A cascade of care for diabetes in people living with HIV in a tertiary care center in Mexico City

• Published in: HIV research & clinical practice 2024-12, Vol.25 (1), p.2411481
• Main Authors: Espejo-Ortiz, Cristian E, Sierra-Barajas, Nancy, Silva-Casarrubias, Angelina, Guerrero-Torres, Lorena, Caro-Vega, Yanink, Serrano-Pinto, Yamile G, Lopez-Iñiguez, Alvaro, Sierra-Madero, Juan G, Crabtree-Ramírez, Brenda E
• Format: Article
• Language: English
• Subjects: Adult; Blood Glucose - analysis; cascade of care; diabetes mellitus; Diabetes Mellitus - epidemiology; Diabetes Mellitus - therapy; Female; HIV Infections - complications; HIV Infections - drug therapy; HIV Infections - epidemiology; Humans; latin america; Male; mexico; Mexico - epidemiology; Middle Aged; non-communicable diseases; people with hiv; Prevalence; Retrospective Studies; Tertiary Care Centers - statistics & numerical data
• ISSN: 2578-7489; 2578-7470; 2578-7470
• DOI: 10.1080/25787489.2024.2411481

Diabetes affects 4.5% of people living with HIV in Mexico. This study aims to describe the diabetes cascade of care (DMC) in people with HIV in a tertiary center in Mexico City. We conducted a single-center review of people with HIV aged over 18, using medical records of active people enrolled at the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ) HIV Clinic (HIVC). Our analysis focused on their last visit to describe the DMC, aiming to identify gaps in control goals. We included people who had a consultation within the 12 months preceding May 2020. Out of the 2072 active people, medical records were available for 2050 (98.9%). Among these, 326 people (15.9%) had fasting glucose (FG) abnormalities, of which 133 (40.7%) had diabetes. The prevalence of diabetes among people with HIV was of 6.4% (133/2050). Regarding the DMC, the following proportions of people achieved control goals: 133/133 (100%) received medical care in the last 12 months, 123/123 (100%) had blood pressure (BP)