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ARTICLE TYPE : RESEARCH ARTICLE

Published on :   23 Jul 2026, Volume - 2
Journal Title :   WebLog Journal of Family Medicine | WebLog J Fam Med | WJFM
Source URL:   weblog icon https://weblogoa.com/articles/wjfm.2026.g2304
Permanent Identifier (DOI) :   doi icon https://doi.org/10.5281/zenodo.21739948

Family Support and Its Association with Glycemic Control in Patients with Type 2 Diabetes Mellitus in the DiabetIMSS Program

Cárdenas-de Luna MJ 1 *
Solís-Figueroa DA 1
De Jesús-González L 2
López-Aparicio LR 3
Borrego-Moreno JC 4
1Family Medicine Specialist, Attending Physician in the Outpatient Department, Hospital General de Zona No. 1, Zacatecas, C.P. 98040, Mexico
2Doctor of Science, Researcher at the Biomedical Research Unit, Instituto Mexicano del Seguro Social, Hospital General de Zona No. 1, Zacatecas, C.P. 98040, Mexico
3Family Medicine Specialist, Attending Physician, Family Medicine Unit No. 57, Zacatecas, C.P. 98040, Mexico
4MSc in Molecular Biomedicine, Epidemiology Specialist, Attending Physician Assigned to the Epidemiology Department, Hospital General de Zona No. 1, Zacatecas, C.P. 98040, Mexico

Abstract

Objective: To determine the association between family support and glycemic control in patients with type 2 diabetes mellitus (T2DM) enrolled in the DiabetIMSS program at a Family Medicine Unit (FMU) in Zacatecas, Mexico.

Methods: An observational, cross-sectional, analytical study was conducted. A total of 170 patients with T2DM from FMU No. 4 of the Instituto Mexicano del Seguro Social (IMSS) in Guadalupe, Zacatecas, were included. The Instrument for Assessing Family Support in Patients with T2DM and the Graffar-Méndez Castellanos scale were applied. Glycemic control was defined as fasting serum glucose ≤130 mg/dL. χ² tests, the Mann-Whitney U test, and binary logistic regression were used. Statistical significance was set at p≤0.05.

Results: The median age was 58 years, with a range from 30 to 83 years. The prevalence of glycemic control was 48.2% (n=82). Family support was moderate in 69.4% (n=118) and high in 30.6% (n=52). No statistically significant association was found between the level of family support and glycemic control (p=0.314). Multivariate analysis showed that T2DM duration of less than 5 years (adjusted odds ratio [aOR]=2.14, 95% confidence interval [95% CI]: 1.12-4.08, p=0.021) and the presence of systemic arterial hypertension (aOR=1.98, 95% CI: 1.01-3.88, p=0.045) were independently associated with better glycemic control.

Conclusions: In this population, perceived family support was not associated with better glycemic control. Disease duration and the presence of comorbidities such as hypertension were the main related factors. Strategies that go beyond perceived family support are needed, with emphasis on joint diabetes education and lifestyle modification.

Keywords: Type 2 Diabetes Mellitus; Social Support; Glycemic Control; Family Practice; Primary Health Care

Citation

Cárdenas-de Luna MJ, Solís-Figueroa DA, De Jesús-González L, López Aparicio LR, Borrego-Moreno JC. Family Support and Its Association with Glycemic Control in Patients with Type 2 Diabetes Mellitus in the DiabetIMSS Program. WebLog J Fam Med. wjfm.2026.g2304. https://doi.org/10.5281/zenodo.21739948
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