title: [Lifestyle and treatment adherence of type 2 diabetes mellitus people in the Canary Islands].
abstract: BACKGROUND
  The Canary Islands population experiences the highest type 2 diabetes (DM2) mortality in Spain. We studied lifestyle, unknown DM2 and treatment adherence in diabetics of these islands.
  
  
  METHODS
  Cross-sectional study of 6729 subjects from the general population (age 18-75) that participate in the cohort study "CDC of the Canary Islands". We found out their medical problems, diet, physical activity, medications, smoking, etc.
  
  
  RESULTS
  Prevalence of DM2 was 12% in men and 10% in women (p=0.005). The disease was unknown in 22% of men and 9% of women (p < 0.001). Considering unknown DM2, lack of treatment and lack of adherence, 48% of men and 28% of women did not follow a regular treatment. Diabetics' men prevalences of smoking (28%; CI(95%)=23-33) and sedentariness (62%; CI(95%)=56-68) were similar to non diabetic men, but obesity was more frequent in diabetics (45 versus 25%; p < 0.001). Diabetics women showed a higher obesity (54 versus 27%; p < 0.001) and a lower smoking prevalence (11 versus 22%; p < 0,001) than non diabetics, but they presented a similar sedentariness (75%; CI(95%)=70-79). In both sexes, energy intake was lower in diabetics (p < 0.001), but 93% of them (CI(95%)=91-95) showed a high consumption of calories from saturated fat and 69% (CI(95%)=65-72) presented metabolic syndrome.
  
  
  CONCLUSIONS
  The Canarian diabetics are a sedentary and obese population that show a high consumption of saturated fats and high prevalence of metabolic syndrome. The proportion of them following regular treatment is low, specially in diabetic men that, in addition, still smoke.
authors.affiliation: Unidad de Investigación, Hospital Universitario Nuestra Señora de La Candelaria, Tenerife, España. acableo@gobiernodecanarias.org
authors.forename: Antonio Cabrera
authors.initials: AC
authors.lastname: de León
authors.forename: José Carlos del Castillo
authors.initials: JC
authors.lastname: Rodríguez
authors.forename: Santiago Domínguez
authors.initials: SD
authors.lastname: Coello
authors.forename: María Del Cristo Rodríguez
authors.initials: Mdel C
authors.lastname: Pérez
authors.forename: Buenaventura Brito
authors.initials: BB
authors.lastname: Díaz
authors.forename: Carlos Borges
authors.initials: CB
authors.lastname: Alamo
authors.forename: Lourdes Carrillo
authors.initials: LC
authors.lastname: Fernández
authors.forename: Delia Almeida
authors.initials: DA
authors.lastname: González
authors.forename: José Juan Alemán
authors.initials: JJ
authors.lastname: Sánchez
authors.forename: Ana González
authors.initials: AG
authors.lastname: Hernández
authors.forename: Armando
authors.initials: A
authors.lastname: Aguirre-Jaime
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D015995:Prevalence; D013030:Spain