with insulin treatment significantly increased, increasing the duration of diabetes (p= 0.0000) as well. Cases with insulin treatment had a significantly lower body mass rate than those who did not use it (p= 0.0000). The presence of microvascular complications of diabetes is notoriously associated with the use of insulin (p= 0.0000). Conclusions: the majority of type 2 diabetics in our country need insulin to control it and its use is closely related to the duration of diabetes, body mass index, blood glucose levels, and the presence of vascular complications of this disease.

Keywords : diabetes mellitus type 2; insulin treatment; duration of diabetes; vascular complications.

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