An Epidemiologic Analysis of Diabetes in Colombia

Vargas‐Uricoechea, Hernando; Figueroa, Luz Angela Casas

doi:10.1016/j.aogh.2015.11.001

Cited by 41 publications

(31 citation statements)

References 37 publications

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“…Colombia is an ethnic diverse country result of the crossbreeding of indigenous Amerindians, Spanish settlers and African slaves, the prevalence of T2DM in the urban area is around 7.5% and increases to more than 20% in those over 60 years that accounts for 3 to 4% of its population [3,4]. Colombia is only second to Brazil in South America region for the highest number of people with diabetes and several factors have contributed to this; demographic and nutritional transition, internal migration related with urban development and violence and a high prevalence of sedentarism [5].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of hyperglycemic crises in an adult population in a teaching hospital in Colombia

Builes

Chavarriaga

Ballesteros

et al. 2018

J Diabetes Metab Disord

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Background Hyperglycemic crisis are the most serious forms of acute decompensation of diabetes mellitus and require urgent medical attention. The epidemiological data of these conditions in Latin America are scarce and in Colombia unknown, that is why we decided to describe the clinical characteristics and factors associated with the mortality of adults who presented with hyperglycemic crises in a teaching hospital in Colombia. Materials and methods Retrospective cohort study of all episodes of hyperglycemic crisis treated in Pablo Tobón Uribe Hospital in a three-year period. Results The records of 2233 hospitalization episodes related to diabetes mellitus were review, the prevalence of hyperglycemic crises was 2%, half of the events were diabetic ketoacidosis and 57% of the events occurred in people with type 2 diabetes mellitus, 32% of the events were precipitated by an infection and 27% by and inadequate therapy. The average hospital length of stay was 14 ± 3 days and the mortality rate 2.27%. Conclusions In a teaching hospital in Latin America hyperglycemic crises are common, with diabetic ketoacidosis being the most frequent, and in a significant number of cases may be preventable. The hospital length of stay in our population is longer than reported in the literature.

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Section: Introductionmentioning

confidence: 99%

Characteristics of hyperglycemic crises in an adult population in a teaching hospital in Colombia

Builes

Chavarriaga

Ballesteros

et al. 2018

J Diabetes Metab Disord

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“…Although this guideline was not published in a scientific journal, it has been available locally since March 2016. Its main objective initially was to identify people with undiagnosed diabetes that could benefit from early diagnosis/treatment [30].…”

Section: Latin Americamentioning

confidence: 99%

“…Colombia: Colombia is the third largest country in Latin America with approximately 48 million inhabitants. The prevalence of T2D in the adult population (over 20 years of age) is between 7 and 9%, but is 5 times lower in the rural population, resulting in around 2 million people with the disease; this fact represents a challenge for the future, especially for the identification and treatment of those who are unaware of their diagnosis [30].…”

Section: Latin Americamentioning

confidence: 99%

Untitled

2019

Int J Diabetes Clin Res

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Objective: To review and update epidemiological data on type 2 diabetes (T2D) in Spain and four Latin American countries: Colombia, Mexico, Chile, and Argentina. Methods: Literature was reviewed by a search of PubMed, publications of the Ministry of Health, World Health Organization, International Diabetes Federation, and other public health agencies of each respective country. Results: Of the five countries above, Mexico (13.6%) had the highest prevalence of diabetes, followed by Spain (10.4%). Within these countries, significant differences between urban and rural areas were observed (7.8% and 1.4%, respectively). Diabetes consumes between 7% and 15% of the total expenditure of these countries' national health budgets. Mortality due to this disease has been reduced in different countries, demonstrating the success of measures taken to control this situation. Conclusion: The literature shows that despite different eating habits and environments, Spain and these Latin American countries share a comparable magnitude of the T2D problem. Therefore, it might be worthwhile to implement similar effective educational programmes to solve it.

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“…Diabetes mellitus (DM), is nowadays understood as a set of diseases characterized by chronic hyperglycemia, resulting from defects in insulin secretion, insulin action or both, and in other cases multihormonal defects as a cause of epigenetic effects (DNA methylation, histone modification, and microRNAs) (1). DM is a public health problem worldwide, with a worldwide prevalence of 8.3% (2) .In Colombia, the prevalence is 7, 2%, with approximately 29,989,290 inhabitants between 20 and 79 years, generating 15 deaths per 100,000 inhabitants, where it represents the fifth cause of death for 2010 (3).…”

Section: Introductionmentioning

confidence: 99%

Diagnostic and Therapeutic Characteristics in the Approach of Diabetic Foot in the Elderly.

Mancilla

Espinosa

Ardila

et al. 2019

IJMBS

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This article systematically evaluates the most used diagnostic measures for the management of diabetic foot in the elderly, the decision making in the surgical approach, the tertiary prevention of the disease and the microbiological behavior. The initial diagnostic study for musculoskeletal infections and alterations is conventional radiography (sensitivity 40-75%, specificity 60-90%), computed tomography is more useful in the approach to chronic infection, assessing bone abductions and deformities. Magnetic resonance (sensitivity 100%, specificity 40%) is useful to assess the formation of abscesses and bone compromises.Decision-making in the surgical approach is due to sensory, motor or mixed neuropathy; which predispose to ulcers, fractures, deformities and fissures of the skin; lesions that are overinfected and must be operated on. Infections in elderly people with diabetic foot show that Staphylococcus Aureus is the main pathogen causing osteomyelitis. Beta-hemolytic Streptococci / S. Aureus, in patients with cellulitis, without open cutaneous wound, except in repeated mono microbial cultures, immunosuppressed patients or ulcers that do not respond to treatments. The diagnosis and treatment of diabetic foot continues to be a challenge for the health system; it is important that health institutions form interdisciplinary groups aimed at improving patient conditions, who must perform timely, adequate treatment, with routine monitoring and follow-up; using diagnostic methods throughout the course of the disease in order to reduce the need for amputations of the extremities.Keywords: Therapeutic approach, Diabetic Foot, osteomyelitis.

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An Epidemiologic Analysis of Diabetes in Colombia

Abstract: Based on a clustering of factors, 4 relevant disease drivers emerge that may account for the epidemiology of diabetes in Colombia: demographic transition, nutritional transition, forced displacement/internal migration and urban development, and promotion of physical activity.

Cited by 41 publications

References 37 publications

Characteristics of hyperglycemic crises in an adult population in a teaching hospital in Colombia

Characteristics of hyperglycemic crises in an adult population in a teaching hospital in Colombia

Untitled

Diagnostic and Therapeutic Characteristics in the Approach of Diabetic Foot in the Elderly.

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