New estimates of pre-diabetes and type 2 diabetes prevalence in Mexican Quintana Roo

Katarina Zvarova*, Zuzana Zvarova, Peter W. Callas, Dorothy Malone-Rising

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

The objective was to study prevalence of pre-diabetes and type 2 diabetes in adult and adolescent populations of Quintana Roo, the fastest-developing region of the Mexican Yucatan Peninsula. In this cross-sectional population-based study, a single random capillary glucose sample was collected from members of the general public, institutions, and middle school students during periodic visits between 2006 and 2010 using a one-stage, modified World Health Organization (WHO) STEPwise approach. Subjects were invited to fixed testing sites for interviews and anthropometry; a subgroup of subjects received a clinical examination. Fasting or postprandial glycemia was assessed, and glucose dysregulation was determined using WHO/American Diabetologic Association (ADA) diagnostic and classification criteria. Subjects with previously diagnosed diabetes were analyzed separately. The prevalence of newly diagnosed, pre-diabetes (impaired fasting glucose [IFG] and postprandial hyperglycemia) among subjects ≥20 years old was 21.8 % (95 % confidence interval, 19.6-24.3 %), whereas that of type 2 diabetes was 15.4 % (13.4-17.5 %). Among children and adolescents <20 years old, the estimated prevalence rates for newly diagnosed, pre-diabetes and type 2 diabetes were 14.3 % (12.6-16.1 %) and 1.5 % (1.0-2.2 %), respectively. Of patients with known diabetes, 67 % were hyperglycemic. Higher-than-expected prevalence rate of the newly diagnosed pre-diabetes and type 2 diabetes in adults, and type 2 diabetes in adolescents in the Quintana Roo region of Mexico points to the urgent need for targeted preventative and educational health programs.

Original languageEnglish
JournalInternational Journal of Diabetes in Developing Countries
Volume33
Issue number1
Pages (from-to)8-12
ISSN0973-3930
DOIs
Publication statusPublished - 1. Mar 2013
Externally publishedYes

Keywords

  • Adolescents
  • Adults
  • Disease management
  • Mexico
  • Pre-diabetes
  • Type 2 diabetes

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