Invalidity Opinion due to Type 2 Diabetes Mellitus Complications

Abstract

Objective: to analyze the characteristics of records with disability opinion due to complications of diabetes mellitus type 2 (dm2) in the Delegation of the Mexican Social Security Institute (imss) in Michoacán. Methods: cross-sectional study, not-randomized sampling by convenience, 98 records from the Coordination of Health in the working area with opinion of invalidity were analyzed by complications associated to dm2 in Family Medicine units. Complications of dm2, opinion, metabolic control, and multidisciplinary management were studied. Results: 61 opinions were issued for permanent invalidity (62.24%) and 37 temporary invalidity (37.76%); 10 corresponded to women (10.2%) and 88 to men (89.8%). The causes of invalidity were: retinopathy 44 (41.9%), kidney disease 21 (21.4%) and circulatory alterations 15 (15.3%). The reported clinical variables were: glucose 186.25 ±26. 99, HbA1c was not requested in 91 patients (92.9%); there was an adjustment in treatment in 72 (73.5%) and 64 (65.30%) had no referral to other services or specialties. Conclusions: the leading causes of disability were retinopathy and nephropathy. It is required to give a comprehensive follow-up to patients with dm2 in order to avoid complications that may negatively impact on their health.