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Disrupted Self-Management and Adaption to New Diabetes Routines: A Qualitative Study of How People with Diabetes Managed Their Illness during the COVID-19 Lockdown

Diabetes Awareness, Treatment, and Control among Mexico City Residents

Center for Health and Nutrition Research, Mexican National Institute of Public Health, Cuernavaca, Morelos 62100, Mexico
Department of Nutrition, Harvard T.H. Chan School of Public Health, The Graduate School of Arts and Sciences (GSAS), Harvard University, Cambridge, MA 02138, USA
Institute for Global Health Sciences, University of California, San Francisco, CA 94158, USA
Departamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, Mexico
National Center for Disease Prevention and Control Programs (CENAPRECE), Ministry of Health of Mexico, Mexico City 06170, Mexico
Unidad de Investigación en Enfermedades Metabólicas, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Mexico City 14080, Mexico, and Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, Nuevo León 64710, Mexico
Author to whom correspondence should be addressed.
Received: 14 January 2021 / Revised: 3 February 2021 / Accepted: 4 February 2021 / Published: 18 February 2021
Early diagnosis and control of diabetes can reduce premature mortality and disability. We described the diabetes prevalence, awareness, treatment, and control in Mexico City. Data came from the Mexico City Representative Diabetes Survey, conducted between May to June 2015. Participants (20–69 y, n = 1307) reported their diabetes condition, treatment, and outcomes. Fasting blood samples were collected and HbA1c, blood glucose, and blood lipids were determined. We used multivariate logistic regression to identify inequalities in diabetes prevalence and awareness. The overall prevalence of diabetes was 13.6% (95% CI: 11.7, 15.7). Of those living with diabetes, 70.5% were aware of their condition. Among those aware of their diabetes, around 10% to 65% received diabetes care according to international guidelines, and around 30% to 40% achieved HbA1c, LDL cholesterol, or blood pressure targets. Overall, only 4.1% of those aware of their diabetes achieved all treatment targets and 35.4% had never presented a diabetes complication. Diabetes prevalence was higher among older age groups and lower among the most educated. Having access to health care was associated with lower odds for diabetes and diabetes awareness. The low rates of diabetes awareness, treatment, and control highlight the urgent need of strengthening diabetes care in Mexico City. View Full-Text
Keywords: diabetes; rule of halves; diabetes care diabetes; rule of halves; diabetes care
MDPI and ACS Style

Barquera, S.; Hernández-Alcaraz, C.; Jáuregui, A.; Medina, C.; Mendoza-Herrera, K.; Pedroza-Tobias, A.; Tolentino Mayo, L.; Guillen Pineda, L.E.; López-Ridaura, R.; Aguilar Salinas, C.A. Diabetes Awareness, Treatment, and Control among Mexico City Residents. Diabetology 2021, 2, 16-30.

AMA Style

Barquera S, Hernández-Alcaraz C, Jáuregui A, Medina C, Mendoza-Herrera K, Pedroza-Tobias A, Tolentino Mayo L, Guillen Pineda LE, López-Ridaura R, Aguilar Salinas CA. Diabetes Awareness, Treatment, and Control among Mexico City Residents. Diabetology. 2021; 2(1):16-30.

Chicago/Turabian Style

Barquera, Simón, César Hernández-Alcaraz, Alejandra Jáuregui, Catalina Medina, Kenny Mendoza-Herrera, Andrea Pedroza-Tobias, Lizbeth Tolentino Mayo, Luz E. Guillen Pineda, Ruy López-Ridaura, and Carlos A. Aguilar Salinas 2021. "Diabetes Awareness, Treatment, and Control among Mexico City Residents" Diabetology 2, no. 1: 16-30.

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