TITLE:
Self-Care Techniques and Their Association with Glycemic Control in Older Mexican Adults with Type 2 Diabetes in a Primary Care Centre
AUTHORS:
Tanit Vazquez Padilla, Fátima Korina Gaytán-Nuñez, Francisco Vargas Hernández, María Guadalupe Saucedo Martínez, Luis Rey Garcia Cortes, Oscar Jiménez Jalpa, Elizabeth García Cortes, Jehu Arturo Tamayo Calderon, Everardo Villar Aguirre, Eva Lilia Granados Francos, Ivonne Mónica Plata Ramos
KEYWORDS:
Self-Care, Diabetes, Glycemic Control, Adults, Risk Factors
JOURNAL NAME:
Open Journal of Epidemiology,
Vol.15 No.4,
September
30,
2025
ABSTRACT: Introduction: The guidelines of the International Diabetes Federation (T2D) emphasise the importance of self-care in the comprehensive management of the disease. A high level of self-care for both the patient and their family reduces complications and hospitalisations. Self-care techniques are associated with glycemic control in populations from the Middle East, Europe, and Asia, with limitations in Mexican studies. Objective: To associate self-care techniques and glycemic control in older Mexican adults with Type 2 diabetes. Material and Methods: A cross-sectional, analytical study was conducted in adults aged 60 to 70 years old diagnosed with T2D and without complications. Glycosylated haemoglobin levels were recorded, and the Self-Care Practice Survey for Older Adults with Diabetes was applied. For statistical purposes, the poor and regular categories of self-care were combined resulting in a dichotomous scale: Poor and good self-care techniques. A multiple binary logistic regression model was performed with the variables: self-care techniques, gender, evolution p value. Results: Of the 204 subjects, 54.9% were women, 69.1% had poor self-care techniques, and 51% had poor glycemic control. In the adjusted model, poor self-care techniques had an Exp B of 2.9 [95% CI 1.5 - 5.5] and p Conclusions: These findings emphasise the relevance of using psychobehavioural variables, such as self-care, in the comprehensive care of geriatric patients with T2D in primary care centres.