[Family-physician factors associated with glycemic control of patients with diabetes mellitus].
BACKGROUND
Metabolic control of patients with diabetes is determined by several factors, among others competence level, performance, and attitudes of primary-care physicians.


OBJECTIVE
On objective was to determinate family physician factors associated with glycemic control in subjects with diabetes in two Family Medicine Units (FMU).


METHODS
Cross-sectional comparative study.


METHODS
Two Family Medicine Units of the Mexican Institute Social Security.


METHODS
Family physician demographic factors were measured (age, sex, job seniority, time of university graduation, and had to have studied a specialty residence studied). Two validated instruments were applied to measure attitude level and handling competence of DM 2, and we determined glycemic level in the previous months of five diabetic patients by consulting room.


RESULTS
Forty family physicians were evaluated, mean age 43.9 years, 57.5% with a residence in Family Medicine. Better glycemic control was associated with job seniority, OR 2.49 (CI 0.96-6.6), time of university graduation > 10 years with OR 2.11 (CI 1.4-2.9), to have at least one course related with diabetes in the previous year with OR 4.8 (IC 0.39-22), and competence level OR 2.02 (CI 0.36-11.3)


CONCLUSIONS
There association between better glycemic control and more professional experience and training on diabetes in the previous year.
Rodríguez-Moctezuma
Raymundo
R
Módulo de Investigación Hospital General Regional 72. Lic. Vicente Santos Guajardo, Av. Filiberto Gómez sin número esquina Gustavo Baz, 54000 Tlainepantla Estado de México. rodmoc@prodigy.net.mx
Magdaleno-Tobías
Martha E
ME
Munguía-Miranda
Catarina
C
Hernández-Santiago
José Luis
JL
Casas-De la Torre
E
E
D000328:Adult; D000367:Age Factors; D001786:Blood Glucose / Q000187:drug effects* / Q000378:metabolism; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy* / Q000453:epidemiology; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D008511:Medicine / Q000706:statistics & numerical data; D008800:Mexico / Q000453:epidemiology; D010821:Physicians, Family / Q000706:statistics & numerical data*; D012737:Sex Factors; D013038:Specialization
D001786:Blood Glucose; D007004:Hypoglycemic Agents