- Gestational Diabetes Research and Management
- Global Public Health Policies and Epidemiology
- Pregnancy and preeclampsia studies
- Bariatric Surgery and Outcomes
- Chronic Disease Management Strategies
- Health Promotion and Cardiovascular Prevention
- Healthcare Systems and Reforms
- Social Media in Health Education
- Public Health and Environmental Issues
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Healthcare Systems and Public Health
- Interprofessional Education and Collaboration
- Child Nutrition and Water Access
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Mobile Health and mHealth Applications
- Global Maternal and Child Health
- Health and Lifestyle Studies
- Breastfeeding Practices and Influences
- COVID-19 Impact on Reproduction
Abstract Given the barriers to early detection of gestational diabetes mellitus (GDM), this study aimed develop an artificial intelligence (AI)-based prediction model for GDM in pregnant Mexican women. Data were retrieved from 1709 women who participated multicenter prospective cohort ‘ Cuido mi embarazo’ . A machine-learning-driven method was used select best predictive variables risk: age, family history type 2 diabetes, previous diagnosis hypertension, pregestational body mass index,...
Abstract Gestational Diabetes (GDM) is a prevalent health challenge in Mexico, affecting 10–14% of pregnancies but detected only about 5.1% cases, highlighting critical gap the healthcare system. This underdiagnosis poses severe risks to mothers and children reflects broader systemic failures. The disparity detection rates points insufficient screening protocols uneven access care, particularly rural areas. Additionally, lack integrated digital solutions exacerbates these issues, leading...
Purpose: This study explores the impact of gestational diabetes mellitus (GDM) subtypes classified by oral glucose tolerance test (OGTT) values on maternal and perinatal outcomes.Patients Methods: multicenter prospective cohort (May 2019-December 2022) included participants from Mexican Cuido mi Embarazo (CME).Women were into four groups per 75-g 2-h OGTT: 1) normal (normal OGTT), 2) GDM-Sensitivity (isolated abnormal fasting or in combination with 1-h results), 3) GDM-Secretion at their...
The Mexican healthcare system is under increasing strain due to the rising prevalence of non-communicable diseases (especially type 2 diabetes), mounting costs, and a reactive curative approach focused on treating existing their complications rather than preventing them. Casalud comprehensive primary model that enables proactive prevention disease management throughout continuum care, using innovative technologies patient-centred approach. Data were collected over 2-year period in eight...
Few pregnant women in low-resource settings are screened for gestational diabetes mellitus (GDM) using the gold standard oral glucose tolerance test (OGTT). This study compared capillary blood testing with 2-h plasma measurements obtained 75-g OGTT to screen GDM at primary healthcare clinics Mexico.Pregnant who participated a previous prospective multicenter longitudinal cohort and had not been previously diagnosed were included. Participants evaluated plasmatic simultaneous glucometer. The...
Background Results-based aid (RBA) is increasingly used to incentivize action in health. In Mesoamerica, the region consisting of southern Mexico and Central America, RBA project known as Salud Mesoamérica Initiative (SMI) was designed target disparities maternal child health, focusing on poorest 20% population across region. Methods findings Data were first collected 365 intervention health facilities establish a baseline indicators. For follow-up measure, 18 24 months later, 368 evaluated...
The purpose of this study is to evaluate how the benefits online continuing medical education (CME) provided health care professionals traveled along a patient "educational chain". In study, educational chain begins with influence that CME can have on quality care, subsequent knowledge, disease self-management, and biomarkers.A total 422 patients at least one noncommunicable (NCD) treated in eight different Mexican public clinics were followed over 3 years. All participants CASALUD Model, an...
Objectives The Carlos Slim Foundation implemented the Integrated Measurement for Early Detection (MIDO), a screening strategy non-communicable diseases (NCDs) in Mexico as part of CASALUD, portfolio digital health services focusing on healthcare delivery and prevention/management NCDs. We investigated disease profile screened population evaluated MIDO’s contribution to continuum care main Design Using data from MIDO chronic information system, we quantified proportion diagnosed with NCDs,...
Mexico, like many low- and middle-income countries (LMICs), faces an epidemic of chronic non-communicable diseases (NCDs), specifically diabetes, hypertension, obesity, lipid disorders. Many people with these NCDs may not be aware that they have a disease, pointing to the need for broader screening programs. The traditional prevention policy in Mexico was based on paper-based risk factor questionnaire. However, this used screen patients already seeking healthcare services at facilities,...
Gestational Diabetes Mellitus (GDM) is a major health concern for Mexican women, with high prevalence that can lead to long-term consequences if left untreated. The mother's risk of developing diabetes in later life increases by up 10 times GDM not addressed properly and some women may experience Prediabetes or new-onset after childbirth. Metabolic reevaluation testing following pregnancy becomes essential those who have had GDM. Nevertheless, this practice uncommon. In study, 1,611 pregnant...
The SARS-CoV-2 outbreak poses a challenge to the Mexican health care system due its high complication and lethality rates in patients with diabetes comorbidities. Here, we evaluate association among main comorbidities [obesity, hypertension chronic kidney disease (CKD)] on COVID-19 outcomes (prevalence, hospitalization, hospital fatality) population. We used available public data released by surveillance (MC-19SS) from January 1st December 31st of 2020. All 3,401,172 records suspected...
Digital health and robust analytics have shown to improve the quality of care by enabling data-driven decision making accurate allocation resources. Due fast-growing burden T2D in Mexico, we created Diabetes Medical Care Quality Index (ICAD) favor continuous improvement primary healthcare clinics (PHC).The ICAD assesses three components: patient retention (PR), adherence with clinical guidelines (ACG), control (DMC) through a 100-point score, estimate percentage patients that regularly visit...