2025, Number 6
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salud publica mex 2025; 67 (6)
Prevalence of diabetes and glycemic control in Mexico, Ensanut 2021-2024
Reyes-García A, Basto-Abreu A, Reyes-Sánchez F, Stern D, Romero-Martínez M, Campos-Nonato I, Rojas-Martínez R, Aguilar-Salinas CA, Barrientos-Gutiérrez T
Language: Spanish
References: 33
Page: 622-632
PDF size: 691.77 Kb.
ABSTRACT
Objective. To estimate the prevalence of type 2 diabetes
(T2D), medical care, pharmacological treatment, and glycemic
control in Mexico at national, regional, and state levels.
Materials and methods. Data from the Encuesta Nacional
de Salud y Nutrición Continua 2021-2024 were used to estimate
the prevalence of total-, diagnosed-, and undiagnosed-T2D,
and prevalence of medical care, treatment, and glycemic control
(HbA1c ‹7%), stratified by sociodemographic variables.
Results. National T2D prevalence was 17.0%, with 11.6%
previously diagnosed and 5.4% undiagnosed. Durango and
Campeche had the highest diagnosed prevalence (~16%).
Central and North-Pacific regions reported the highest total
(21.1 and 20.7%) and undiagnosed (8.1 and 7.3%) T2D prevalences.
Among diagnosed population, 73.0% received medical
care, 90.9% were under treatment, and 33.0% achieved glycemic
control, with the lowest proportions in Central-Pacific,
Mexico City and Peninsula (‹30%).
Conclusion. Findings
reveal geographic disparities and underscore the need for
policies focused on early detection, sustained care, and effective
glycemic control of T2D in Mexico.
REFERENCES
GBD 2021 Diabetes Collaborators. Global, regional, and nationalburden of diabetes from 1990 to 2021, with projections of prevalenceto 2050: a systematic analysis for the Global Burden of Disease Study 2021. Lancet. 2023;402(10397):203-34. https://doi.org/10.1016/S0140-6736(23)01301-6
Villalpando S, de la Cruz V, Rojas R, Shamah-Levy T, Ávila MA, Gaona B, etal. Prevalence and distribution of type 2 diabetes mellitus in Mexican adultpopulation: a probabilistic survey. Salud Publica Mex. 2010;52(supl 1):s19-26. https://doi.org/10.1590/s0036-36342010000700005
Basto-Abreu A, Reyes-García A, Stern D, Torres-Ibarra L, Rojas-MartínezR, Aguilar-Salinas CA, et al. Cascadas de tamizaje y atención de la diabetestipo 2 en México. Salud Publica Mex. 2024;66(4):530-8. https://doi.org/10.21149/16209
Montoya A, Gallardo-Rincón H, Silva-Tinoco R, García-Cerde R, Razo C,Ong L, et al. Epidemia de diabetes tipo 2 en México. Análisis de la carga dela enfermedad 1990-2021 e implicaciones en la política pública. Gac MedMex. 2023;159:488-500. https://doi.org/10.24875/GMM.23000378
Zhang X, Bullard KM, Gregg EW, Beckles GL, Williams DE, Barker LE, etal. Access to health care and control of ABCs of diabetes. Diabetes Care.2012;35(7):1566-71. https://doi.org/10.2337/dc12-0081
Redondo A, Benach J, Subirana I, Martinez JM, Muñoz MA, Masiá R, et al.Trends in the prevalence, awareness, treatment, and control of cardiovascularrisk factors across educational level in the 1995-2005 period. Ann Epidemiol.2011;21(8):555-63. https://doi.org/10.1016/j.annepidem.2011.02.008
Basto-Abreu AC, López-Olmedo N, Rojas-Martínez R, Aguilar-SalinasCA, De la Cruz-Góngora VV, Rivera-Dommarco J, et al. Prevalenceof diabetes and glycemic control in Mexico: national results from2018 and 2020. Salud Publica Mex. 2021;63(6):725-33. https://doi.org/10.21149/12842
Hill-Briggs F, Adler NE, Berkowitz SA, Chin MH, Gary-Webb TL, Navas-Acien A, et al. Social determinants of health and diabetes: a scientific review.Diabetes Care. 2020;44: 258-79. https://doi.org/10.2337/dci20-0053
Presley CA, Khodneva Y, Juarez LD, Howell CR, Agne AA, Riggs KR, etal. Trends and predictors of glycemic control among adults with type 2diabetes covered by Alabama Medicaid, 2011-2019. Prev Chronic Dis.2023;20:220332. https://doi.org/10.5888/pcd20.220332
Azagew AW, Mekonnen CK, Lambie M, Shepherd T, Babatunde OO.Poor glycemic control and its predictors among people living withdiabetes in low- and middle-income countries: a systematic review andmeta-analysis. BMC Public Health. 2025;25:714. https://doi.org/10.1186/s12889-025-21828-y
Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arrendondo S, Colchero MA, Gaona-Pineda EB, et al. Metodología de laEncuesta Nacional de Salud y Nutrición 2022 y Planeación y diseño de laEnsanut Continua 2020-2024. Salud Publica Mex. 2022;64(5):522-9. https://doi.org/10.21149/14186
Basto-Abreu A, López-Olmedo N, Rojas-Martínez R, Aguilar-SalinasCA, Moreno-Banda GL, Carnalla M, et al. Prevalencia de prediabetes y diabetesen México: Ensanut 2022. Salud Publica Mex. 2023;65(supl 1):s163-8.https://doi.org/10.21149/14832
Romero-Martínez M, Shamah-Levy T, Barrientos-Gutiérrez T,Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA, et al. EncuestaNacional de Salud y Nutrición 2023: metodología y avances de la EnsanutContinua 2020-2024. Salud Publica Mex. 2023;65(4):394-401. https://doi.org/10.21149/15081
Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA, Gaona-Pineda EB, et al. Metodología dela Encuesta Nacional de Salud y Nutrición 2021. Salud Publica Mex.2021;63(6):813-8. https://doi.org/10.21149/13348
Secretaría de Salud. Protocolo clínico para el diagnóstico y tratamientode la diabetes. México: SS, 2015 [citado junio 30, 2025]. Disponible en:https://www.gob.mx/salud/documentos/protocolo-clinico-para-el-diagnostico-y-tratamiento-de-la-diabetes
American Diabetes Association Professional Practice Committee. 2.Diagnosis and Classification of Diabetes: Standards of Care in Diabetes-2025.Diabetes Care. 2025;48(supl 1):S27-49. https://doi.org/10.2337/dc25-S002
American Diabetes Association Professional Practice Committee. GlycemicGoals and Hypoglycemia: Standards of Care in Diabetes-2025. DiabetesCare. 2025;48(supl 1): S128-145. https://doi.org/10.2337/dc25-S006
Moreno-Altamirano L, García-García JJ, Soto-Estrada G, CapraroS, Limón-Cruz D. Epidemiología y determinantes sociales asociados ala obesidad y la diabetes tipo 2 en México. Rev Med Hosp Gen Mex.2014;77(3):114-23. https://doi.org/10.1016/j.hgmx.2014.07.002
López-López E, Ortiz-Gress AA, López-Carbajal MJ. Intervención educativasobre el nivel de conocimientos en pacientes con diabetes y bajao nula escolaridad. Investigación en Educación Médica. 2016;5(17):11-16.https://doi.org/10.1016/j.riem.2015.08.003
Reyes-García A, Basto-Abreu A, Reyes-Sánchez F, Stern D, Romero-Martínez M, Campos-Nonato I, et al. Material suplementario. Prevalenciade diabetes y control glucémico en México a nivel nacional yestatal: Ensanut 2021-2024. Figshare, 2025. https://doi.org/10.6084/m9.figshare.30461753
Secretaría de Salud. Estrategia nacional para la prevención y el controldel sobrepeso, la obesidad y la diabetes. México: SS, 2013 [citado junio 30,2025]. Disponible en: https://www.gob.mx/salud/cenaprece/documentos/estrategia-nacional-para-la-prevencion-y-el-control-del-sobrepeso-laobesidad-y-la-diabetes-136837
Secretaría de Salud. Cuestionario de Factores de Riesgo. México: Cenaprese,Gobierno de México. 2015 [citado junio 30, 2025]. Disponibleen: https://www.gob.mx/salud/documentos/cuestionario-de-factores-deriesgo
Barquera S, Hernández-Alcaraz C, Jáuregui A, Medina C, Mendoza-Herrera K, Pedroza-Tobias A, et al. Diabetes awareness, treatment, andcontrol among Mexico City residents. Diabetology. 2021;2(1):16-30.https://doi.org/10.3390/diabetology2010002
Bautista-Arredondo S. Utilización de servicios públicos de salud enMéxico: Uno de los retos críticos del sistema de salud. Méxco: INSP, 2025[citado junio 30, 2025]. Disponible en: https://www.insp.mx/informacionrelevante/utilizacion-de-servicios-publicos-de-salud-en-mexico-uno-delos-retos-criticos-del-sistema-de-salud
Beagley J, Guariguata L, Weil C, Motala AA. Global estimates of undiagnoseddiabetes in adults. Diabetes Res Clin Pract. 2014;103(2):150-60.https://doi.org/10.1016/j.diabres.2013.11.001
Ogurtsova K, Guariguata L, Barengo NC, Ruiz PL-D, Sacre JW, KarurangaS, et al. IDF diabetes Atlas: Global estimates of undiagnosed diabetesin adults for 2021. Diabetes Res Clin Pract. 2022;183:109118. https://doi.org/10.1016/j.diabres.2021.109118
Gallardo-Rincón H, Ríos-Blancas MJ, Montoya A, Saucedo-MartínezR, Morales-Juárez L, Mujica R, et al. Evaluation of effective coverage fortype 2 diabetes in Mexican primary care health information systems: aretrospective registry analysis. Int J Equity Health. 2023;22:61. https://doi.org/10.1186/s12939-023-01878-7
Knaul FM, González-Pier E, Gómez-Dantés O, García-Junco D,Arreola-Ornelas H, Barraza-Lloréns M, et al. The quest for universalhealth coverage: achieving social protection for all in Mexico. Lancet.2012;380(9849):1259-79. https://doi.org/10.1016/S0140-6736(12)61068-X
Comisión Económica para América Latina y el Caribe. EstudioEconómico de América Latina y el Caribe, 2020 (LC/PUB.2020/12-P).Santiago: Cepal, 2020 [citado junio 30, 2025]. Disponible en: https://repositorio.cepal.org/server/api/core/bitstreams/245e6e2d-7409-4a75-a59e-468da76d48fe/content
Consejo Nacional de Evaluación de la Política de Desarrollo Social.Estudio sobre el derecho a la salud 2023: un análisis cualitativo. Ciudadde México: Coneval, 2023 [citado junio 30, 2025]. Disponible en: https://www.coneval.org.mx/EvaluacionDS/PP/CEIPP/IEPSM/Documents/E_Derecho_Salud_2023.pdf
Colchero MA, Gómez R, Figueroa JL, Rodríguez-Atristain A, Bautista-Arredondo S. Aumento en la oferta de consultorios adyacentes a farmaciasy atención en servicios públicos en México entre 2012 y 2018. SaludPublica Mex. 2020;62(6):851-8. https://doi.org/10.21149/11547
Goh LH, Siah CJR, Tam WWS, Tai ES, Young DYL. Effectiveness of thechronic care model for adults with type 2 diabetes in primary care: asystematic review and meta-analysis. Syst Rev. 2022;11(1):273.https://doi.org/10.1186/s13643-022-02117-w
U.S. Centers for Disease Control and Prevention (CDC). NationalDiabetes Statistics Report. Atlanta: CDC, 2024 [citado abril 11, 2025].Disponible en: https://www.cdc.gov/diabetes/php/data-research/index.html