Factors Influencing Glycemic Control in Patients with Diabetes Type II in Mexican Patients

Background: The glycemic control in patients with type 2 diabetes (T2D) is complex and difficult, due to the impact of multiple factors especially family members. Aim: So the purpose of this study is to know the primary factors that influence glycemic control in patients with T2D. Design and Setting: Comparative cross-sectional study. Methods: In 166 patients with T2D in a family medicine unit in Ciudad Obregon, Sonora, Mexico, two groups where formed, the controlledgroup (with a fasting plasma glucose < 130 mg/dL and HbA1c < 7%) and the uncontrolled group (with a fasting plasma glucose = 130 mg/dL and HbA1c = 7%), surveys were conducted in obtaining socio-demographic (age, gender, marital status, schooling, socioeconomic status), clinical (body mass index, nutritional status, timeof diagnosis, use of insulin,number of medications used, history of high blood pressure, treatment adherence and patient physician relation) and family information (typology based upon integration, development, demographics; functionality and family life cycle stage). Results: Patients in the uncontrolled group presented greater timeof diagnosis, lack of adherence to treatment, use of insulin, a non-satisfactory patient-physician relation, family dysfunction and find themselves prior to the retirement and death phase of the family life cycle. Conclusion: In the treatment of patients with T2D, it is necessary to consider family and contextual variables to favora better control.