This study examined self-care behaviors and their relationship to glycemic control
in low-income Mexican adults with type 2 diabetes in Southeastern Tamaulipas, México.
A total of 135 patients were enrolled from 17 community health centers. The most frequent
self-care behavior was medication management (80%), and the least frequent self-care
behavior was self blood glucose monitoring (7%). All the patients demonstrated poor
glycemic control, with glycated hemoglobin > 7%. Self-care behaviors were associated
with fasting blood glucose (rs = .223, p = .005). Medication management was influenced
by cognitive performance, F(1, 130) = 4.49, p = .036, and depression, F(1, 130) =
8.22, p = .005. Dietary behaviors were influenced by previous diabetes education,
F(1, 130) = 6.73, p = .011. These findings indicate that education and cognitive behavioral
interventions in Spanish for Mexican adults with type 2 diabetes are urgently needed.