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非洲加勒比地区的糖尿病和罗姆福德体验 (DARE):一项回顾性研究
Noha Meneissy1, Adnan Abdullah2, Bhavini Bhatt3
1Endocrinology and Diabetes, Barking, Havering and Redbridge University Hospitals NHS Trust, London, GBR.
Cureus
|January 28, 2026
概括
罗姆福德的非加勒比裔成年人经常在住院时出现糖尿病酸性脂肪酸症 (DKA) 或高血糖状况 (HHS). 这凸显了对文化相关的糖尿病护理的需要,以改善风险社区的早期发现和管理.
科学领域:
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
- 临床医学 临床医学
背景情况:
- 糖尿病在英国是一个重大的公共卫生挑战,不成比例地影响少数民族.
- 非洲加勒比地区的人群患2型糖尿病和相关并发症的风险更高,经常出现急性高血糖紧急情况.
- 了解这些社区的疾病发病和管理模式对于减少健康差异至关重要.
研究的目的:
- 描述罗姆福德医院住院的非加勒比裔患者的临床特征,表现模式,糖尿病亚型和早期管理.
- 为了确定糖尿病亚型的流行,人口趋势,急性表现和住院治疗策略.
- 为高风险种族群体制定有针对性的糖尿病护理策略提供信息.
主要方法:
- 在罗姆福德皇后医院接受52名非洲加勒比成年人糖尿病或相关并发症的回顾性观察研究 (2020年1月至2024年12月).
- 通过CareFlow Connect,伦敦护理记录和EPRO识别的患者数据.
- 描述性统计被用于使用微软Excel和谷歌表格进行数据总结.
主要成果:
- 2型糖尿病是最常见的 (75.0%),其次是1型 (13.5%) 和LADA (9.6%).
- 急性高血糖紧急情况很常见:糖尿病酸性酸症 (DKA) 发生在38.5%的患者中,25.0%的患者中呈现过敏血糖状态 (HHS).
- 胰岛素治疗经常被记录 (53.8%);11.5%的患者在现有记录中死亡.
结论:
- 急性高血糖紧急情况 (DKA/HHS) 和频繁使用胰岛素是这种基于入院的非洲加勒比成年人队伍的特征.
- 研究结果表明,需要采用本地响应,文化为基础的方法来早期识别糖尿病和持续护理.
- 需要进一步的多中心研究来澄清诊断途径,护理障碍和干预效果.
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