Incidence of type 2 diabetes in Mexico. Results of The Mexico City Diabetes Study after 18 years of follow-up.

• Main Authors: Clicerio González-Villalpando, Claudio Alberto Dávila-Cervantes, Mireya Zamora-Macorra, Belem Trejo-Valdivia, María Elena González-Villalpando
• Format: Article
• Language: English
• Published: Instituto Nacional de Salud Pública 2014-01-01
• Series: Salud Pública de México
• Subjects: diabetes mellitus; incidence; urban population
• Online Access: http://www.saludpublica.mx/index.php/spm/article/view/7318

Objective. To estimate the incidence of type 2 diabetes (T2D) in Mexican population. Materials and methods. Population based prospective study. At baseline (1990), the population at risk (1939 non-diabetic adults 35-64 years) was evaluated with oral glucose tolerance test. Subsequent similar evaluations were done (1994, 1998, 2008). American Diabetes Association diagnostic criteria were applied. Results. The period of observation was 27842 person-years, the cumulative incidence of T2D was 14.4 and 13.7 per 1000 person-years for men and women, respectively. Incidence was 15.8, 15.7 and 12.7 per 1 000 person-years for the second (1994), third (1998) and fourth (2008) follow-up phases, respectively. The mean age at diagnosis was 44 years for prevalent cases and 56 years for incident cases. Conclusions. This is the first estimate of long-term incidence of T2D in Mexican population. The incidence is among the highest reported worldwide. It remained with few changes throughout the study period.