斯里兰卡的幼年糖尿病:发展中国家的经验
Maulee Hiromi Arambewela1,2, Shani A D Mathara Diddhenipothage3, Chandrika Jayakanthi Subasinghe4
1Department of Physiology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Journal of diabetes research
|December 25, 2024
概括
斯里兰卡的年轻发病糖尿病 (YOD) 最常见的是1型糖尿病 (T1D),但2型糖尿病 (T2D) 的患病率令人担忧. 该研究强调了低于最佳的血糖控制和年轻患者的高并发症率.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 年轻发病糖尿病 (YOD) 带来了独特的挑战,特别是在斯里兰卡等资源有限的环境中.
- 了解YOD的患病率和特征对于有效管理至关重要.
研究的目的:
- 为了确定斯里兰卡YOD的流行率,模式和特征.
- 评估该国YOD患者目前的护理状况.
主要方法:
- 对斯里兰卡28个中心2531名患者的基线数据进行了回顾.
- 从2021年4月至2023年4月期间的斯里兰卡年轻发病糖尿病 (DYOD-SL) 未来多中心数据库中收集的数据.
主要成果:
- 1型糖尿病 (T1D) 是最常见的亚型 (57.6%),其次是2型糖尿病 (T2D) (34.3%).
- 发病时的年龄较小,BMI较低,以及呈现时的糖尿病酸性糖尿病 (DKA) 与T1D相关.
- 观察到低于最佳的血糖控制 (中位数HbA1c9.8%) 和显著的并发症率 (脏病8.1%,视网膜病变6.6%).
- 胰岛素治疗主要是通过注射器进行预混合疗法,并有限地使用先进的监测或输送系统.
结论:
- 在斯里兰卡,T1D是主要的YOD亚型,但T2D的高患病率需要特别注意.
- 低于最佳的血糖控制,高的并发症率和不充分的治疗方案是斯里兰卡YOD护理的特点.
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