出版社：Pontifícia Universidade Católica do Rio Grande do Sul
摘要：Objective: To analyze the prescriptions of drugs for type 2 diabetes mellitus (T2DM) considering current clinical recommendations, in Family Health Units of Ribeirão Preto, São Paulo. Materials and Methods: This is a retrospective study carried out through the analysis of medical records of individuals with T2DM who are using medication. The calculated sample size was 150 participants. Socio-demographic, clinical data, prescription of drugs and laboratory test results for glycated hemoglobin were obtained. Results: The majority of individuals were female (61.3%) and the mean age was 66.4 years. The glycemic control was inadequate in 75.3% of the participants, with an average glycemic hemoglobin of 8.8%. The mean number of drugs prescribed for T2DM treatment was 1.7. In individuals under the age of 60, the prescription of sulfonylureas predominated. Among the elderly, prescription of metformin predominated, followed by sulphonylureas and insulin, respectively. There was an association between inadequate glycemic control and individuals using oral combined therapy [OR=0.32 (95%CI 0.12; 0.80)] and insulin therapy alone or in combination with oral antidiabetic [OR=0.05 (95%CI 0.01; 0.18)]. In addition, there was an association between inadequate glycemic control and individuals with two [OR=0.3 (95%CI 0.13; 0.67)] or three [OR=0.08 (95%CI: 0.01; 0.70)] prescribed medicines. Conclusion: The glycemic control was inadequate in most participants. Monotherapy was the most frequent treatment, although a considerable proportion of patients used sulfonylurea monotherapy, which is not in accordance with current guidelines for the treatment of T2DM.
关键词：diabetes mellitus; doença crônica; tratamento farmacológico; prescrições de medicamentos; estratégia saúde da família.
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