出版社：Asociación Latinoamericana de Profesores de Medicina Familiar A.C.
摘要：Objetivo: Identificar los cambios diarios que tienen los resultados de glucemias de ayuno de los pacientes diabéticos. Diseño: Estudio descriptivo y transversal. Material y Métodos: 4,515 resultados de glucemia de pacientes diabéticos detectados durante el año 2003 que fueron atendidos en el Servicio de Medicina Familiar del Hospital General de Zona con Medicina Familiar No. 9 del Instituto Mexicano del Seguro Social en Ciudad Guzmán, Jalisco. Resultados: 2,796 pacientes (66%) fueron mujeres El 31.9% trabajadores; 31.5% estaban casados; 6.1% pensionados y 6.1% familiares de pensionados. El promedio general de glucemia fue de 177.55 ± 76.1 mg/dl, las mujeres presentaron 182.79 ± 76.55 mg/dl y en los hombres 168.24 ± 72.96 mg/dl (p < 0.00001). En cuanto al día de la semana presentaron los siguientes resultados: lunes 190.99 ± 76.48 mg/dl, martes 168.94 ± 74.65 mg/dl, miércoles 169.77 ± 73.55 mg/dl, jueves 174.05 ± 77.97 y viernes 182.06 ± 74.45 mg/dl (p < 0.000001). Conclusiones: Los pacientes presentaron promedio de glucemias de ayuno no adecuadas para su control metabólico. La glucemia de los lunes fue muy superior al resto de los días de la semana. Las mujeres mostraron descontroles mayores que los hombres
其他摘要：Objective: Our aim was to identify changes that demonstrate daily fasting glucose in a group of patients with diabetes. Design: We conducted a descriptive and cross-sectional study. Materials and methods: Results were obtained from 4,515 patients with diabetes who attended the Family Medicine Service at the Mexican Social Security Institutes (IMSS) Family Medicine Service in Ciudad Guzmán, Jalisco, Mexico during 1 year (2003). Results: A total of 66% of patients were female; 31.9% were employed, and 31.5% were married. On the other hand, only 0.6% of patients had children, 23.7% had parents, 6.1% were retired, and 6.1% had relatives who were retired. General glucose average was 177.55 ± 76.1 mg/dl; general average in women was 182.79 ± 76.55 mg/dl, while in men it was 168.24 ± 72.96 mg/dl (p < 0.00001). Results by weekday were as follows: Monday, 190.99 ± 76.48 mg/dl; Tuesday, 168.94 ± 74.65 mg/dl; Wednesday, 169.77% ± 73.55 mg/dl; Thursday, 174.05 ± 77.97 mg/dl, and Friday, 182.06 ± 74.45 mg/dl (p <0.000001). Conclusions: Patients had inadequate fasting glucose averages for metabolic control. Glucose results on Mondays were higher than on other days of the week. Women showed greater lack of control than men.
