Prevalence and distribution of type 2 diabetes mellitus in Mexican adult population. A probabilistic survey
Prevalence and distribution of type 2 diabetes mellitus in Mexican adult population. A probabilistic survey
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DOI：
10.1590/s0036-36342010000700005
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发表时间：
2010-01-01
影响因子：
2.3
通讯作者：
Hernandez, Lucia
中科院分区：
文献类型：
--
作者：
Villalpando, Salvador;de la Cruz, Vanessa;Hernandez, Lucia
Objective.描述墨西哥人群中2型糖尿病（T2 D）的患病率、分布和控制程度。材料和方法。受试者被分类为先前诊断的T2 D（PD）;或“调查结果”（FS）（葡萄糖>= 126 mg/dL）。在PD受试者中测量血红蛋白A1 c。PD-T2 D患病率为7.34%（95%CI 6.3，8.5），FS患病率为7.07%（95%CI 6.1，8.1），合计14.42%;（730万糖尿病患者）。PD-T2 D控制良好占5.3%，控制差占38.4%，控制极差占56.2%。年龄大（OR= 0.96，95%CI 0.94，0.97）、体重指数低（OR= 0.95，95%CI 0.91，1.0）是控制不良的保护因素。与私人医疗机构的关系（OR=1.77，95%CI 098，3.13）、T2 D病程较长（OR=1.05，95%CI 1.01，1.08）以及口服药物和胰岛素联合使用（OR= 16.1，95%CI 1.61，161）的风险较高。结论.我们发现墨西哥人群中T2 D的患病率令人担忧，大多数PD糖尿病患者控制不良，需要对后者进行研究。
Objective. To describe the prevalence, distribution and degree of control of type 2 diabetes (T2D) in Mexican population. Material and Methods. Subjects were classified as previously diagnosed T2D (PD); or as "finding of the survey" (FS) (glucose >= 126 mg/dL). Hemoglobin A1c was measured in PD-subjects Results. The prevalence for PD-T2D was 7.34% (95%CI 6.3, 8 5) and for FS 7.07% (95%CI 6.1, 8 1), summing 14.42%; (7.3 million diabetics). 5.3% of PD-T2D were in good, 38.4% in poor and 56.2% very poor control. Older age (OR=0.96,95%CI 0 94, 0.97), lower BMI (OR=0 95,95%CI 0.91, 1.0), were protective for poor control. Affiliation to private services (OR=1.77, 95%CI 098, 3.13), larger T2D duration (OR=1.05, 95%CI 1.01, 1.08), and combining oral medication and insulin (OR=16.1,95%CI 1.61, 161) were riskier. Conclusions. We found an alarming prevalence of T2D in Mexican population, the majority of PD diabetics are in poor control Research on the latter is warranted.