Prevalencia y factores asociados a polineuropatía diabética en una unidad de medicina familiar de Acapulco, Guerrero

Abstract

: Objective: To determine the prevalence of diabetic polyneuropathy (DPN) and its associated factors in patients with diabetes mellitus belonging to the DiabetIMSS group of Family Medicine Unit 9, Mexican Institute of Social Security (IMSS), Acapul-co, Guerrero. Methods: An analytical cross-sectional study was carried out, using non-probabilistic con-venience sampling in 180 patients of the DiabetIMSS group. The DPN was detected with the Michigan Neuropathy Program, which includes two tools: the Michigan Neuropathy Screening Instrument (MNSI) and the Michigan Diabetes Neuropathy Score (MDNS). The programs SPSSTM version 17 and STATATM version 12 were used to perform descriptive statistics and the bivariate analysis that included the factors studied. Results: The prevalence of DPN was 33.9%, with an av-erage age of 56 years; 68.8% belongs to the female gen-der; Class II or moderate neuropathy obtained a greater percentage of 52.4%. A statistically significant association was determined between DPN and patients ≥ 50 years, time of evolution of diabetes mellitus ≥ 6 years, deficient glycemic control and patients with smoking habit. Conclusion: The prevalence of DPN was greater than 30%, of these patients 80% presented symptoms of neuropathic pain, which increases the risk of sequel-ae due to the complications presented, deterioration of daily functioning and negative impact on the quality of life. Faced with this serious health problem, the family doctor must emphasize preventive actions and timely detection of DPN. (Rev Mex Med Fam. 2019;6:118-24)