Prevalence and control of diabetes and impaired fasting glucose in New York City.
Prevalence and control of diabetes and impaired fasting glucose in New York City.
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DOI：
10.2337/dc08-0727
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发表时间：
2009-01
期刊：
影响因子：
16.2
通讯作者：
Gwynn, Charon
中科院分区：
文献类型：
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作者：
Thorpe, Lorna E.;Upadhyay, Ushma D.;Chamany, Shadi;Garg, Renu;Mandel-Ricci, Jenna;Kellerman, Scott;Berger, Diana K.;Frieden, Thomas R.;Gwynn, Charon
目的——确定纽约市成人代表性样本中糖尿病和空腹血糖受损 (IFG) 的患病率，并评估成人糖尿病患者的临床管理指标。研究设计和方法——2004 年，纽约市仿照国家健康和营养检查调查 (NHANES) 实施了第一次社区级健康和营养检查调查 (NYC HANES)。我们通过访谈来确定先前诊断的糖尿病，并通过测量空腹血糖来确定 1,336 名纽约市成年人的概率样本中未诊断的糖尿病和 IFG。我们使用标准化 NHANES 方案评估血糖控制和其他临床指标。结果——纽约市成年人的糖尿病患病率为 12.5%（95% CI 10.3-15.1）：8.7% 已确诊，3.8% 未确诊。近四分之一 (23.5%) 的成年人患有 IFG。亚洲人的糖代谢受损患病率最高（糖尿病为 16.1%，IFG 为 32.4%），但肥胖的可能性明显较低。在诊断为糖尿病的成年人中，不到一半 (45%) 的 A1C 水平 <7%；一半 (50%) 的受访者血压升高，其中 43% 没有服用抗高血压药物；近三分之二 (66%) 的 LDL 水平升高，只有 10% 的血糖、血压和胆固醇均处于或低于推荐水平。大多数诊断为糖尿病的成年人 (84%) 都在接受药物治疗，但只有 12% 的人接受胰岛素治疗。结论——在纽约市，糖尿病和 IFG 很普遍。应优先考虑促进身体活动和健康饮食的政策和结构性干预措施。糖尿病患者需要改进的疾病管理系统。
OBJECTIVE—To determine the prevalence of diabetes and impaired fasting glucose (IFG) and to assess clinical management indicators among adults with diabetes in a representative sample of New York City adults. RESEARCH DESIGN AND METHODS—In 2004, New York City implemented the first community-level Health and Nutrition Examination Survey (NYC HANES), modeled after the National Health and Nutrition Examination Survey (NHANES). We used an interview to determine previously diagnosed diabetes and measured fasting plasma glucose to determine undiagnosed diabetes and IFG in a probability sample of 1,336 New York City adults. We assessed glycemic control and other clinical indicators using standardized NHANES protocols. RESULTS—The prevalence of diabetes among New York City adults was 12.5% (95% CI 10.3–15.1): 8.7% diagnosed and 3.8% undiagnosed. Nearly one-fourth (23.5%) of adults had IFG. Asians had the highest prevalence of impaired glucose metabolism (diabetes 16.1%, IFG 32.4%) but were significantly less likely to be obese. Among adults with diagnosed diabetes, less than one-half (45%) had A1C levels <7%; one-half (50%) had elevated blood pressure measures at interview, 43% of whom were not on antihypertensive medications; nearly two-thirds (66%) had elevated LDL levels, and only 10% had their glucose, blood pressure, and cholesterol all at or below recommended levels. Most adults (84%) with diagnosed diabetes were on medication, but only 12% were receiving insulin. CONCLUSIONS—In New York City, diabetes and IFG are widespread. Policies and structural interventions to promote physical activity and healthy eating should be prioritized. Improved disease management systems are needed for people with diabetes.
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影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
影响因子：
16.2
作者：
Hoerger, Thomas J.;Gregg, Edward W.;Saaddine, Jinan B.
通讯作者：
Saaddine, Jinan B.
影响因子：
16.2
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作者：
Kanjilal, Sanjat;Gregg, Edward W.;Beckles, Gloria L. A.
通讯作者：
Beckles, Gloria L. A.
影响因子：
16.2
作者：
Cowie, Catherine C.;Engelgau, Michael M.;Gregg, Edward W.
通讯作者：
Gregg, Edward W.