PREVALENCE OF DYSLIPIDEMIAS IN TYPE 2 DIABETIC PATIENTS IN MUNICIPAL PRIMARY CARE

Abstract

Introduction: High mortality in Diabetes Mellitus results from associated cardiovascular events, with dyslipidemias as a primary factor. Therefore, it is essential to identify lipid profile alterations, as they are associated with insulin resistance, elevating cardiovascular risk. Objective: Determine the prevalence of dyslipidemias and associated risk factors in diabetic patients in primary care in a municipality in southwestern Paraná. Methods: This was a cross-sectional and quantitative study in type 2 diabetic patients, aged 18 and older, registered in primary care at a municipal health center. Laboratory data were used to classify dyslipidemias according to the Brazilian Society of Cardiology's Cardiovascular Prevention Guideline update. Statistical analysis involved association and correlation tests, as well as odds ratio estimation. Results: The participants' average age was 62.3 years, with the majority being women. There was a prevalence of alterations in the following variables: waist circumference (83.1%), glycosylated hemoglobin (62%), fasting glucose (67.6%), total cholesterol (66.2%), triglycerides (49.3%), and HDL (46%). The prevalence of dyslipidemia was 47.9%, with 1.4% having mixed hyperlipidemia. There was a strong significant correlation only between glycosylated hemoglobin and glucose and LDL and total cholesterol. Diabetic women had a 5.1 times higher chance of dyslipidemia than men (CI_95%: 1.85-14.2). Conclusion: Most participants not only fail to achieve the glycemic therapeutic target but also exhibit visceral obesity and a high prevalence of dyslipidemia, thus increasing cardiovascular risk in this group.