A similar result was observed in a study conducted in the city of Rio de Janeiro (RJ) in 2005, in which women represented 71.7% of enrolled participants.( 17 ) Regarding to SMGP, 20.0% of patients with diabetes and 18.8% of those with hypertension and diabetes were enrolled in the program, i.e. , they were using insulin. Here, INS is linked to Hypertension.