Use of telephone calls to manage glycemic control at Mexico’s northern border

IntroductionTelephone calls were used for glycemic control in type 2 diabetes mellitus (T2DM) patients during the Covid-19 pandemic. The study’s objective was to determine the factors that favor glycemic control in patients with T2DM using telephone calls in the Mexico’s northern border.MethodsA ret...

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Main Authors: Víctor Hugo Vázquez Martínez, Humberto Martínez Bautista, Jesús Loera Morales, Francisco Daniel Garzón Garcia, David Vélez Maldonado, Patricia Muñoz Villegas
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1420244/full
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author Víctor Hugo Vázquez Martínez
Humberto Martínez Bautista
Jesús Loera Morales
Francisco Daniel Garzón Garcia
David Vélez Maldonado
Patricia Muñoz Villegas
author_facet Víctor Hugo Vázquez Martínez
Humberto Martínez Bautista
Jesús Loera Morales
Francisco Daniel Garzón Garcia
David Vélez Maldonado
Patricia Muñoz Villegas
author_sort Víctor Hugo Vázquez Martínez
collection DOAJ
description IntroductionTelephone calls were used for glycemic control in type 2 diabetes mellitus (T2DM) patients during the Covid-19 pandemic. The study’s objective was to determine the factors that favor glycemic control in patients with T2DM using telephone calls in the Mexico’s northern border.MethodsA retrospective cohort study was conducted with T2DM patients from the Family Medicine Unit 33 in Reynosa, Tamaulipas, from June 2021 to June 2022. The evaluation of glycemic control involved measuring glycated hemoglobin at the beginning and end of telephone follow-up. Clinical, demographic, social, and laboratory factors were analyzed using univariate and bivariate statistical methods to compare initial and final glycemic control, finally, two logistic regression models were estimated considering glycemic control as a binary variable.ResultsA total of 287 participants were followed up, comprising 122 men and 165 women, where 71.78% received nine or more phone calls. Initially, 49.13% had glycemic control, but by the end of the follow-up, it increased by 7%. Females show an Odds Ratio (OR) of 0.475 (95% CI 0.269-0.838), high-density lipid levels with an OR = 0.982 (p=0.078), and 11 follow-up telephone calls with an OR = 0.403 (95% CI 0.165-0.985), which represented factors contributing to glycemic control. Poor glycemic control is more likely in individuals with a high cardiovascular risk, with an OR of 2.193 (p=0.085).ConclusionCell phone calls can effectively control glycemia in T2DM patients. Therefore, they can be used as a substitute for in-person medical care.
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spelling doaj-art-dcc835143f5c4536b5c72ff1dc8a8baf2025-08-20T02:16:44ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-04-011610.3389/fendo.2025.14202441420244Use of telephone calls to manage glycemic control at Mexico’s northern borderVíctor Hugo Vázquez Martínez0Humberto Martínez Bautista1Jesús Loera Morales2Francisco Daniel Garzón Garcia3David Vélez Maldonado4Patricia Muñoz Villegas5Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 33 de Reynosa, Reynosa, Tamaulipas, MexicoCentro de Investigación en Matemáticas, A.C. (CIMAT), Unidad Aguascalientes, Aguascalientes, Aguascalientes, MexicoInstituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 33 de Reynosa, Reynosa, Tamaulipas, MexicoInstituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 33 de Reynosa, Reynosa, Tamaulipas, MexicoInstituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 33 de Reynosa, Reynosa, Tamaulipas, MexicoCentro de Investigación en Matemáticas, A.C. (CIMAT), Unidad Aguascalientes, Aguascalientes, Aguascalientes, MexicoIntroductionTelephone calls were used for glycemic control in type 2 diabetes mellitus (T2DM) patients during the Covid-19 pandemic. The study’s objective was to determine the factors that favor glycemic control in patients with T2DM using telephone calls in the Mexico’s northern border.MethodsA retrospective cohort study was conducted with T2DM patients from the Family Medicine Unit 33 in Reynosa, Tamaulipas, from June 2021 to June 2022. The evaluation of glycemic control involved measuring glycated hemoglobin at the beginning and end of telephone follow-up. Clinical, demographic, social, and laboratory factors were analyzed using univariate and bivariate statistical methods to compare initial and final glycemic control, finally, two logistic regression models were estimated considering glycemic control as a binary variable.ResultsA total of 287 participants were followed up, comprising 122 men and 165 women, where 71.78% received nine or more phone calls. Initially, 49.13% had glycemic control, but by the end of the follow-up, it increased by 7%. Females show an Odds Ratio (OR) of 0.475 (95% CI 0.269-0.838), high-density lipid levels with an OR = 0.982 (p=0.078), and 11 follow-up telephone calls with an OR = 0.403 (95% CI 0.165-0.985), which represented factors contributing to glycemic control. Poor glycemic control is more likely in individuals with a high cardiovascular risk, with an OR of 2.193 (p=0.085).ConclusionCell phone calls can effectively control glycemia in T2DM patients. Therefore, they can be used as a substitute for in-person medical care.https://www.frontiersin.org/articles/10.3389/fendo.2025.1420244/fullglycemic controltelemedicinetelephonetype 2 diabetes mellituscardiovascular risk
spellingShingle Víctor Hugo Vázquez Martínez
Humberto Martínez Bautista
Jesús Loera Morales
Francisco Daniel Garzón Garcia
David Vélez Maldonado
Patricia Muñoz Villegas
Use of telephone calls to manage glycemic control at Mexico’s northern border
Frontiers in Endocrinology
glycemic control
telemedicine
telephone
type 2 diabetes mellitus
cardiovascular risk
title Use of telephone calls to manage glycemic control at Mexico’s northern border
title_full Use of telephone calls to manage glycemic control at Mexico’s northern border
title_fullStr Use of telephone calls to manage glycemic control at Mexico’s northern border
title_full_unstemmed Use of telephone calls to manage glycemic control at Mexico’s northern border
title_short Use of telephone calls to manage glycemic control at Mexico’s northern border
title_sort use of telephone calls to manage glycemic control at mexico s northern border
topic glycemic control
telemedicine
telephone
type 2 diabetes mellitus
cardiovascular risk
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1420244/full
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