<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0016-3813</journal-id>
<journal-title><![CDATA[Gaceta médica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Gac. Méd. Méx]]></abbrev-journal-title>
<issn>0016-3813</issn>
<publisher>
<publisher-name><![CDATA[Academia Nacional de Medicina de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0016-38132024000500007</article-id>
<article-id pub-id-type="doi">10.24875/gmm.m24000905</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación de la calidad de la atención médica en pacientes con diabetes mellitus tipo 2 en un Instituto Nacional de Salud. Resultados clínicos y factores de riesgo]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of the quality of medical care in patients with type 2 diabetes mellitus in a National Institute of Health Clinical results and risk factors]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blancarte-Ibarra]]></surname>
<given-names><![CDATA[Marcos N.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guevara-Olivera]]></surname>
<given-names><![CDATA[Renée]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Siller-García]]></surname>
<given-names><![CDATA[Paloma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarado-Castillejos]]></surname>
<given-names><![CDATA[Marlene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lechuga-Ordóñez]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Islas]]></surname>
<given-names><![CDATA[Valeria E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Fong]]></surname>
<given-names><![CDATA[Kevin R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez-Bribiesca]]></surname>
<given-names><![CDATA[Sofía A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Díaz]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Tecnológico de Monterrey Escuela de Medicina y Ciencias de la Salud]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Departamento de Medicina Interna ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2024</year>
</pub-date>
<volume>160</volume>
<numero>5</numero>
<fpage>538</fpage>
<lpage>545</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0016-38132024000500007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0016-38132024000500007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0016-38132024000500007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La diabetes mellitus tipo 2 (DM2) es una enfermedad crónica de alta prevalencia.  Objetivo: Evaluar la calidad de la atención médica brindada a pacientes con DM2 en el Departamento de Medicina Interna del Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, con base en las metas establecidas por el Diabetes Recognition Program; así como identificar factores de riesgo para el mal control glucémico y establecer una cohorte de pacientes con DM2 para seguimiento.  Material y métodos: Estudio descriptivo, observacional y retrospectivo. Se analizaron 708 historias clínicas.  Resultados: Según los parámetros del National Committee for Quality Assurance (NCQA), el Instituto obtuvo la puntuación para ser acreditado como centro de excelencia en la atención de pacientes con DM2 (81/100 puntos). Los pacientes con mal control glucémico (HbA1c &#8805; 7 %) fueron más jóvenes (62.97 años versus 66.06 años, p= 0.0016), presentaron mayor tiempo de evolución de la DM2 (13.40 versus 9.57 años, p = 0.0001) y niveles de vitamina D más bajos (20.49 ng/mL versus 22.39 ng/mL, p = 0.0021).  Conclusiones: El Departamento de Medicina Interna brinda atención médica de alta calidad y cumple con los estándares internacionales; sin embargo, el mal control de la DM2, el sobrepeso y la obesidad siguen prevaleciendo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: DM2 is a highly prevalent chronic disease.  Objective: Evaluate the quality of the medical care provided to patients with DM2 in the Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubiran, Mexico, based on the goals established by the Diabetes Recognition Program, and identify risk factors for poor glycemic control. Establish a cohort of patients with DM2 for follow-up.  Material and methods: This is a descriptive, observational, and retrospective study. We analyzed 708 medical charts.  Results: According to the National Committee for Quality Assurance (NCQA) parameters, our center obtained the score to be accredited as a center of excellence in the care of patients with DM2 (81/100 points). Patients with poor glycemic control (HbA1c &#8805; 7 %) were younger (62.97 vs 66.06 years, p= 0.0016), their DM2 had been present for a longer period (13.40 vs 9.57 years, p= 0.0001), and vitamin D levels were lower (20.49 vs 22.39 ng/ml, p= 0.0021).  Conclusions: The Internal Medicine Department provides high-quality medical care, and fulfills international standards; however, poor DM2 control, overweight, and obesity are still highly prevalent.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Calidad]]></kwd>
<kwd lng="es"><![CDATA[Control glucémico]]></kwd>
<kwd lng="es"><![CDATA[Diabetes mellitus tipo 2]]></kwd>
<kwd lng="es"><![CDATA[Factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[Vitamina D]]></kwd>
<kwd lng="en"><![CDATA[Quality]]></kwd>
<kwd lng="en"><![CDATA[Glycemic control]]></kwd>
<kwd lng="en"><![CDATA[Diabetes mellitus type 2]]></kwd>
<kwd lng="en"><![CDATA[Risk factor]]></kwd>
<kwd lng="en"><![CDATA[Vitamin D]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<collab>International Diabetes Federation</collab>
<article-title xml:lang=""><![CDATA[Diabetes atlas]]></article-title>
<source><![CDATA[International Diabetes Federation]]></source>
<year>2021</year>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Basto-Abreu]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Barrientos-Gutiérrez]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Rojas-Martínez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Aguilar-Salinas]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[López-Olmedo]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[De la Cruz-Góngora]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de diabetes y descontrol glucémico en México:resultados de la Ensanut 2016]]></article-title>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2020</year>
<volume>62</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>50-9</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Campos-Nonato]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Galván-Valencia]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández-Barrera]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Oviedo-Solís]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Barquera]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de obesidad y factores de riesgo asociados en adultos mexicanos:resultados de la Ensanut 2022]]></article-title>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2023</year>
<volume>65</volume>
<numero>Supl 1</numero>
<issue>Supl 1</issue>
<page-range>S238-47</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<collab>NCQA</collab>
<article-title xml:lang=""><![CDATA[Diabetes Recognition Program]]></article-title>
<source><![CDATA[National Committee for Quality Assurance]]></source>
<year>2023</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bin]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Sr]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Alduwayhis]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Aleid]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Albarrak]]></surname>
<given-names><![CDATA[AN]]></given-names>
</name>
<name>
<surname><![CDATA[Aloraini]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Glycemic control for type 2 diabetes mellitus patients:a systematic review]]></article-title>
<source><![CDATA[Cureus]]></source>
<year>2022</year>
<volume>14</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nanayakkara]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Ranasinha]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Gadowski]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[WA]]></given-names>
</name>
<name>
<surname><![CDATA[Flack]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Wischer]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Age-related differences in glycaemic control, cardiovascular disease risk factors and treatment in patients with type 2 diabetes:a cross-sectional study from the Australian National Diabetes Audit]]></article-title>
<source><![CDATA[BMJ Open]]></source>
<year>2018</year>
<volume>8</volume>
<page-range>20677</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ocampo-Torres]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Carrillo-Alarco´n]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
<name>
<surname><![CDATA[Lo´pez-Carbajal]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[A´ngeles-Herna´ndez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo y descontrol glucémico en pacientes con diabetes mellitus tipo 2 en la Jurisdicción Sanitaria VII, Actopan, Hidalgo, México]]></article-title>
<source><![CDATA[Gac Hidalguense Invest Salud]]></source>
<year>2020</year>
<volume>8</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>3-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berkowitz]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Meigs]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
<name>
<surname><![CDATA[Wexler]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Age at type 2 diabetes onset and glycaemic control:results from the National Health and Nutrition Examination Survey (NHANES) 2005-2010]]></article-title>
<source><![CDATA[Diabetologia]]></source>
<year>2013</year>
<volume>56</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>2593-600</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Song]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Hardisty]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early onset type 2 diabetes mellitus:a harbinger for complications in later years&#8212;clinical observation from a secondary care cohort]]></article-title>
<source><![CDATA[QJM]]></source>
<year>2009</year>
<volume>102</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>799-806</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Espinosa]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida VR dos]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[do Nascimento]]></surname>
<given-names><![CDATA[VF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Poor glycemic control and associated factors in diabetic people attending a reference outpatient clinic in Mato Grosso, Brazil]]></article-title>
<source><![CDATA[Invest Educ Enferm]]></source>
<year>2021</year>
<volume>39</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[FR]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[HL]]></given-names>
</name>
<name>
<surname><![CDATA[Zhou]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Zheng]]></surname>
<given-names><![CDATA[JZ]]></given-names>
</name>
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[GC]]></given-names>
</name>
<name>
<surname><![CDATA[Zou]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diabetes duration and glycaemic control as predictors of cardiovascular disease and mortality]]></article-title>
<source><![CDATA[Diabetes Obes Metab]]></source>
<year>2021</year>
<volume>23</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1361-70</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Talaei]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mohamadi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Adgi]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of vitamin D on insulin resistance in patients with type 2 diabetes]]></article-title>
<source><![CDATA[Diabetol Metab Syndr]]></source>
<year>2013</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-5</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
