Characteristics of Patients With Type 2 Diabetes in México

Abstract

OBJECTIVE -To describe the clinical characteristics of the diabetic population that formed part of a population-based survey conducted in México.RESEARCH DESIGN AND METHODS -In 2000, information was obtained from 42,886 subjects aged Ն20 years using a multistage sampling procedure. Standardized questionnaires were used. Anthropometric measurements, blood pressure, and capillary glucose concentrations were taken.RESULTS -Type 2 diabetes was found in 3,597 subjects (age-adjusted prevalence 8.18%), of which 2,878 (80%) had previously been diagnosed. The average age of the diabetic participants was 55.2 Ϯ 13.5 years; 13% were Ͻ40 years of age. Nine percent had been diagnosed for Ͼ10 years. The average BMI was 29.2 Ϯ 5.7 kg/m 2 ; three-quarters of the cases had BMI Ͼ25 kg/m 2 . The average waist circumference was 102 Ϯ 13.4 cm, and increased waist circumference was more common among women. Arterial hypertension was found in half of the cases and, of those on treatment, only one-third had a blood pressure Ͻ140/90 mmHg. Smoking was reported in 34% of the diabetic group, a higher rate than in the nondiabetic subjects. There was at least one modifiable coronary risk factor in 67.6% of the cases. Very few followed an exercise or dietary regimen and a small percentage used insulin.CONCLUSIONS -Diabetes affects a large proportion of Mexican adults (8.18%). This figure may be underestimated. The majority of the subjects had modifiable risk factors for the chronic complications of diabetes. Only a few achieved adequate blood pressure control and other treatment goals.

Association of the ATP-Binding Cassette Transporter A1 R230C Variant With Early-Onset Type 2 Diabetes in a Mexican Population

“…Early-onset type 2 diabetes age of diagnosis Յ45 years; late-onset type 2 diabetes age of diagnosis Ͼ45 years. the Mexican population because type 2 diabetes is highly prevalent (8.2%) (19), ϳ15% are diagnosed before age 40 years (20), and early onset leads to longer exposure to risk factors related to complications of diabetes (21).…”

Control of type 2 diabetes mellitus among general practitioners in private practice in nine countries of Latin America

“…When designing the DEAL study, the team sought a population of patients similar to that of other sur- veys of diabetic patients, both in Latin America (9) and in other areas of the world (15,16), with a population that would represent the diabetic population of Latin America as a whole. However, since public physicians were not included-both for logistical reasons and because of difficulties regarding patient follow-up-a potential bias may exist.…”

“…Diabetes is more common in certain ethnic groups, namely Blacks (2) and Hispanics (3); therefore, many countries in Latin America show a high or rising prevalence of T2DM (4,5). Despite evidencebased clinical recommendations and guidelines for the Region of the Americas on diabetes care, significant delivery barriers have been identified by studies in Brazil (6), Chile (7), Jamaica (8), and Mexico (9). The gap between health spending and the cost of diabetes care in the Region was noted by Barceló et al (10), who suggests that poor disease control has led to a high frequency of complications, disabilities, and premature mortality.…”

Immigrant Generation and Diabetes Risk Among Mexican Americans: The Sacramento Area Latino Study on Aging

“…13–15 From 1994 to 2006, the national prevalence of diabetes in Mexico more than doubled, going from 6.7% to 14.4%. 13 This pattern is common in developing countries undergoing rapid urbanization.…”

“…13–15 From 1994 to 2006, the national prevalence of diabetes in Mexico more than doubled, going from 6.7% to 14.4%. 13 This pattern is common in developing countries undergoing rapid urbanization. Social and economic change of rapid urbanization has led to more sedentary lifestyles and greater consumption of processed foods and calories, a process that has been labeled the “nutrition transition.” 16,17 …”