A cross-sectional survey with the aim to study the prevalence of diabetes and long-term complications was carried out in a health care district in Sweden with 125 500 inhabitants.
Information was extracted from the medical records. 4127 people with diabetes were identified of whom 87% were classified as NIDDM (non-insulin-dependent diabetes mellitus), 12% as IDDM (insulin-dependent diabetes mellitus) and 0.7% as secondary or unclassified diabetes.
The prevalence of diagnosed diabetes was 3.3%. A total of 83% received their regular routine care at primary health care centres, 31% were treated with diet only, 36% had oral hypoglycaemic agents, 31% had insulin and 2% had combination therapy.
The mean HbA1c was 7.2% (ref. range 4.0-5.3%). Of the adults (>18 years) 27% had retinopathy, 13% had nephropathy and 27% had loss of pallaesthesia. 50% had hypertension, 21% angina pectoris, 11% had had myocardial infarction, 11% stroke, 21% had signs of peripheral arterial disease, 2% had been amputated and 21% were smokers.
The conclusion is that in a population of patients with diabetes with acceptable metabolic control, complications are still a great problem.
Mots-clés Pascal : Diabète insulinodépendant, Diabète non insulinodépendant, Epidémiologie, Néphropathie, Complication, Prévalence, Rétinopathie, Neuropathie périphérique, Etude régionale, Traitement, Tabagisme, Hémoglobine A1c, Dosage, Plasma sanguin, Suède, Europe, Homme, Endocrinopathie, Immunopathologie, Maladie autoimmune, Appareil urinaire pathologie, Rein pathologie, Oeil pathologie, Système nerveux pathologie, Nerf périphérique pathologie
Mots-clés Pascal anglais : Insulin dependent diabetes, Non insulin dependent diabetes, Epidemiology, Nephropathy, Complication, Prevalence, Retinopathy, Peripheral neuropathy, Regional study, Treatment, Tobacco smoking, Hemoglobin A1c, Assay, Blood plasma, Sweden, Europe, Human, Endocrinopathy, Immunopathology, Autoimmune disease, Urinary system disease, Kidney disease, Eye disease, Nervous system diseases, Peripheral nerve disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0249062
Code Inist : 002B30A01A2. Création : 11/09/1998.