Influence of social determinants, diabetes knowledge, health behaviors, and glycemic control in type 2 diabetes: an analysis from real-world evidence

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 and of other potential determinants of health (e.g., socioeconomic status, education, diabetes knowledge, physical activity, and self-care behavior). However, the relationships between these factors are not totally clear and have not been studied in the context of large urban settings. This study aimed to explore the relationship between these determinants of glycemic control (GC) in a low-income urban population from Mexico City, focused in exploring potential the mediation of self-care behaviors in the association between diabetes knowledge and GC. Methods: A multicenter cross-sectional study was conducted in patients with type 2 diabetes (T2D) from 28 primary care outpatient centers located in Mexico City. Using multivariable-adjusted models, we determined the associations between diabetes knowledge, self-care behaviors, and GC. The mediation analyses to determine the pathways on glycemic control were done using linear regression models, where the significance of indirect effects was calculated with bootstrapping.

Age- and sex-specific profiles of temporal fasting plasma glucose variability in a population undergoing routine health screening

“…Human health outcomes are unequally distributed throughout populations [ 1 ]. Due to differences among population groups subdivided according to age and other demographic characteristics over time, there is a need for epidemiological studies to evaluate observed trends, plan for health care services, and launch interventions to improve health [ 2 , 3 ].…”

Recurrent DKA results in high societal costs – a retrospective study identifying social predictors of recurrence for potential future intervention

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Complications in Diabetes Mellitus: Social Determinants and Trends

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