
WHO | Quality of care is key to tackling Mexicos diabetes emergency
Quality of care is key to tackling Mexicos diabetes emergency
Mexico has declared the epidemic of diabetes a national emergency and is seeking to improve the quality of care for some 13 million people with the disease. Amy Guthrie and Fiona Fleck report.
Bulletin of the World Health Organization 2017;95:393-394. doi: http://dx.doi.org/10.2471/BLT.17.020617
Diabetes patient Silvestre Snchez has his blood glucose read by a nurse at the Roma Norte neighbourhood health clinic in Mexico City.
In a clinic in Mexico Citys Roma Norte neighbourhood a doctor calls the 12 patients by name. One by one they are weighed, their blood pressure is taken and waist circumference measured.
At these monthly sessions run by the DiabetIMSS programme, patients learn how to manage type 2 diabetes a chronic condition that is not immediately life-threatening as long as they take their medicine and make lifestyle changes.
The patients learn to keep their disease in check to avoid serious complications like amputations, explains Dr Sara Leticia Arana Barriga, head of the clinics DiabetIMSS programme, run by the Instituto Mexicano del Seguro Social (IMSS), which is part of Mexicos national public health system.
While the onus is partly on patients to adhere to treatment and diet advice to stay well and ward off life-threatening complications, health-care services must also ensure that people once diagnosed with diabetes have access to medicines, are regularly screened for complications, and that any complications are treated promptly.
Type 2 diabetes is the leading cause of death and disabi
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