Insulino-resistencia y valores de glicemia en pacientes embarazadas del Hospital Monte Sinaí, Cuenca 2014

Abstract

Background: At present diabetes constitutes a public health problem worldwide. In many cases still a major cause of morbidity and mortality in the different public and private health services. Proper care of the health of a pregnant patient to identify problems in a timely manner that can affect the health of both mother and product, specifically the alterations of glycemia and insulin.

General Objective: To determine the insulin resistance and glycemia in pregnant patients of the Mount Sinai Hospital, Cuenca 2014.

Methodology: We conducted a cross-sectional observational study , with a sample of 216 pregnant women in the Mount Sinai Hospital of the city of Cuenca. We will determine the values of insulin and fasting glucose. They were considered the parameters of the WHO to determine the normality of glycemia and insulin was performed descriptive analysis. The data are presented in form stratified by age and weeks of gestation. Determine the relationship between glycemia and insulin through the HOMA index.

Results: The average of the insulin is 19.27 IU and the blood glucose of 94.9 mg/dl. The median of the HOMA index was 4.68 with a minimum value of 1.34 and a maximum of 19.44. Averages of the values of insulin and glucose levels increase with age and are statistically significant p= 0.018, not so for the values of insulin. It is in the second quarter where we can observe the highest percentages of glucose intolerance and insulin resistance.

Conclusions: We observed a high percentage of mothers with insulin resistance and glucose intolerance. The averages increase with age and with the weeks of gestation.