Glycemic control, treatment and complications in patients with type 1 diabetes amongst healthcare settings in Mexico
| Autor: | Laura Islas-Ortega, Aili García-Tuomola, Alicia E Yepez-Rodríguez, Guillermo Gonzalez-Galvez, Neftali Eduardo Antonio-Villa, Paloma Almeda-Valdes, Aldo Ferreira-Hermosillo, Maricela Vidrio-Velázquez, Mario H Figueroa-Andrade, Carmen Castillo-Galindo, Angélica Martínez-Ramos-Méndez, Natalia E. de la Garza-Hernández, Raquel N Faradji, Karla Leticia Sánchez-Ruiz, Miguel A Polanco-Preza, Ana R Escobedo-Ortiz, Alejandro Romero-Zazueta, Carmenmari Zaballa-Lasso, Ester Rodríguez-Sanchez, Juan R Madrigal-Sanromán, Julio C Valenzuela-Montoya, Mayra Valadez-Capetillo, Sigfrido Miracle-Lopez, Jorge F Bustamante-Martínez, Jose J Ceballos-Macías |
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| Rok vydání: | 2021 |
| Předmět: |
Blood Glucose
medicine.medical_specialty Endocrinology Diabetes and Metabolism Glycemic Control Endocrinology Diabetes mellitus Health care Internal Medicine medicine Humans In patient Mexico Glycemic Glycated Hemoglobin Control treatment Type 1 diabetes business.industry Blood Glucose Self-Monitoring General Medicine medicine.disease Diabetes Mellitus Type 1 Healthcare settings Emergency medicine business Delivery of Health Care Metabolic profile |
| Zdroj: | Diabetes research and clinical practice. 180 |
| ISSN: | 1872-8227 |
| Popis: | Type 1 diabetes (T1D) is a growing chronic disease. Evidence of whether the healthcare setting affects management and glycemic control is scarce. We evaluate outcomes in patients with T1D in private and public healthcare settings in Mexico, registered in the National T1D Registry in Mexico (RENACED-DT1).Biochemical parameters, diabetes education, and treatment were analyzed considering the data registered in the last visit. Development of chronic complications was determined during follow-up.We included 1,603 patients; 71.5% (n = 1,146) registered in the public system, and 28.5% (n = 457) in a private institution. Patients in the public setting had higher HbA1c (8.6%, IQR: 7.3%-10.5% vs 7.7%, IQR: 7.0%-8.8%; p 0.001). Indicators of diabetes education, glucose monitoring, and use of insulin-pumps were lower in the public setting. Patients in the public setting were at higher risk of diabetic chronic kidney disease, retinopathy, and neuropathy. Diabetes knowledge was a mediator between type of healthcare setting and the likelihood of achieving glycemic control.Patients registered in public healthcare settings have an adverse metabolic profile and higher risk of complications. Social factors need to be addressed in order to implement multidisciplinary measures focused on diabetes education for patients with T1D in Mexico. |
| Databáze: | OpenAIRE |
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