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Prevention of diabetes in Mexico: pragmatic solutions for a complex problem
Carlos A Aguilar-Salinas1, Hector Bourges Rodriguez2, Ernestina Polo Oteyza2
1C.A. Aguilar-Salinas is with the Department of Endocrinology and Metabolism, Instituto Nacional de Ciencias Médicas y Nutriciœn, Salvador Zubiran, Mexico City, Mexico. H. Bourges-Rodriguez is with the Direction of Nutrition, Instituto Nacional de Ciencias Médicas y Nutriciœn, Salvador Zubiran. Mexico City, Mexico. E. Polo-Oteyza is with the Fundacion Mexicana para la Salud, D.F., Mexico. carlos.aguilars@incmnsz.mx.
Abstract:
The Tenth Nestlé Nutrition Conference, held in Mexico City in November 2014, focused on prevention of type 2 diabetes considering environment, lifestyles, and nutrition. Based on the evidence and recommendations presented during the conference, which are summarized in another article within this supplemental issue, a series of pragmatic proposals to address the environmental, social, and medical factors that have contributed to the growing prevalence of type 2 diabetes in Mexico was formulated. For this article, the actions were organized into 2 conceptual models: one that is applicable for the whole population and the other for at-risk individuals. In addition, each of the items includes the personal views of the authors regarding feasible actions that could be implemented in Mexico. Readers will find a large number of initiatives that could be applied at various levels and for particular subsets of the population. This makes it feasible for improvements to be induced through environmental changes and/or via increased access for at-risk individuals to validated interventions that prevent or delay the onset of diabetes.
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