A5055365708- Diabetes Management and Education
- Chronic Disease Management Strategies
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Global Public Health Policies and Epidemiology
- Health and Lifestyle Studies
- Cardiovascular Health and Risk Factors
- Cardiovascular Function and Risk Factors
- Diabetes Management and Research
- Ion channel regulation and function
- Medication Adherence and Compliance
- Pulmonary Hypertension Research and Treatments
- Body Composition Measurement Techniques
- Diabetes Treatment and Management
- Heart Rate Variability and Autonomic Control
- Cardiac electrophysiology and arrhythmias
- Thermoregulation and physiological responses
- COVID-19 Clinical Research Studies
- Thyroid Disorders and Treatments
- Nutrition and Health in Aging
- Retinal Diseases and Treatments
- Artificial Intelligence in Healthcare
- Healthcare cost, quality, practices
- Diagnosis and Treatment of Venous Diseases
- Obesity and Health Practices
- Pericarditis and Cardiac Tamponade
Federal Government of Mexico
2020-2024
Secretaria de Salud
2024
Hospital de Especialidades
2022
Ministry of Health
2020
Weatherford College
2020
Instituto Nacional de Cancerología
2020
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
2009-2012
MSD (Mexico)
2009
Mexico faces a challenge due to the burden imposed by type 2 diabetes (T2D).
Abstract Background Although important achievements have been done in type 2 diabetes mellitus (T2D) treatment and glycemic control, new strategies may take advantage of non-pharmacological approaches other potential determinants health (e.g., socioeconomic status, education, knowledge, physical activity, self-care behavior). However, the relationships between these factors are not totally clear studied context large urban settings. This study aimed to explore relationship control (GC) a...
Diabetes poses a significant global health challenge, with prediabetes serving as critical phase for intervention to prevent or delay its progression. While evidence-based strategies have shown promise, their implementation within healthcare systems-particularly in low- and middle-income countries-remains formidable challenge. This study shares preliminary findings from regional quality improvement (QI) initiative aimed at identifying managing Mexico's public framework. The Prevention Squad...
Abstract Background Although important advances in treatment strategies have been developed type 2 diabetes mellitus (T2DM), large gaps exist achieving glycemic control and preventing complications, particularly low-and middle-income countries, which suggests a potential effect of social determinants health (SDH, i.e., education level socioeconomic status). However, few studies determined the role SDH other (ODH, knowledge self-care scores) T2DM goals during effective multidisciplinary...
In this study, difficulties in coping with diabetes were evaluated during the coronavirus disease 2019 (COVID-19) lockdown.Similarly, change self-care activities was patients a recent assessment before COVID-19 lockdown Mexico City.In 212 type
La creciente epidemia de obesidad ha sido uno los retos más importantes salud pública en México durante últimos años. Con apoyo la Federación Mundial Obesidad, 2021 formamos un grupo profesionales para identificar y resumir las acciones prioritarias que puede enfocarse nuestro país hacer frente a esta epidemia. Al proceso desarrollo discusión este se sumaron 1 000 retomar recomendaciones documentos guías alto nivel previamente publicados. En conmemoración del Día 2022 presenta postura como...
: Diabetes-related lower extremity complications contribute significantly to the overall disability burden of type 2 diabetes mellitus (T2DM). The screening Diabetic Foot Ulcer (DFU) risk is essential for early identification its components, thereby preventing progression advanced complications. Unfortunately, identifying elements associated with foot ulcer development often poorly executed, especially in primary care settings, particularly low-middle-income countries. We assess prevalence...
Patients with diabetes experience difficulties to maintain glycemic control during the confinement due COVID-19 pandemic, risk of developing chronic complications and severe COVID-19.The purpose this study was evaluate conversion an outpatient primary care center from a face-to-face modality telemedicine service by telephone.Medical consultations were made telephone initial phase (April June 2020), then continue follow-up patients admitted multicomponent program.A total 1,118 subsequently...
Cardiovascular disease (CVD) is a major cause of death/disability in people with diabetes, this impact could be even greater low- middle-income countries, where large gaps exist achieving diabetes care goals. We examined quality initiative Multicomponent Integrated Care (MIC) program (DIABEMPIC, DIABetes EMPowerment and Improvement Care) on goals persons type 2 (PwT2D) implemented public primary specialized clinic Mexico City/Iztapalapa. DIABEMPIC 5-months empowerment-based the following...
Abstract Background Although important achievements have been done in type 2 diabetes mellitus (T2D) treatment and glycemic control, new strategies may take advantage of non-pharmacological approaches other potential determinants health (e.g., socioeconomic status, education, knowledge, physical activity, self-care behavior). However, the relationships between these factors are not totally clear studied context large urban settings. This study aimed to explore relationship control (GC) a...
Limited evidence exists on the efficacy of Diabetes Self-Management Education (DSME) in primary care urban population low- and middle-income countries. This study evaluated effect glycemic control insulin dosing patients who attended an interdisciplinary educative structured program at Clínica Especializada en el Manejo de la México City-Iztapalapa 2017. Intervention lasted 5 months included individual group sessions a shared medical appointments model aimed promoting self-care. In 252 with...
Introduction:Patients with diabetes experience difficulties to maintain glycemic control during the confinement due COVID-19 pandemic, risk of developing chronic complications and severe COVID-19.Objective: The purpose this study was evaluate conversion an outpatient primary care center from a face-to-face modality telemedicine service by telephone.Methods: Medical consultations were made telephone initial phase (April June 2020), then continue follow-up patients admitted multicomponent...
Background Patients with type 2 diabetes are at an increased risk of chronic kidney disease (CKD) hence it is recommended that they receive annual CKD screening. The huge burden in Mexico and limited screening resource mean underperformed. Consequently, patients often have a late diagnosis CKD. A regional minimal-resource model to support risk-tailored has been developed globally validated. However, population heath care services between countries within region expected differ. aim this...
Introduction: The Fib-4 index (FIB4) is recommended for screening liver fibrosis (LF) risk in adults with T2D. Recent evidence suggests that dynamic changes (increases/decreases) FIB4 overtime may be linked to subsequent of events and diabetes-related complications. We explored the change among T2D engaged a quality improvement initiative within primary care-the DIABEMPIC program. Methods: This quasi-experimental, single group pre/post-intervention design encompassed participants undergoing...
Background: Structured diabetes therapeutic education (DTE) interventions are lacking for people with diabetes. Objective: To explore the impact of DTE on knowledge (DK) in adults type 2 (T2D) receiving conventional management primary care. Method: Adult T2D patients from 26 care units were enrolled a comprehensive program incorporating structured education. Baseline and follow-up assessments DK conducted, comparative analysis based educational attainment. Results: Data 1,112 participants...
Patients with early onset type 2 diabetes (EOD) seem to be at increased risk of developing complications. Screening and diagnosis for CKD is poorly executed in primary care (PC) low-and-middle income countries. Thus, we aimed analyze the presence EOD comparison later-onset (LOD). Data were obtained from largest cohort patients T2D evaluated within PC Mexico (DIABEMPIC). LOD defined as age <40 ≥40 years, respectively. assessment included albuminuria through urinary albumin-creatinine...