Glycosylated Hemoglobin (Hb1Ac)
Baseline
The parameter will be measured in % reported in the control cards of the Health Centers where a normal level is \<5.7%, prediabetes is between 5.7% to 6.4% and diabetes is above 6.5%. In patients with DM, 6 to 7% is a desired level, 7.1 to 8.5% is a moderate risk, 8.5 to 10% is a high risk, and 10% or more is a very high risk for the appearance of complications (WHO, 2021). This parameter will be retrieved from the site's health record of the study participants.
Glycosylated hemoglobin (Hb1Ac)
Month 3
The parameter will be measured in % reported in the control cards of the Health Centers where a normal level is \<5.7%, prediabetes is between 5.7% to 6.4% and diabetes is above 6.5%. In patients with DM, 6 to 7% is a desired level, 7.1 to 8.5% is a moderate risk, 8.5 to 10% is a high risk, and 10% or more is a very high risk for the appearance of complications (WHO, 2021). This parameter will be retrieved from the site's health record of the study participants.
Triglycerides
Baseline
Triglycerides will be measured as an indicator of fat metabolism based on the fatty acid count (GPC, 2018). Its values are classified as normal \<150 mg/dL; high limit of 150 to 199 mg/dL; high from 200 to 499 m/dL and very high 500 mg/dL and more. This parameter will be retrieved from the site's health record of the study participants.
Triglycerides
Month 3
Triglycerides will be measured as an indicator of fat metabolism based on the fatty acid count (GPC, 2018). Its values are classified as normal \<150 mg/dL; high limit of 150 to 199 mg/dL; high from 200 to 499 m/dL and very high 500 mg/dL and more. This parameter will be retrieved from the site's health record of the study participants.
Total Cholesterol
Baseline
Total cholesterol, which includes lipoproteins of different density in the body, will be assessed (GPC, 2018). Its values are classified as normal when they are \<200 mg/dL; intermediate high when they are between 200 and 239 mg/dL and high when they are above 240 mg/dL. This parameter will be retrieved from the site's health record of the study participants.
Total Cholesterol
Month 3
Total cholesterol, which includes lipoproteins of different density in the body, will be assessed (GPC, 2018). Its values are classified as normal when they are \<200 mg/dL; intermediate high when they are between 200 and 239 mg/dL and high when they are above 240 mg/dL. This parameter will be retrieved from the site's health record of the study participants.
Body Mass Index
Baseline
It will be measured on the scale proposed by the WHO with the formula weight (kg) / height2 (mts) with the following categories: underweight \<18.5; normal weight of 18.5-24.9; overweight: 24.9-29.9 and obesity \>30. This parameter will be retrieved from the site's health record of the study participants.
Body Mass Index
Month 3
It will be measured on the scale proposed by the WHO with the formula weight (kg) / height2 (mts) with the following categories: underweight \<18.5; normal weight of 18.5-24.9; overweight: 24.9-29.9 and obesity \>30. This parameter will be retrieved from the site's health record of the study participants.
Blood Pressure
Baseline
It is classified as optimal \<120/80 mmHg; normal 120-129/80-84 mmHg; high normal 130-139 mmHg/85-89 mmHg; grade 1 hypertension of 140-159/90-99 mmHg; grade 2 hypertension of 160-179/100-109 mmHg and grade 3 hypertension \>180/\>110 mmHg (WHO, 2021). This parameter will be retrieved from the site's health record of the study participants.
Blood Pressure
Month 3
It is classified as optimal \<120/80 mmHg; normal 120-129/80-84 mmHg; high normal 130-139 mmHg/85-89 mmHg; grade 1 hypertension of 140-159/90-99 mmHg; grade 2 hypertension of 160-179/100-109 mmHg and grade 3 hypertension \>180/\>110 mmHg (WHO, 2021). This parameter will be retrieved from the site's health record of the study participants.
Abdominal Perimeter
Baseline
According to the CPG (2018) in men, an abdominal circumference \<95 cm is considered normal, from 95 to 102 cm as a high risk for complications and \>102 cm is considered a very high level of risk, while in women \<82 cm is considered normal, 82 to 88 cm represents a high risk and \<88 cm is a very high risk. This parameter will be retrieved from the site's health record of the study participants.
Abdominal Perimeter
Month 3
According to the CPG (2018), in men an abdominal circumference \<95 cm is considered normal, from 95 to 102 cm as a high risk for complications and \>102 cm is considered a very high level of risk, while in women \<82 cm is considered normal, 82 to 88 cm represents a high risk and \<88 cm is a very high risk. This parameter will be retrieved from the site's health record of the study participants.
Use of coping strategies
Baseline
It is based on the instrument "Coping Strategies Inventory (CSI)" prepared by Tobin et al., (1989) adapted by Cano et al., (2007) with a global evaluation of 0 to 160 points where the higher the score, the greater the use of coping strategies.
Use of coping strategies
Month 3
It is based on the instrument "Coping Strategies Inventory (CSI)" prepared by Tobin et al., (1989) adapted by Cano et al., (2007) with a global evaluation of 0 to 160 points where the higher the score, the greater the use of coping strategies.