José Esteban Fernández-Gárate, Nelly Cisneros Gonzalez, Leticia Manuel-Apolinar, María Lourdes Basurto Acevedo, María Luisa Arellano Flores, Roberto Alejandro González and Jessie Nallely Zurita-Cruz
Objective: The objective of the study was to identify the frequencies of chronic complications (micro- and macrovascular) in adult T2D patients of the Instituto Mexicano del Seguro Social(IMSS) treated from 2011 to 2017 and to determine risk factors, including the presence of overweight and obesity.
Methods: The data used in this retrospective cohort study were obtained from the Non-Communicable Diseases Analysis System (SANENT)® of the IMSS.
Results: This study included 3,807,621 T2D patients with an average age of 61.1 years and a female predominance of 58.8%. A total of 46.5% of the patients presented obesity, 30% were overweight, 16.8% had arterial hypertension (HT), and 1.05% had dyslipidemia. A total of 32.6% had uncontrolled or poor glycemic control, and 29.44% had some type of comorbidity. Age and the largest number of comorbidities were consistent risk factors for the presence of complications micro- and macrovascular. Regarding hospital mortality, uncontrolled or poor glycemic control, HT, age and comorbidities were risk factors. It should be noted that the factor with the greatest impact was the presence of comorbidities.
Conclusion: The risk factors that had the greatest impact on chronic complications were the number of comorbidities, age and HT. Likewise, for hospital mortality.