Sindrome metabólico en pacientes diabéticos tipo 2 e intolerantes a carbohidratos del EBAIS La Mansión, Nicoya

in order to determine the presence of metabolic syndrome (ms) between hiperglycemic patients (type 2 diabetics and those with glucose intolerance) at a primary care center (la mansión), a retrospective study was carried out between september 2001 to august 2002. the clinical diagnosis of ms was based on the guidelines of the ncep/atpiii. there were 67 diabetic patients, 59,7% of them between 40 and 60 years old and 80,6% were women. 68,6% of the 67 had ms. there were 9 patients with glucose intolerance, all women, 6 with ms. 45,7% of the diabetics and the 83,3% of the patients glucose intolerance with ms, have been diagnosed with hiperglycemia between 0-4 years. associations with hypertension were 56,5% and 100% between diabetics and glucose intolerance respectively, with abdominal obesity were 82,6% and 83,3% between diabetics and glucose intolerance respectively, with high triglycerides 60,9% and 66,7% between diabetic and glucose intolerance respectively, with low high-density lipoprotein 76,1% and 66,1% between diabetics and glucose intolerance respectively. the 3 most frecuent clinical associations of ms were fasting glucose >110 mg/dl, hypertension and abdominal obesity. around 60% of diabetics and glucose intolerance patients clinic had ms and the majority with only few years of the diagnosis of hiperglycemia and hypertension. in this community we need to use aggressive measures in changing lifestyles and metabolic control in these patients and in their families. it is necessary to consider ms as a public health problem in costa rica.