Analysis of population survey for determining the factors associated with the control of diabetes mellitus in Mexico

作者：Claudio Hernandez Romieu Alfonso; Elnecave Olaiz Alejandro; Huerta Uribe Nidia; Reynoso Noveron Nancy^*

来源：Salud Publica de Mexico, 2011, 53(1): 34-39.

• diabetes mellitus
• Hemoglobin A, Glycosylated
• quality of health care
• health services accessibility
• Mexico

Objective. Determine the influence of nutritional counseling, exercise, access to social healthcare and drugs, and the quality of medical care on the control of diabetics. Material and Methods. The information and blood samples were obtained in 2005. Glycemic control was defined as good if HbA1c was <= 7.0%, poor from 7.01% - 9.50% and very poor if HbA1c >9.5%. Binary logistic regression models were used to determine the association of these factors with HbA1c>9.5%. Results.Thirty percent of the patients with a medical diagnosis of diabetes had adequate metabolic control. Conclusions. Nutritional guidance was associated with an increase in the degree of control.A majority of diabetics have poor or very poor glycemic control. Strengthening the quality of and access to medical care for these patients is urgently needed.

• 出版日期2011-2