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Diabetes

High diabetes-mellitus-linked mortality in Mexico

Nature Reviews Endocrinology volume 13, page 66 (2017)Cite this article

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A large prospective study examining 146,046 participants in Mexico City found that diabetes mellitus is associated with a far worse prognosis in this population than in populations that were analyzed in previous studies conducted primarily in high-income countries. Around a quarter of participants aged 60–74 years were diagnosed with diabetes mellitus. Individuals with diabetes mellitus had a fourfold higher all-cause mortality than participants without diabetes mellitus, in contrast to patients with diabetes mellitus from high-income countries, who have a less-than-twofold increased mortality. The team suggest that inadequate medical care contributes to this difference; participants with diabetes mellitus had poor glycaemic control, with a baseline HbA1c >10% in 36% of patients, and rates of treatment with antihypertensive and lipid-lowering drugs were low.

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References

  1. Alegre-Díaz, J. et al. Diabetes and cause-specific mortality in Mexico City. New Engl. J. Med. 375, 1961–1971 (2016)

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  1. Charlotte Ridler
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Ridler, C. High diabetes-mellitus-linked mortality in Mexico. Nat Rev Endocrinol 13, 66 (2017). https://doi.org/10.1038/nrendo.2016.204

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