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Análisis de una encuesta poblacional para determinar los factores asociados al control de la diabetes mellitus en México

DOI: 10.1590/S0036-36342011000100006

Keywords: diabetes mellitus, hemoglobin a, glycosylated, quality of health care, health services accessibility, mexico.

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Abstract:

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.

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