Evaluation of the Health Impact of the National Diabetes Program in Paraguay

Autores
Rodríguez, Patricia Vera; Zully, Vera; Olga, Maciel; Marin, Lupe; Maidana, Gladys Mabel; Marin, Gina; Marin, Gustavo Horacio
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
The clinical evolution of a diabetic patient is linked to its compliance with nonpharmacological measures such as diet, physical activity, acquiring habits, medical controls and also with its pharmacological treatment. In different Latin American countries such as the Republic of Paraguay, there are National Programs to provide free support and treatment to the diabetic population that mostly have vulnerable social conditions. However, the impact of these government policies is not routinely evaluated. In order to establish the achievements of a state diabetes program, the present study was carried out. Methodology: This is a descriptive, cross-sectional study with an analytical stage. Results: low adherence to non-pharmacological measures such as diet and physical activity was detected. A high percentage of patients were overweight (38%) or obese (46.5%). 75% of the population enrolled in this study did not comply with the program recommendations regarding the time and frequency of physical activities, nor they complied with the minimum 6 daily meals required. Only 37% of the patients had normal levels of glycated hemoglobin and 51.3% of them had pharmacological treatment adherence. Low compliance was observed in relation to regular medical examinations (which were under free coverage by the program) that are transposed in 22% of retinal studies and 60% in 24-hour urine analysis for the early detection of complications such as retinopathy and nephropathy. Conclusion: Despite the economic and logistical efforts carried out by State programs in order to care of people with diabetes mellitus, data showed a low adherence of patients to the proposed pharmacological and non-pharmacological measures. A personalized follow-up strategy is necessary to improve treatment adherence and to obtain better therapeutic results.
Fil: Rodríguez, Patricia Vera. Universidad Nacional de Asunción; Paraguay
Fil: Zully, Vera. Universidad Nacional de Asunción; Paraguay
Fil: Olga, Maciel. Universidad Nacional de Asunción; Paraguay
Fil: Marin, Lupe. Universidad Nacional de La Plata; Argentina
Fil: Maidana, Gladys Mabel. Universidad Nacional de La Plata; Argentina
Fil: Marin, Gina. Universidad Nacional de La Plata; Argentina
Fil: Marin, Gustavo Horacio. Universidad Nacional de La Plata; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina
Materia
DIABETES
ADHERENCE
TREATMENT
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/139706
Acceder
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repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Evaluation of the Health Impact of the National Diabetes Program in ParaguayRodríguez, Patricia VeraZully, VeraOlga, MacielMarin, LupeMaidana, Gladys MabelMarin, GinaMarin, Gustavo HoracioDIABETESADHERENCETREATMENThttps://purl.org/becyt/ford/3.1https://purl.org/becyt/ford/3The clinical evolution of a diabetic patient is linked to its compliance with nonpharmacological measures such as diet, physical activity, acquiring habits, medical controls and also with its pharmacological treatment. In different Latin American countries such as the Republic of Paraguay, there are National Programs to provide free support and treatment to the diabetic population that mostly have vulnerable social conditions. However, the impact of these government policies is not routinely evaluated. In order to establish the achievements of a state diabetes program, the present study was carried out. Methodology: This is a descriptive, cross-sectional study with an analytical stage. Results: low adherence to non-pharmacological measures such as diet and physical activity was detected. A high percentage of patients were overweight (38%) or obese (46.5%). 75% of the population enrolled in this study did not comply with the program recommendations regarding the time and frequency of physical activities, nor they complied with the minimum 6 daily meals required. Only 37% of the patients had normal levels of glycated hemoglobin and 51.3% of them had pharmacological treatment adherence. Low compliance was observed in relation to regular medical examinations (which were under free coverage by the program) that are transposed in 22% of retinal studies and 60% in 24-hour urine analysis for the early detection of complications such as retinopathy and nephropathy. Conclusion: Despite the economic and logistical efforts carried out by State programs in order to care of people with diabetes mellitus, data showed a low adherence of patients to the proposed pharmacological and non-pharmacological measures. A personalized follow-up strategy is necessary to improve treatment adherence and to obtain better therapeutic results.Fil: Rodríguez, Patricia Vera. Universidad Nacional de Asunción; ParaguayFil: Zully, Vera. Universidad Nacional de Asunción; ParaguayFil: Olga, Maciel. Universidad Nacional de Asunción; ParaguayFil: Marin, Lupe. Universidad Nacional de La Plata; ArgentinaFil: Maidana, Gladys Mabel. Universidad Nacional de La Plata; ArgentinaFil: Marin, Gina. Universidad Nacional de La Plata; ArgentinaFil: Marin, Gustavo Horacio. Universidad Nacional de La Plata; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; ArgentinaSociety of Pharmaceutical Technocrats2021-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/139706Rodríguez, Patricia Vera; Zully, Vera; Olga, Maciel; Marin, Lupe; Maidana, Gladys Mabel; et al.; Evaluation of the Health Impact of the National Diabetes Program in Paraguay; Society of Pharmaceutical Technocrats; Journal of Drug Delivery and Therapeutics; 11; 2; 3-2021; 58-622250-1177CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/http://jddtonline.info/index.php/jddt/article/view/4597info:eu-repo/semantics/altIdentifier/doi/10.22270/jddt.v11i2.4597info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:02:13Zoai:ri.conicet.gov.ar:11336/139706instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:02:13.98CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Evaluation of the Health Impact of the National Diabetes Program in Paraguay
title Evaluation of the Health Impact of the National Diabetes Program in Paraguay
spellingShingle Evaluation of the Health Impact of the National Diabetes Program in Paraguay
Rodríguez, Patricia Vera
DIABETES
ADHERENCE
TREATMENT
title_short Evaluation of the Health Impact of the National Diabetes Program in Paraguay
title_full Evaluation of the Health Impact of the National Diabetes Program in Paraguay
title_fullStr Evaluation of the Health Impact of the National Diabetes Program in Paraguay
title_full_unstemmed Evaluation of the Health Impact of the National Diabetes Program in Paraguay
title_sort Evaluation of the Health Impact of the National Diabetes Program in Paraguay
dc.creator.none.fl_str_mv Rodríguez, Patricia Vera
Zully, Vera
Olga, Maciel
Marin, Lupe
Maidana, Gladys Mabel
Marin, Gina
Marin, Gustavo Horacio
author Rodríguez, Patricia Vera
author_facet Rodríguez, Patricia Vera
Zully, Vera
Olga, Maciel
Marin, Lupe
Maidana, Gladys Mabel
Marin, Gina
Marin, Gustavo Horacio
author_role author
author2 Zully, Vera
Olga, Maciel
Marin, Lupe
Maidana, Gladys Mabel
Marin, Gina
Marin, Gustavo Horacio
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv DIABETES
ADHERENCE
TREATMENT
topic DIABETES
ADHERENCE
TREATMENT
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.1
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv The clinical evolution of a diabetic patient is linked to its compliance with nonpharmacological measures such as diet, physical activity, acquiring habits, medical controls and also with its pharmacological treatment. In different Latin American countries such as the Republic of Paraguay, there are National Programs to provide free support and treatment to the diabetic population that mostly have vulnerable social conditions. However, the impact of these government policies is not routinely evaluated. In order to establish the achievements of a state diabetes program, the present study was carried out. Methodology: This is a descriptive, cross-sectional study with an analytical stage. Results: low adherence to non-pharmacological measures such as diet and physical activity was detected. A high percentage of patients were overweight (38%) or obese (46.5%). 75% of the population enrolled in this study did not comply with the program recommendations regarding the time and frequency of physical activities, nor they complied with the minimum 6 daily meals required. Only 37% of the patients had normal levels of glycated hemoglobin and 51.3% of them had pharmacological treatment adherence. Low compliance was observed in relation to regular medical examinations (which were under free coverage by the program) that are transposed in 22% of retinal studies and 60% in 24-hour urine analysis for the early detection of complications such as retinopathy and nephropathy. Conclusion: Despite the economic and logistical efforts carried out by State programs in order to care of people with diabetes mellitus, data showed a low adherence of patients to the proposed pharmacological and non-pharmacological measures. A personalized follow-up strategy is necessary to improve treatment adherence and to obtain better therapeutic results.
Fil: Rodríguez, Patricia Vera. Universidad Nacional de Asunción; Paraguay
Fil: Zully, Vera. Universidad Nacional de Asunción; Paraguay
Fil: Olga, Maciel. Universidad Nacional de Asunción; Paraguay
Fil: Marin, Lupe. Universidad Nacional de La Plata; Argentina
Fil: Maidana, Gladys Mabel. Universidad Nacional de La Plata; Argentina
Fil: Marin, Gina. Universidad Nacional de La Plata; Argentina
Fil: Marin, Gustavo Horacio. Universidad Nacional de La Plata; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata; Argentina
description The clinical evolution of a diabetic patient is linked to its compliance with nonpharmacological measures such as diet, physical activity, acquiring habits, medical controls and also with its pharmacological treatment. In different Latin American countries such as the Republic of Paraguay, there are National Programs to provide free support and treatment to the diabetic population that mostly have vulnerable social conditions. However, the impact of these government policies is not routinely evaluated. In order to establish the achievements of a state diabetes program, the present study was carried out. Methodology: This is a descriptive, cross-sectional study with an analytical stage. Results: low adherence to non-pharmacological measures such as diet and physical activity was detected. A high percentage of patients were overweight (38%) or obese (46.5%). 75% of the population enrolled in this study did not comply with the program recommendations regarding the time and frequency of physical activities, nor they complied with the minimum 6 daily meals required. Only 37% of the patients had normal levels of glycated hemoglobin and 51.3% of them had pharmacological treatment adherence. Low compliance was observed in relation to regular medical examinations (which were under free coverage by the program) that are transposed in 22% of retinal studies and 60% in 24-hour urine analysis for the early detection of complications such as retinopathy and nephropathy. Conclusion: Despite the economic and logistical efforts carried out by State programs in order to care of people with diabetes mellitus, data showed a low adherence of patients to the proposed pharmacological and non-pharmacological measures. A personalized follow-up strategy is necessary to improve treatment adherence and to obtain better therapeutic results.
publishDate 2021
dc.date.none.fl_str_mv 2021-03
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/139706
Rodríguez, Patricia Vera; Zully, Vera; Olga, Maciel; Marin, Lupe; Maidana, Gladys Mabel; et al.; Evaluation of the Health Impact of the National Diabetes Program in Paraguay; Society of Pharmaceutical Technocrats; Journal of Drug Delivery and Therapeutics; 11; 2; 3-2021; 58-62
2250-1177
CONICET Digital
CONICET
url http://hdl.handle.net/11336/139706
identifier_str_mv Rodríguez, Patricia Vera; Zully, Vera; Olga, Maciel; Marin, Lupe; Maidana, Gladys Mabel; et al.; Evaluation of the Health Impact of the National Diabetes Program in Paraguay; Society of Pharmaceutical Technocrats; Journal of Drug Delivery and Therapeutics; 11; 2; 3-2021; 58-62
2250-1177
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/http://jddtonline.info/index.php/jddt/article/view/4597
info:eu-repo/semantics/altIdentifier/doi/10.22270/jddt.v11i2.4597
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Society of Pharmaceutical Technocrats
publisher.none.fl_str_mv Society of Pharmaceutical Technocrats
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1842269744873340928
score 13.13397

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