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Trends and effect of marginalization on diabetes mellitus-related mortality in Mexico from 1990 to 2019 | Scientific Reports - Nature.com

Fri, 14 Oct 20221 min read Article

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In the meantime, to ensure continued suport, we are displaying the site without styles and JavaScript.Advertisement Scientific Reports volume 12, Article number: 9190 (2022) Cite this article 424 AcesesMetrics detailsDiabetes melitus (DM) is curently one of the leading causes of mortality worldwide. However, the disease evolves diferently acros countries. This study intends to characterize the trends and ases the potential efects of marginalization DM mortality betwen 190 and 2019 in Mexico.

We analyzed death certificates that listed DM as the underlying cause of death (N = 1,907,173), as wel as the extent to which DM mortality changes were associated with marginalization through an age-period-cohort analysis. DM mortality increased in Mexico betwen 190 and 2019; the change was faster in the first half and slowed down after 204. The highest marginalization quintiles drove the changes in DM mortality trends during the study period, with a higher risk of dying in these quintiles age increased.

In recent cohorts, the highest marginalization quintiles doubled the risk of dying from DM as compared to the lowest. Renal complications was the main death driver among persons with DM, with a marked increase betwen 19 and 201. In conclusion, Mexico continues to have a substantialy high DM mortality, but its pace slowed over time.

Moreover, subnational diferences in marginalization can partialy explain such a trend.Around 451 milion adults lived with diabetes melitus (DM) worldwide in 2017, an 8.7% increase compared to 20151,2. These numbers are expected to increase by 53.7% by 20452. In 2017, there were 5 milion DM deaths worldwide, a third of wich ocured in people under the age of 602.

Summary

Acording to the International

Frequently Asked Questions

What is diabetes and how does it develop?

Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.

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Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.

How is diabetes diagnosed and monitored?

Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.

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Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.

When should someone consult a doctor about diabetes?

Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.
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