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Comparative Study
. 2018 May-Jun;60(3):224-232.
doi: 10.21149/8566.

[Prevalence of previously diagnosed diabetes mellitus in Mexico]

[Article in Spanish]
Rosalba Rojas-Martínez  1 , Ana Basto-Abreu  1 , Carlos A Aguilar-Salinas  2 , Emiliano Zárate-Rojas  2 , Salvador Villalpando  3 , Tonatiuh Barrientos-Gutiérrez  1
Affiliations
Comparative Study

[Prevalence of previously diagnosed diabetes mellitus in Mexico]

[Article in Spanish]
Rosalba Rojas-Martínez et al. Salud Publica Mex. 2018 May-Jun.

Abstract
in English, Spanish

Objective: To compare the prevalence of previously diagnosed diabetes in 2016 with previous national surveys and to describe treatment and its complications.

Materials and methods: Mexico's national surveys Ensa 2000, Ensanut 2006, 2012 and 2016 were used. For 2016, logistic regression models and measures of central tendency and dispersion were obtained.

Results: The prevalence of previously diagnosed diabetes in 2016 was 9.4%. The increase of 2.2% relative to 2012 was not significant and only observed in patients older than 60 years. While preventive measures have increased, the access to medical treatment and lifestyle has not changed. The treatment has been modified, with an increase in insulin and decrease in hypoglycaemic agents.

Conclusions: Population aging, lack of screening actions and the increase in diabetes complications will lead to an increase on the burden of disease. Policy measures targeting primary and secondary prevention of diabetes are crucial.

Objetivo: Comparar la prevalencia de diabetes por diagnóstico médico previo en 2016 con encuestas nacionales anteriores y describir su tratamiento y complicaciones.

Material y métodos: Se utilizaron la Encuesta Nacional de Salud 2000, las Encuestas Nacionales de Salud y Nutrición 2006 y 20012, y la Encuesta Nacional de Salud y Nutrición de Medio Camino 2016. Para 2016 se obtuvieron modelos de regresión logística, así como medidas de tendencia central y dispersión.

Resultados: La prevalencia de diabetes por diagnóstico médico en 2016 fue de 9.4%. El incremento de 2.2% respecto a 2012 no fue significativo y se observó únicamente en los mayores de 60 años. Aunque las acciones preventivas han aumentado, el acceso al tratamiento médico y los estilos de vida no han mejorado. Se observó un aumento en insulina y una diminución en hipoglucemiantes.

Conclusiones: El envejecimiento de la población, la insuficiencia de acciones de tamizaje y el aumento en las complicaciones de diabetes provocarán un aumento en la carga de enfermedad. Invertir en la prevención primaria y secundaria en diabetes es crucial.

Keywords: diabetes mellitus; epidemiology; health surveys.

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Conflict of interest statement

Declaration of conflict of interests. The authors declare that they have no conflict of interests.

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