Control glucémico y variación de HbA1c de pacientes con diabetes mellitus atendidos en consulta presencial y por tele consulta en un hospital peruano

Objective: To assess glycemic control in patients with diabetes mellitus (DM) seen in live consultation or remote consultation, and to identify factors associated with variations in glycated hemoglobin (HbA1c) values. Materials and methods: We did a retrospective cohort study that included patients >18 years old who were seen in live consultation or remote consultation because of DM in Alberto Sabogal-Sologuren National Hospital, during June 2021. Clinical data from electronic clinical records were obtained, including baseline and at 11-month follow-up HbA1c values. We used Poisson regression with robust variance for calculating relative risk (RR) and 95% confidence intervals (CI), for identifying factors associated with ≥0.5 HbA1c variations during follow-up. Results: Four-hundred and sixteen patients were included, their mean age was 62 years, 57.2% were female, and 68.5% had remote consultation. The percentage of patients with HbA1C 18 años evaluados en consulta presencial o tele consulta por DM en el Hospital Nacional Alberto Sabogal Sologuren, durante junio 2021. Se recolectaron datos clínicos de las historias clínica electrónicas, entre ellos los niveles de HbA1c inicial y al seguimiento a 11 meses. Utilizamos regresiones de Poisson con varianza robusta para calcular riesgos relativos (RR) y sus intervalos de confianza del 95% (IC 95%), con el fin de identificar factores asociados a variaciones de HbA1C ≥ 0,5 durante el seguimiento. Resultados: se incluye