Hypertension and Diabetes Mellitus: Epidemiological and Laboratory Profile of Users Monitored in Primary Care

Abstract

Objective: To analyze the epidemiological and laboratory profile of users with diabetes mellitus (DM) and/or systemic arterial hypertension (SAH) monitored by the family health strategy team (FHS) in the city of Santarém, Pará. Methodology: This is a quantitative, descriptive and cross-sectional study, carried out with 181 users. The epidemiological profile was determined from a semi-structured questionnaire and the laboratory included blood glucose, lipid profile, creatinine and Glomerular Filtration Rate (GFR) values. The results were analyzed using descriptive and inferential statistics with resources from the BioEstat 5.3 program, adopting p<0.05. Results: Most participants were women (68.5%), aged between 60 to 88 years (57.5%), with less than 7 years of study (69.1%), with hypertension (59%) and overweight/obesity (77%). The laboratory profile showed that dyslipidemia occurred in 91% of participants and hyperglycemia in 34%. The estimated GFR in 30% of the participants was altered and about 11% of the evaluated ones also had altered creatinine. It is noteworthy that the estimated GFR was 3.2 times more likely to be altered in users over 60 years and 62.4 times more likely in users with altered creatinine. Conclusion: It is evident that overweight/obesity, changes in blood glucose, lipid profile and GFR were the most common variants found among the participants and that require greater attention from the FHS professionals they are assisted. It is suggested that further studies can be carried out in order to avoid the aggravation of existing diseases and/or the emergence of comorbidities.