関連する実験動画
中国人の成人における糖尿病の流行と制御
1Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health, Rui-Jin Hospital, Shanghai Jiao-Tong University School of Medicine, E-Institute of Shanghai Universities, Shanghai, China.
JAMA
|September 5, 2013
まとめ
糖尿病は中国の成人の11.6%に影響し,50.1%が糖尿病前症候群である. これらの高い割合は,糖尿病を中国の重要な公衆衛生問題として強調し,緊急の注意と管理戦略を必要としています.
科学分野:
- エンドクリノロジー エンドクリノロジー
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
背景:
- 糖尿病を含む非伝染性慢性疾患は,世界的な死亡率と疾病負担の主要な原因となっています.
- 糖尿病の蔓延とその制御を理解することは,公衆衛生イニシアチブにとって極めて重要です.
研究 の 目的:
- 糖尿病の罹患率を決定し,中国人の成人における血糖コントロールを評価する.
- 中国における糖尿病に対処する公衆衛生戦略のためのデータを提供する.
主な方法:
- 2010年,全国的に代表的な98,658人の中国人成人を対象に横断調査が行われました.
- 血グルコースとヘモグロビンA1cレベルを測定し,糖尿病と診断されていない患者に経口グルコース耐性検査を行った.
- 糖尿病と糖尿病前期は,2010年のアメリカ糖尿病協会の基準を用いて定義され,適切な血糖コントロールはヘモグロビンA1c <7.0%として定義された.
主要な成果:
- 糖尿病の全般的な罹患率は11.6%で,未診断は8.1%でした. 前糖尿病の罹患率は50.1%でした.
- 糖尿病の罹患率は,年齢,都市居住,経済的に発展した地域で増加した.
- 診断された糖尿病患者の25.8%だけが治療を受け,治療を受けた患者の39.7%が適切な血糖コントロールを達成しました.
結論:
- この研究では,中国人の成人に糖尿病 (11.6%) と前糖尿病 (50.1%) の高い罹患率があり,それぞれ1億1300万人以上と4億9300万人の個人に潜在的に影響していることが明らかになりました.
- これらの発見は,中国における糖尿病がもたらす重大な公衆衛生上の課題を強調しています.
- 中国の人口における糖尿病のスクリーニング,治療,および血糖コントロールを改善するために,緊急の介入が必要である.
関連する概念動画
Diabetes: Symptoms, Diagnosis, and Complications
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is based on...
Diabetes Mellitus: Type 2 and Gestational
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis
Type 2 diabetes mellitus develops gradually and is often asymptomatic in early stages.Clinical ManifestationsWhen symptoms appear, they include fatigue, blurred vision, pruritus, delayed wound healing, and recurrent infections, particularly candidal infections. Peripheral neuropathy may present as numbness or tingling in the extremities. Classic hyperglycemia symptoms—polyuria, polydipsia, and polyphagia—are less common. Most patients are overweight and frequently have associated hypertension...
Diabetes Mellitus: Overview and Type I Subtype
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type II Diabetes I: Introduction
Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance, in which target tissues such as the liver, muscle, and adipose tissue respond poorly to insulin. It is also associated with inadequate compensatory insulin secretion, where pancreatic β-cells fail to produce sufficient insulin. Together, these abnormalities lead to persistent hyperglycemia.EtiologyT2DM develops through a complex interaction of genetic predisposition and environmental or...
Carbohydrate Metabolism
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in the...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in the...