Early assessment of diabetes care target attainment in Mexico’s federalized public health system: alignment with Global Diabetes Compact 2030

Background Robust system-level monitoring tools are essential to assess the performance of diabetes care within healthcare systems. We report an early assessment from an integrated monitoring platform in Mexico’s emerging federalized public health system, focusing on indicators aligned with the World Health Organization Global Diabetes Compact 2030 targets. Methods We conducted a descriptive health services research analysis using routinely collected clinical data from a national monitoring platform that enables longitudinal and subnational analyses. Key system-level indicators included attainment of glycemic control, blood pressure control, and statin use. Results From 2023 to September 2025, data from 544,978 individuals across participating states were registered in the platform, of whom 316,947 with a recent diabetes care record were included in the analysis. Among individuals with a recent diabetes care record, 59.3% achieved glycemic control, 76.6% achieved blood pressure control, and 30.2% were receiving statin therapy. Marked geographic heterogeneity was observed across states, with glycemic control ranging from 49% to 70%, blood pressure control from 65.8% to 82.4%, and statin use from 15.3% to 53%. Women showed higher attainment of blood pressure control and statin use, whereas older individuals demonstrated higher glycemic control than younger age groups. Conclusions Routine clinical data provides valuable system-level insights into progress toward diabetes care targets. Early findings from Mexico’s emerging federalized public health system reveal substantial gaps and territorial variation in key indicators, highlighting priority areas for strengthening diabetes care in primary healthcare.