@article{Figueroa_Morales_Melgarejo_Forero_Motoa_León_Londoño_Salazar_2011, title={Characterization of patients with pre-diabetes in first-level health care service institutions Cali, Colombia}, volume={42}, url={https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/756}, DOI={10.25100/cm.v42i1.756}, abstractNote={<small style="font-family: Arial;"><span style="font-weight: bold;">Introduction:</span> Type 2 diabetes (DM 2) is one of the first ten causes of mortality in Colombia. Pre-diabetes is a state of hyperglycemia that associated with other risk factors appears 5-10 years before this disease. It has been reported that controlling the diet and exercise decreases the probability of suffering DM 2 by 60%. This intervention requires establishing the risk in pre-diabetic patients. <br /> <span style="font-weight: bold;">Objectives:</span> To detect patients with pre-diabetes who are members of a private health care provider (EPS for its name in Spanish) in Cali and to describe the clinical and epidemiological characteristics related to the risk of developing DM 2. <br /> Materials and methods: This is a cross-sectional descriptive study in patients with altered glucemias (Impaired fasting <span style="font-weight: bold;">glucose:</span> 100-125 mg/dl and impaired glucose tolerance: 140-199 mg/dl). Clinical histories were reviewed and surveys on risk factors, habits and perception of knowledge were conducted. We determined: fasting glucose, vital signs, and anthropometric measures. <br /> <span style="font-weight: bold;">Results:</span> 111 patients were included (64% women) whose most common occupation was home duties (39.6%). The descriptive analysis reported high risk; the results were: noticeable presence of associate pathological antecedents as <span style="font-weight: bold;">follows:</span> Diabetes in the family (64%), obesity (54.1%), dyslipidemia (72.1%), and hypertension (66.7%) in a population with a mean age at 51 years and 10.8% were under 40 years of age. This great proportion of overweight or obesity (86.5%), according to BMI, influenced the determination of the high cardio-metabolic risk (81%, agreeing with the WHO). When evaluating diet with consumption frequency, we still found the intake of simple carbohydrates and animal fats; when reviewing physical activity,  53.2% of the patients reported activity in the last 7 days according to the International Physical Activity Questionnaire (IPAQ).<br /> <span style="font-weight: bold;">Conclusions:</span> 66% of pre-diabetics did not have diagnosis of some disorder of the metabolism of carbohydrates. More than 70% of the patients have high risk of DM 2 with pathological antecedents, inadequate health habits, and low perception of disease complications.</small>}, number={1}, journal={Colombia Medica}, author={Figueroa, Fabio N and Morales, Jessica and Melgarejo, Aralí and Forero, Jousetp and Motoa, Gabriel and León, Jaime A and Londoño, Andrés . C and Salazar, Blanca C}, year={2011}, month={Apr.}, pages={98–106} }