Health status and self-care of people with previous diagnosis and without diagnosis of type 2 diabetes in Mérida, México

Authors

DOI:

https://doi.org/10.33448/rsd-v13i5.45813

Keywords:

Type 2 diabetes; Lifestyle; Behavior; Self-care; Risk factors.

Abstract

Type 2 diabetes (T2DM) is a chronic disease characterized by the inefficiency of cells to utilize insulin, leading to hyperglycemia, and causing disorders in the circulatory, nervous, and immune systems, thereby damaging various organs of the body. Treatment includes healthy lifestyles, medication, and frequent monitoring. Objective: Describe the health status and self-care practices of citizens of Mérida Yucatán who live with type 2 diabetes with a previous diagnosis and without a diagnosis. Methods: Comparative, descriptive and cross-sectional study. Probabilistic sampling was carried out by clusters, the final sample was 156 adults of both sexes living with DM2. In the statistical analysis, frequencies were determined, numerical variables were categorized and the Chi-square test was used. Results: The study included 156 individuals, 84.6% (n=132) had T2DM and 15.4% (n=24) were unaware of their condition. In the previously diagnosed T2DM group, 75% had obesity, 91% had cardiovascular risk and 60% had hypertension. 37% reported high cholesterol and triglycerides levels. 91% consumed alcohol. In the undiagnosed group, 75% had obesity, 96% had cardiovascular risk, 42% had hypertension and elevated levels of cholesterol and triglycerides (29%). 83% reported alcohol intake. Conclusions: The results show health risk factors and poor self-care practices in the population even with a previous diagnosis, which underlines the need for efficient public policies.

References

Blonde, L., Umpierrez, G. E., Reddy, S. S., McGill, J. B., Berga, S. L., Bush, M., Chandrasekaran, S., DeFronzo, R. A., Einhorn, D., Galindo, R. J., Gardner, T. W., Garg, R., Garvey, W. T., Hirsch, I. B., Hurley, D. L., Izuora, K., Kosiborod, M., Olson, D., Patel, S. B., Weber, S. L. (2022). American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan—2022 Update. Endocrine Practice, 28(10), 923–1049. https://doi.org/10.1016/j.eprac.2022.08.002

Carrasco Sánchez, F. J. (2021). La importancia del control de la dislipemia en el paciente con diabetes mellitus tipo 2. El control de la dislipemia en el paciente con diabetes. Cuadernos de la redGDPS, (2) 4–7. https://doi.org/10.52102/control_dislipemia/art-1

Carrillo Medrano, J. G., Villegas Saldívar, K. L., & Martínez Caldera, E. (2021). Control metabólico posterior al egreso del programa DiabetIMSS. Rev Med Inst Mex Seguro Soc, 59 (4), 264-273. http://revistamedica.imss.gob.mx/editorial/index.php/revista_medica/article/view/3909/4065

Carris, N. W., Magness, R. R., & Labovitz, A. J. (2019). Prevention of Diabetes Mellitus in patients with prediabetes. The American Journal of Cardiology, 123(3), 507–512. https://doi.org/10.1016/j.amjcard.2018.10.032

Center for Disease Control and Prevention (CDC). (2023). El tabaquismo y la diabetes. https://www.cdc.gov/tobacco/campaign/tips/spanish/enfermedades/tabaquismo-diabetes.html#

Chait, A., & Den Hartigh, L. J. (2020). Adipose Tissue Distribution, Inflammation and Its Metabolic Consequences, Including Diabetes and Cardiovascular Disease. Frontiers in Cardiovascular Medicine, 7 (22), 1-41. https://doi.org/10.3389/fcvm.2020.00022

Comisión Nacional Contra las Adicciones (CONADIC). (2021). Informe sobre la Situación de la Salud Mental y el Consumo de Sustancias Psicoactivas en México, https://www.gob.mx/salud/conadic/documentos/informe-sobre-la-situacion-de-la-salud-mental-y-el-consumo-de-sustancias-psicoactivas-en-mexico-2021

Corona Meléndez, J. C., Torres Made, L. M., Bañuelos Contreras, E. J., Flores-Montes, J. R., & Medina Ruiz, E. (2022). Circunferencia abdominal e índice cintura-altura como criterio de obesidad en síndrome metabólico. Medicina Interna de México, 38(2), 235–247. https://doi.org/10.24245/mim.v38i2.4828

Davies, M. J., Aroda, V. R., Collins, B. S., Gabbay, R. A., Green, J., Maruthur, N. M., Rosas, S. E., Del Prato, S., Mathieu, C., Mingrone, G., Rossing, P., Tankova, T., Tsapas, A., & Buse, J. B. (2022). Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care, 45(11), 2753–2786. https://doi.org/10.2337/dci22-0034

Dendup, T., Feng, X., Clingan, S., & Astell-Burt, T. (2018). Environmental Risk Factors for Developing Type 2 Diabetes Mellitus: A Systematic Review. International Journal of Environmental Research and Public Health, 15 (1), 1-25. https://doi.org/10.3390/ijerph15010078

Diario Oficial de la Federación (DOF). (2013). NORMA Oficial Mexicana NOM-043-SSA2-2012, Servicios básicos de salud. Promoción y educación para la salud en materia alimentaria. Criterios para brindar orientación. https://www.dof.gob.mx/nota_detalle.php?codigo=5285372&fecha=22/01/2013#gsc.tab=0

España Paredes, A. P., García Escalante, G., Valadez González, N., Batún Cutz, J. L., Pantí Trejo, H. G., Guerrero Lara, E. A., Kantún Chim, M. D., Paredes Guerrero, L., Quintal López, R., Pinto Escalante, D., Vera Gamboa, L., Cool Padilla, R. A., Martínez Torres, M. del R., Rosado Prieto, S., Castillo Laviada D., Gómez Pérez E. & Alvizo Perera E. J. (2021). Ciudades cambiando la diabetes: Factores y experiencias asociadas con la diabetes tipo 1 y tipo 2 en mujeres y hombres de la zona urbana del municipio de Mérida, México (pp. 1-51) http://www.merida.gob.mx/salud/content/documents/diabetes/INFORME_EJECUTIVO.pdf

Federación Mexicana de Diabetes (FMD), A.C. (2018). Riesgo Cardiovascular en Diabetes Mellitus Tipo 2. https://fmdiabetes.org/riesgo-cardiovascular-diabetes-mellitus-tipo-2/#:~:text=El%20riesgo%20de%20enfermedad%20y,de%20sufrir%20un%20evento%20cardiovascular

Gómez Aguilar, P. I. del S., Ávila Sansores, G. M., & Candila Celis, J. A. (2012). Estilo de vida y control metabólico en personas con diabetes tipo 2, Yucatán, México. Rev. Enferm IMSS. 20(3), 123–129. https://www.medigraphic.com/pdfs/enfermeriaimss/eim-2012/eim123b.pdf

Guerrero Pacheco, R., Galán Cuevas, S., & Sánchez Armáss Cappello, O. (2017). Factores sociodemográficos y psicológicos asociados al autocuidado y la calidad de vida en adultos mexicanos con Diabetes Mellitus tipo 2. Acta Colombiana de Psicología, 20 (2), 158–167. https://doi.org/10.14718/ACP.2017.20.2.8

Gutiérrez, J. P., Rivera Dommarco, J., Shamah Levy, T., Villalpando Hernández, S., Franco, A., Cuevas Nasu, L., Romero Martínez, M., & Hernández Ávila, M. (2012). Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. (https://ensanut.insp.mx/encuestas/ensanut2012/doctos/informes/ENSANUT2012ResultadosNacionales.pdf

Haghighatpanah, M., Nejad, A. S. M., Haghighatpanah, M., Thunga, G., & Mallayasamy, S. (2018). Factors that Correlate with Poor Glycemic Control in Type 2 Diabetes Mellitus Patients with Complications. Osong Public Health and Research Perspectives, 9(4), 167–174. https://doi.org/10.24171/j.phrp.2018.9.4.05

Instituto Nacional de Salud Pública. (2013). Encuesta Nacional de Salud y Nutrición 2012. Resultados por entidad federativa. https://ensanut.insp.mx/encuestas/ensanut2012/doctos/informes/Yucatan-OCT.pdf

International Diabetes Federation. (2021). IDF diabetes atlas (10th ed.). https://diabetesatlas.org/atlas/tenth-edition/

Merchán-Haman, E. & Tauil, P. L. (2021). Proposta de classificação dos diferentes tipos de estudos epidemiológicos descritivos. Epidemiol. Serv. Saúde. 30 (1), 1-13. https://doi.org/10.1590/s1679-49742021000100026

Observatorio Mexicano de Enfermedades No Transmisibles (OMENT). (2018). Panorama epidemiológico 2018. Enfermedades no transmisibles. https://epidemiologia.salud.gob.mx/gobmx/salud/documentos/pano-OMENT/panoepid_ENT2018.pdf

Organización Panamericana de la Salud (OPS). (2022). Diabetes. https://www.paho.org/es/temas/diabetes

Pech Estrella, S. W., Baeza Baeza, J. E., & Ravell Pren, M. J. (2010). Factores que inciden en el fracaso del tratamiento del paciente diabético en Tekax, Yucatán, México. Rev Esp Med Quir. 15 (4), 211–215 https://www.medigraphic.com/pdfs/quirurgicas/rmq-2010/rmq104e.pdf

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodología de la investigación científica. [libro electrónico]. Santa María. Ed.UAB/NTE/UFSM. Disponible en: https://repositorio. ufsm. br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf

Shamah Levy T, Romero Martínez M, Barrientos Gutiérrez T, Cuevas Nasu L, Bautista-Arredondo S, Colchero MA, Gaona-Pineda EB, Lazcano-Ponce E, Martínez-Barnetche J, Alpuche-Arana C, Rivera-Dommarco J. (2022). Encuesta Nacional de Salud y Nutrición 2021 sobre Covid-19. Resultados nacionales (1st ed.). https://www.insp.mx/resources/images/stories/2022/docs/220801_Ensa21_digital_29julio.pdf

Universidad Autónoma de México (UNAM). (2023). Cardiopatías, principal causa de mortalidad en el mundo. https://www.gaceta.unam.mx/cardiopatias-principal-causa-de-mortalidad-en-el-mundo/

Vasquez, D., & Garzón Duque, M. O. (2021). Hipertensión Arterial, Diabetes Mellitus y factores de riesgo cardiovasculares en trabajadores de una plaza de mercado de un municipio de Antioquia, Colombia, 2017-2018. Gerencia y Políticas de Salud, 20, 1-16. https://doi.org/10.11144/Javeriana.rgps20.hadm

World Health Organization (WHO). (2023). Diabetes. https://www.who.int/es/news-room/fact-sheets/detail/diabetes

Published

27/05/2024

How to Cite

CHALÉ VÁZQUEZ , R. .; ESPAÑA PAREDES , P. .; CASTILLO HERNÁNDEZ, K. G.; GÓMEZ PÉREZ, E. .; BATÚN CUTZ, J. L. .; CASTILLO LAVIADA, D. .; ALVIZO PERERA, E. Health status and self-care of people with previous diagnosis and without diagnosis of type 2 diabetes in Mérida, México. Research, Society and Development, [S. l.], v. 13, n. 5, p. e12013545813, 2024. DOI: 10.33448/rsd-v13i5.45813. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45813. Acesso em: 29 jun. 2024.

Issue

Section

Health Sciences