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Salud Publica Mex

Dirección de Investigación, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Mexico City, Mexico. Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University. Beirut, Lebanon..

Published: April 2024

Objective: To inform the prevalence of cardiovascular risk factors and vascular complications in Mexican adults with early- and late-onset diabetes.

Materials And Methods: Information from adults aged 20 years and over participating in the Encuesta Nacional de Salud y Nutrición 2018 was used. To compare variables, chi-square tests and Student's t-test were performed. Multiple logistic regression models of having micro and macrovascular complications were obtained.

Results: Prevalence of diagnosed hypertension on early and late diabetes onset were 37.8 and 51.5%, dyslipidemia 42.6 and 43.8%, tobacco consumption 13.5 and 10.2% and obesity 46.5 and 43.0%, respectively. The average time since diagnosis was 16.9 years for those with early-onset diabetes and 8.9 years for those with late-onset. Peripheral vascular disease in the group with early-onset diabetes was 13.5% (20.2% in those with 10 years and more of diabetes duration), and 5.3% in late-onset diabetes group (7.2% in those with 10 years and more of diabetes duration).

Conclusion: Adults with earlyonset diabetes presented higher proportion of macrovascular complications, probably due to the longer exposure time to hyperglycemia. Patients with early-onset diabetes require intensive treatment to prevent cardiovascular events. Patients with late-onset diabetes require management of age-related comorbidities as hypertension and dyslipidemia.

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Source
http://dx.doi.org/10.21149/15786DOI Listing

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