Author(s): GonzlezVillalpando C, LpezRidaura R, Campuzano JC, GonzlezVillalpando ME
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Abstract OBJECTIVE: Examine clinical indicators to evaluate diabetes care in Mexico. MATERIAL AND METHODS: Diabetics (self reported, with therapy) were examined with standardized questionnaires, anthropometry, glucose, lipids and glycohemoglobin. Data were analyzed statistically. RESULTS: There were 2 644 patients, 677 cases without access to medical care (73\% women), most lived in rural communities and spoke aboriginal dialect. Prevalence of obesity for private access group was 21.2\%, for other or non access group was between 31 and 65\%. The group without or basic education was most common, 76\% of the cases had HDL <40 mg/dl and 36\% had hypertriglyceridemia. Only 6.6\% of patients had HbA1c <7\%. There was no significant difference between HbA1c values observed in the group with or without access. Most patients were treated with oral agents. A significant group was without therapy. Assessments for complications was infrequent. CONCLUSIONS: Current model for diabetes care in Mexico is inefficacious and a paradigm change is necessary.
This article was published in Salud Publica Mex
and referenced in Journal of Diabetes & Metabolism