The relative effect of self-management practices on glycaemic control in type 2 diabetic patients in Mexico

Javier E. Garcia De Alba Garcia, Florence J. Dallo, Ana L. Salcedo Rocha, Cecilia Colunga Rodriguez, Noe Perez, Roberta D. Baer, Susan Weller

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objective: In this study, we examined the relative impact of self-management activities on glycaemic control in a population at high risk for developing complications. Methods: Patients diagnosed with diabetes mellitus of at least 1 year in duration at 30 years of age or older were sampled from the Instituto de Mexico Seguro Social (IMSS) Family Medicine Clinics in Guadalajara, Mexico (n = 800). Demographic, clinical and health behaviour variables were used to predict good/poor glycaemic control, as measured by haemoglobin A1c (A1C). Results: Most (72.24%) patients had poor control (A1C ≥ 7.0). Hyperglycaemia was significantly associated with factors not under patient control, such as having diabetes for a longer time [odds ratio (OR) = 2.40, 95% confidence interval (CI) 1.39, 4.14], having a first-degree relative with diabetes (OR = 1.52; 95% CI 1.06, 2.19), and being prescribed anti-diabetic medications, e.g. insulin (OR = 7.88, 95% CI 2.42, 25.63). After controlling for these variables, the only self-management variable that reduced the likelihood of hyperglycaemia was following a special diet (OR = 0.49; 95% CI 0.32, 0.76). Furthermore, depression had an important effect on self-management, as those with lower levels of depressive symptoms were more likely to follow a diet and exercise. Discussion: While patients in this population have little control over many factors associated with glycaemic control, an important exception is diet. However, because of the adverse effect of depression on dieting, both depression management and dietary education are important for this population.

Original languageEnglish (US)
Pages (from-to)77-85
Number of pages9
JournalChronic Illness
Volume2
Issue number2
DOIs
StatePublished - Jun 2006

Fingerprint

Self Care
Mexico
Odds Ratio
Confidence Intervals
Depression
Diet
Hyperglycemia
Health Behavior
Population
Diabetes Mellitus
Hemoglobins
Medicine
Demography
Exercise
Insulin
Education

Keywords

  • Diabetes self-management
  • Glycaemic control
  • Mexico
  • Type 2 diabetes mellitus

ASJC Scopus subject areas

  • Medicine(all)
  • Health Policy

Cite this

Garcia De Alba Garcia, J. E., Dallo, F. J., Salcedo Rocha, A. L., Rodriguez, C. C., Perez, N., Baer, R. D., & Weller, S. (2006). The relative effect of self-management practices on glycaemic control in type 2 diabetic patients in Mexico. Chronic Illness, 2(2), 77-85. https://doi.org/10.1179/174592006X110950

The relative effect of self-management practices on glycaemic control in type 2 diabetic patients in Mexico. / Garcia De Alba Garcia, Javier E.; Dallo, Florence J.; Salcedo Rocha, Ana L.; Rodriguez, Cecilia Colunga; Perez, Noe; Baer, Roberta D.; Weller, Susan.

In: Chronic Illness, Vol. 2, No. 2, 06.2006, p. 77-85.

Research output: Contribution to journalArticle

Garcia De Alba Garcia, JE, Dallo, FJ, Salcedo Rocha, AL, Rodriguez, CC, Perez, N, Baer, RD & Weller, S 2006, 'The relative effect of self-management practices on glycaemic control in type 2 diabetic patients in Mexico', Chronic Illness, vol. 2, no. 2, pp. 77-85. https://doi.org/10.1179/174592006X110950
Garcia De Alba Garcia JE, Dallo FJ, Salcedo Rocha AL, Rodriguez CC, Perez N, Baer RD et al. The relative effect of self-management practices on glycaemic control in type 2 diabetic patients in Mexico. Chronic Illness. 2006 Jun;2(2):77-85. https://doi.org/10.1179/174592006X110950
Garcia De Alba Garcia, Javier E. ; Dallo, Florence J. ; Salcedo Rocha, Ana L. ; Rodriguez, Cecilia Colunga ; Perez, Noe ; Baer, Roberta D. ; Weller, Susan. / The relative effect of self-management practices on glycaemic control in type 2 diabetic patients in Mexico. In: Chronic Illness. 2006 ; Vol. 2, No. 2. pp. 77-85.
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abstract = "Objective: In this study, we examined the relative impact of self-management activities on glycaemic control in a population at high risk for developing complications. Methods: Patients diagnosed with diabetes mellitus of at least 1 year in duration at 30 years of age or older were sampled from the Instituto de Mexico Seguro Social (IMSS) Family Medicine Clinics in Guadalajara, Mexico (n = 800). Demographic, clinical and health behaviour variables were used to predict good/poor glycaemic control, as measured by haemoglobin A1c (A1C). Results: Most (72.24{\%}) patients had poor control (A1C ≥ 7.0). Hyperglycaemia was significantly associated with factors not under patient control, such as having diabetes for a longer time [odds ratio (OR) = 2.40, 95{\%} confidence interval (CI) 1.39, 4.14], having a first-degree relative with diabetes (OR = 1.52; 95{\%} CI 1.06, 2.19), and being prescribed anti-diabetic medications, e.g. insulin (OR = 7.88, 95{\%} CI 2.42, 25.63). After controlling for these variables, the only self-management variable that reduced the likelihood of hyperglycaemia was following a special diet (OR = 0.49; 95{\%} CI 0.32, 0.76). Furthermore, depression had an important effect on self-management, as those with lower levels of depressive symptoms were more likely to follow a diet and exercise. Discussion: While patients in this population have little control over many factors associated with glycaemic control, an important exception is diet. However, because of the adverse effect of depression on dieting, both depression management and dietary education are important for this population.",
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