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espanolIntroduccion: La diabetes es una de las principales causas de enfermedad renal cronica en Chile y el mundo, por lo que es fundamental la prevencion del avance de la nefropatia diabetica para evitar la evolucion de la enfermedad renal cronica. Objetivo: Determinar las caracteristicas de pacientes diabeticos que iniciaron tratamiento renal sustitutivo con hemodialisis debido a una nefropatia diabetica. Material y Metodo: Se realizo un estudio cuantitativo de tipo descriptivo, con pacientes diabeticos y en hemodialisis, mediante aplicacion del test de Morisky Green y un instrumento de valoracion sociodemografico. Los sujetos fueron seleccionados mediante muestreo intencionado, tras su consentimiento informado. Resultados: Los sujetos estudiados en su mayoria fueron mujeres, con diabetes tipo 2 en edad adulta, de un estrato economico bajo, escolaridad basica y media, y pertenecientes al Sistema de Salud Publico. Gran parte indico que tenia 5 o mas anos con diabetes al momento de ingresar a dialisis. 71,4% de ellos no tuvo derivacion a Nefrologo y 57,1% refirio no haber sido adherente a su tratamiento, previo ingreso a dialisis. Conclusiones: El perfil del paciente diabetico que inicia HD de nuestro estudio, son en su mayoria mujeres de edad media, con diagnostico previo de DM2 sobre la DM1, y con mas de 20 anos con el diagnostico de DM. En cuanto al perfil socioeconomico predominan los pacientes con bajos ingresos economicos, estudios basicos y medios. Por ultimo destacar que presentaron mejor adherencia al tratamiento los hombres respecto a las mujeres EnglishIntroduction: Diabetes is one of the main causes of chronic kidney disease in Chile and in the world. It is essential to prevent the progression of diabetic nephropathy to prevent the evolution of chronic kidney disease. Objective: To determine the characteristics of diabetic patients who started renal replacement therapy with hemodialysis due to diabetic nephropathy. Material and Method: A descriptive quantitative study was carried out, with diabetic patients and on hemodialysis, by applying the Morisky-Green test and a sociodemographic assessment instrument. The subjects were selected by intentional sampling, after their informed consent. Results: The subjects studied were mostly women, with type 2 diabetes (T2D) in adulthood, with a low economic level, basic and intermediate level education, and belonging to the Public Health System. In most of the subjects it was indicated that they had 5 or more years with diabetes disease at the time of starting dialysis. 71.4% of them were not referred to the nephrologist and 57.1% said they had not adhered to the treatment, after starting dialysis. Conclusions: The profile of the diabetic patient who begins on hemodialysis in our study is mostly middleaged women, with a higher previous diagnosis of T2D over T1D, and with more than 20 years with the diagnosis of DM. Regarding the socioeconomic profile, patients with low economic income and no training or basic studies predominate. Finally, men had better adherence to treatment than women.

Caracterización de pacientes diabéticos en hemodiálisis en la región de Atacama. Chile