Control de la diabetes, algo más que una cifra de hemoglobina glicosilada

• Diabetes mellitus is associated with a higher incidence of cardiovascular events. Cardiovascular morbidity in these patients is 2-4 times higher than in the non-diabetic population, with a similar risk for myocardial infarction to that in non-diabetic patients with a previous myocardial infarction. • Objective: To evaluate the knowledge that diabetic patients admitted to hospital for a coronary event have on their condition management, to know their metabolic control level and to assess the prevalence of depression in this population. • Method: Descriptive cross-sectional study in hospitalized patients with type 2 diabetes. Demographic and clinical characteristics of patients involved were recorded. Their knowledge of diabetes and diet was evaluated via questionnaires. Family and psychosocial aspects were assessed by the family Apgar test and the Patient’s Health Questionnaire-9. • Results: 62.1% of patients are admitted to hospital with a good metabolic control (HbA1c ≤ 7.5%). A substantial-comprehensive knowledge of diabetes is shown by 63.91% and of diet by 51.39% of patients. 38% of patients show a minor depressive syndrome and 29.6% of them show a major depressive syndrome. We found a statistical significance between being a woman and suffering from depression. • Conclusions: educating a diabetic patient involves implementing methods and tools that allow him/her both to understand his/her illness and to understand the need to control the harmful effects of the disease or treatment and to adapt himself/herself to the condition. • La diabetes mellitus se relaciona con una mayor incidencia de procesos cardiovasculares. La morbilidad cardiovascular en estos pacientes es 2-4 veces mayor que en la población no diabética, con un riesgo de infarto de miocardio similar al de los no diabéticos con un infarto previo. • Objetivo: medir el conocimiento sobre el control de su enfermedad que tienen los pacientes diabéticos hospitalizados por un evento coronario. Conocer el grado de control metabólico. Determinar la prevalencia de depresión en esta población. • Método: estudio descriptivo transversal de pacientes con diabetes tipo 2 hospitalizados. Se registraron características demográficas y clínicas de los pacientes incluidos, se valoró el conocimiento de la diabetes y de la dieta mediante cuestionarios. Se valoraron aspectos familiares y psicosociales mediante el Apgar familiar y el Cuestionario sobre la salud del paciente-9. • Resultados: el 62,1% de los pacie