Identificar el riesgo de Diabetes Mellitus en pacientes atendidos en Atención Primaria y la incidencia de diabetes tras 18 meses de seguimiento.

Estudio multicéntrico, con una primera fase transversal de determinación del riesgo de diabetes, mediante el cuestionario FINDRISC, y una segunda, de seguimiento a 18 meses, de 261 pacientes de Atención Primaria, sin Diabetes Mellitus, que cumplimentaron inicialmente el cuestionario.

El 19,5% presentaron un FINDRISC≥15. Las variables no incluidas en el cuestionario, que tras ajustar por sexo, se asociaron a FINDRISC≥15 fueron: nivel educativo bajo e isquemia crónica de miembros inferiores. Tras 18 meses de seguimiento, el 7,8% de los pacientes con FINDRISC≥15 desarrolló Diabetes Mellitus, frente a un 1,9% de los que tuvieron un resultado <15.

Uno de cada 5 pacientes no diabéticos que consultan en Atención Primaria, tienen un FINDRISC≥15, asociándose este a bajo nivel educativo y a patología vascular periférica, con independencia del sexo. El FINDRISC≥15 se asocia, a corto plazo, con un elevado riesgo de desarrollar Diabetes Mellitus.

To estimate the risk of Diabetes Mellitus in Primary Health Care Services and diabetes incidence after 18 months of follow-up.

A multicenter study, with a first cross-sectional phase, to estimate the risk of Diabetes using the FINRISC test in 261 patients without Diabetes Mellitus treated in Primary Health Care Services. A second phase was carried out to assess Diabetes incidence after 18 months of follow-up.

19.5% had an elevated risk of Diabetes Mellitus (FINDRISC score ≥15). The independent variables after adjusting for gender, which are not included in the FINDRISC test and were associated with increased risk of Diabetes, were low educational level and chronic ischemia of lower limbs. After 18 months of follow-up, 7.8% of patients with FINDRISC score ≥15 developed Diabetes versus 1.9% of patients with FINDRISC score <15.

One out of five patients without Diabetes who are treated in Primary Care Health Services have a FINDRISC score ≥15, this being associated with low educational level and peripheral vascular disease, regardless of gender. The FINDRISC score ≥15 has a short-term association with a high risk of developing Diabetes Mellitus.