Prevalence of diabetes and glycemic control in Mexico: national results from 2018 and 2020

Abstract: Objective: To estimate the prevalence of diabetes (diagnosed and undiagnosed), glycemic control in Mexico, and its associated factors. Materials and methods: We used data from Ensanut 2018 (n=12 648) and 2020 (n=2 309). We defined diabetes as fasting glucose ≥126 mg/dl or HbA1c≥6.5% or previously diagnosed; glycemic control was defined as HbA1c<7%. We fitted Poisson regression models to assess the association between diabetes, glycemic control, and potential associated factors. Results: The total prevalence of diabetes was 16.8% in 2018 and 15.7% in 2020. In 2018, 38% of adults with diabetes were unaware of their disease, while in 2020 this figure was 29%. Glycemic control was observed in 42% of participants in 2018 and 39% in 2020. Longer disease duration was associated with lower glycemic control, while older age, having a diet, and being affiliated to IMSS, Pemex, Sedena, or private healthcare were associated with better control. Conclusion: Mexico is among the countries with the highest diabetes prevalence. A high proportion of adults with diabetes did not have a previous diagnosis, and the proportion with glycemic control is low. Strengthening screening to achieve a timely diagnosis, and improving glycemic control, should be key actions in the management of diabetes.

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Bibliographic Details
Main Authors: Basto-Abreu,Ana, López-Olmedo,Nancy, Rojas-Martínez,Rosalba, Aguilar-Salinas,Carlos A, Cruz-Góngora,Vanessa De la, Rivera-Dommarco,Juan, Shamah-Levy,Teresa, Romero-Martínez,Martín, Barquera,Simón, Villalpando,Salvador, Barrientos-Gutiérrez,Tonatiuh
Format: Digital revista
Language:English
Published: Instituto Nacional de Salud Pública 2021
Online Access:http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342021000600725
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