Diabetes and Complications

SUMMARY the present study is initiated from some questionings, reflections and analysis on the life of that they suffer of one of the illnesses quieter than can compromise the quality of life? THE DIABETES. How it is that still it occupies the first places of deaths in many countries of the world? How to contribute so that Diabetic Type 2 has a good quality of life without it has complications? Much people think about the Diabetes as a simple and benign illness, one probleminha banal of ' ' high sugar in sangue' '. In the truth, unhappyly, it is not well thus, the badly-controlled Diabetes finishes producing, with running of the time, acute and chronic complications, serious and potentially fatal injuries. Had its complexity, the Diabetes Mellitus type 2 cause very great impacts in the personal, familiar and social scope of it has that it. In result of the Diabetes Mellitus Type 2, being this, one of the biggest causes of deaths in the world if not controlled.

In elapsing of this work the emphasis if concentrates in the prevention of complications generated for the Diabetes Mellitus type 2. The process of prevention of complications in Diabetic Type 2 is one of the enrolled activities in practical social of the ESF (Strategy Health of the Family) when integrating the process of work in health, being the same of great importance helping in the improvement of the quality of life. 1.1 – Objectives? To display the importance of the education/prevention of complications come back toward the carriers of Diabetes Mellitus type 2. 1,2 – Justification of the study the present study justifies due to the high indices of prevalence of complications of people with diabetes mellitus type 2, being important to give to emphasis in the educative process and the prevention as one of the solutions for not the complication of the same.

Dealing With Diabetes

How much to the escolaridade level, it was observed that 16.7% were not alfabetizados, 16.7% had only incomplete basic education, 6.6% complete average education and 60% of data not registered. It had a great percentage of individual not alfabetizado in relation the registered data. Mousinho and Moura (2008), had concluded that the education is primordial in the life of the human being, being the factor that will help to the individual in the understanding and acceptance of writs of prevention of health. Table 2 – Distribution of the sample as changeable social and demographic of the patients searched. Hipertenso 2359.0% Diabetes 923.1% Outras25.1% did not present doenas00.0% not registered Data 512.8% Total 39100% In table 2, in the item conjugal situation, had been evidenced a high percentage of patients married in 70,0%, whereas 23.3% were single and 6.7% of data not registered.

The results related to the residence zone had prevalence for agricultural zone, the verified percentage was 66.7% and urban zone 33.3%. The lack of basic assistance of qualified health and hospitals specialized in the agricultural zone, are factors that contribute for the high index of sick people in the agricultural zone (BRAZIL, 2008) the study demonstrate that 12.1% of the patients were etilistas, 24.2% were tabagistas and 63.7% of data not registered. The study it demonstrated one high index of patients who made use of the tobacco and alcohol, being that the tobacco was the presented percentile greater. In 2000, Armaganijan and Batlouni had concluded that the tobacco and the alcohol are factors of risk for the occurrences of cardiovascular illnesses. How much to the preexisting illnesses, the study it evidenced one high index of patients with arterial hipertenso 59.0%, Diabetes Mellitus was one compared lesser percentage with the arterial hipertenso, being that of 23,1% a percentage of 5,1% had other patologias and 12.8% of not registered data, the arterial hipertenso and Diabetes Mellitus is considered as factor of risk for the cardiovascular illnesses (FIGUEIREDO et al., 2006). In the changeable Habits of life and preexisting illnesses an alternative was opted for more than. Table 3 – Distribution of the sample as changeable passed time for the first attendance, professional who after gave to the first attendance and how much time the patient was reevaluated. Passed time for first atendimentoN% after the admission of paciente620.0% 5 15 min1033.3% 16 30 min1446.7% Above of 30 min00.0% Data Registrados00.0% Total 30100% Professional who gave first to atendimentoN% Nurse, Technician of Nursing and Assistant of Enfermagem1860,0% Technician of Nursing and Assistant of Enfermagem1033,3% To assist of Enfermagem26,7% Total 30100% After how much time the patient was immediately not reevaluated

Diabetes Mellitus

For diagnosis an associated more intense clinical comment to a laboratorial search and for resources of image would be necessary. To put this affirmation can be contested, therefore many contraceptives verbal reduce expression of the symptoms of the hirsutismo, and was told that 50% of the questioned women make use of some verbal contraceptive. In it finishes analysis, it is verified that of the questioned women, 34% affirm not to have difficulty to engravidar and 46% do not have knowledge. Already 30% tell that they possess difficulty to engravidar, to put only 13% had made use of some type of ovulao inductor. In relation to the knowledge on treatment of infertility for ovulao inductors, 54% of the participants of the research, had told to know somebody that already carried through some treatment of infertility with the medicine use that induces the ovulao, to put of this percentage, 26% evolved the gestation for spontaneous abortion, and 28% had had the normal pregnancy tie the nineth month. Excessively the success or failure of the gestation is unaware of.

44% possesss in the family somebody with Diabetes Mellitus, 30% do not have nobody of its kinship that reveals the illness and 26% are unaware of. In such a way, it is necessary that these carry through greater search on its fertility, in order to effect the adequate if necessary treatment. 6.CONSIDERAES FINAL With the attainment of the data harvested in questionnaire can be inquired that the majority of the women in fertile age, beyond not knowing, presents some symptoms of the SOP. The citrate of clomifeno is an inductor of ovulao sufficiently used, therefore it possesss a positive result and it has low cost. Also it is used metformina and its indication becomes related it women with SOP that do not answer to the citrate of clomifeno. This also can be managed together in such a way with the citrate of clomifeno.

Gestational Diabetes

The Gestation is sublime an only process in the life of the woman, therefore it passes for one of the moments most important of its existence where the same one will go to generate a new to be, which will have some of its characteristics and therefore, will have to be taken serious with all the cares that go since the prenatal one, healthful feeding, physical activity and a good sleep. In case that this does not happen, the woman can face some problems of health, amongst them meets it diabetes gestacional. Diabetes is a chronic disease, who serious cause arterial, ocular, cutaneous and renais alterations. Also it produces processes neurotrficos of great importance and can lead to the death. (RODOLFO, 1993). Currently, diabetes is classified of the following form: diabetes mellitus type 1 or insulinodependente (autoimune/idioptico), diabetes mellitus 2 type or independent insulino (type not obeso and Type B obeso), diabetes mellitus gestacional and still exists diabetes mellitus associated to other conditions or syndromes.

The gestacional Diabetes mellitus (DMG) is when the organism has a intolerncia to carbohydrates or carboidratos (sugars) of changeable gravity, that appears or is diagnosised for the first time in the continuation of a pregnancy and that the gestation can persist after. This definition is independent of the necessity of treatment with insulina. It is equally possible that some women with the DG diagnosis have diabetes mellitus type 1 or 2 not recognized before the pregnancy (METZGER and COUSTAN, 1998). The detention of the hiperglicemia glucose increase in the blood, during 1 trimester is especially suggestive of this fact, given that the deterioration of the tolerance to the glucose for insulinorresistncia occurs more delayed, over all in 2 or 3 trimester of gestation. To a great extent, it represents the appearance of diabetes mellitus type 2 (DM2) during the gestation and presents as risk factors: superior age the 25 years; obesidade or extreme profit of weight in the current pregnancy; extreme central deposition of corporal fat; familiar history of diabetes in relatives of first degree, low stature ( (SAINTS, OAK AND PORT, 1997).