Abstract

HERNANDEZ-ROMIEU, Alfonso Claudio; ELNECAVE-OLAIZ, Alejandro; HUERTA-URIBE, Nidia  and  REYNOSO-NOVERON, Nancy. Analysis of population survey for determining the factors associated with the control diabetes mellitus in Mexico. Salud pública Méx [online]. 2011, vol.53, n.1, pp. 34-39. ISSN 0036-3634.  http://dx.doi.org/10.1590/S0036-36342011000100006.

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.

Keywords : diabetes mellitus; Hemoglobin A, Glycosylated; quality of health care; health services accessibility; Mexico.