title: [Patient and physicians' factors associated to no metabolic control in type 2 diabetics].
abstract: BACKGROUND
  the understanding of the factors associated with a lack of metabolic control (NMC) in diabetic patients is essential. The aim was to determine the factors associated to NMC in diabetic patients.
  
  
  METHODS
  comparative cross-sectional survey with a non probabilistic sample at a primary care unit was done. We investigated the factors associated to NMC through a structured survey exploring social, demographics and the attachment to diet, exercise and pharmacological treatment with emphasis on the self-conception about the disease and its treatment. The knowledge about the guidelines of clinical practice on diabetes was also explored on physicians.
  
  
  RESULTS
  we included 266 patients and 32 physicians. The metabolic control was good in 1.1 %; acceptable 6.7 % and NMC 92.1 % (n = 245). The age, index of corporal mass (ICM) and psychological stress (scale of Holmes) were related significantly to NMC. The 87.2 % of patients recognized not be attached to the dietetic treatment and 50 % referred to no carry out exercise. The labor variables or the physician's knowledge about Clinical Guidelines are not related to NMC.
  
  
  CONCLUSIONS
  the most of the type 2 diabetic patients are NMC and the ICM were the variable most frequently associated.
authors: Unidad de Medicina Familiar 49, Instituto Mexicano del Seguro Social Celaya, Guanajuato, Mexico. ma_everilda@yahoo.com.mx
authors: María Everilda
authors: ME
authors: Guerrero-Angulo
authors: José Luis
authors: JL
authors: Padierna-Luna
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000378:metabolism / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010818:Practice Patterns, Physicians'; D017211:Treatment Failure