Prevalence and distribution of type 2 diabetes mellitus in Mexican adult population: a probabilistic survey.
OBJECTIVE
To describe the prevalence, distribution and degree of control of type 2 diabetes (T2D) in Mexican population.


METHODS
Subjects were classified as previously diagnosed T2D (PD); or as "finding of the survey" (FS) (glucose >or=126 mg/dL). Hemoglobin A1c was measured in PD-subjects.


RESULTS
The prevalence for PD-T2D was 7.34% (95%CI 6.3, 8.5) and for FS 7.07% (95%CI 6.1, 8.1), summing 14.42%; (7.3 million diabetics). 5.3% of PD-T2D were in good, 38.4% in poor and 56.2% very poor control. Older age (OR=0.96, 95%CI 0.94, 0.97), lower BMI (OR=0.95, 95%CI 0.91, 1.0), were protective for poor control. Affiliation to private services (OR=1.77, 95%CI 0.98, 3.13), larger T2D duration (OR=1.05, 95%CI 1.01, 1.08), and combining oral medication and insulin (OR=16.1, 95%CI 1.61, 161) were riskier.


CONCLUSIONS
We found an alarming prevalence of T2D in Mexican population; the majority of PD diabetics are in poor control. Research on the latter is warranted.
Villalpando
Salvador
S
Instituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico. svillalp@insp.mx
de la Cruz
Vanessa
V
Rojas
Rosalba
R
Shamah-Levy
Teresa
T
Avila
Marco Antonio
MA
Gaona
Berenice
B
Rebollar
Rosario
R
Hernández
Lucia
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000453:epidemiology* / Q000628:therapy; D003927:Diet, Diabetic; D005215:Fasting / Q000097:blood; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006306:Health Surveys; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009749:Nutrition Surveys; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population; D012494:Sampling Studies; D014505:Urban Population; D055815:Young Adult
D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents