印度人2型糖尿病的自然史:进展的时间
K M Venkat Narayan1,2, Dimple Kondal3,4, Howard H Chang1
1Emory Global Diabetes Research Center, Woodruff Health Sciences Center and Emory University, Atlanta, GA.
Diabetes care
|March 1, 2024
概括
印度人患糖尿病的进展很快,个体在糖尿病前期如葡萄糖耐受性损害 (IGT) 或隔离性禁食葡萄糖损害 (iIFG) 进展到糖尿病之前,在正常血糖中花费35-40年.
科学领域:
- 内分泌学 在内分泌学.
- 代谢健康 代谢健康
- 流行病学 流行病学
背景情况:
- 全球糖尿病患病率正在上升,特别是在南亚.
- 了解糖尿病进展的自然史对于有针对性的干预至关重要.
研究的目的:
- 描述印度人口中糖尿病发展的自然历史.
- 量化血糖状态之间的过渡概率和停留时间.
主要方法:
- 在南亚心脏代谢风险降低中心 (CARRS) 对2714名无糖尿病成年人 (>20年) 的长度研究.
- 根据美国糖尿病协会标准定义的血糖状态.
- 马尔科夫模型用于估计每年过渡概率和在每个状态中花费的时间.
主要成果:
- 糖尿病的每年过渡率为受损葡萄糖耐受性 (IGT) 的13.9%,孤立受损禁食葡萄糖 (iIFG) 的8.6%.
- 在正常血糖症中平均停留时间为34.5-40.3年.
- 糖尿病前期状态 (iIFG或IGT) 的平均逗留时间为6.1-9.7年.
结论:
- 个体在正常血糖症中花费了相当长的时间 (35-40年).
- 从糖尿病前期到糖尿病的进展相对较快.
- 针对糖尿病前期的有针对性的干预措施对于预防或延迟糖尿病发病至关重要.
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