[In former East Germany were diabetic patients not only "well managed", but also well treated?].

U A Müller, E Chantelau, I S Ross, H Klinger
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Abstract

The quality of diabetes care in the former GDR 1989/90 and in former West Germany 1990/91 was compared in a case control study. The study group consisted of 83% of the diabetic patients registered in the local diabetes care unit in Jena who were on insulin. The patients (86 women, 104 men; 131 Type-I and 59 Type-II, aged 16-60 years) were in the care of the local diabetes care unit. The control group consisted of randomly selected diabetic patients of the outpatient department of the university of Düsseldorf (matched pairs). Despite a different strategy of therapy the HbA1c (Jena/Düsseldorf) was the same: 154%/153% of the mean normal value in type-I and 178%/175% in type-II. The prevalence of retinopathy in type-I and type-II and proteinuria in type-I was not different, whereas the prevalence of proteinuria in type II- and of hypertension in both types of diabetes was higher in Jena.

[在前东德,糖尿病患者不仅得到了很好的管理,而且得到了很好的治疗?]
在一项病例对照研究中,比较了1989/90年前德意志民主共和国和1990/91年前西德的糖尿病护理质量。研究组由在耶拿当地糖尿病护理单位登记的接受胰岛素治疗的糖尿病患者中的83%组成。其中女性86例,男性104例;131例1型糖尿病患者和59例2型糖尿病患者(年龄16-60岁)在当地糖尿病护理单位接受治疗。对照组随机选取德国塞尔多夫大学门诊部的糖尿病患者(配对)。尽管治疗策略不同,HbA1c (Jena/ d sseldorf)是相同的:i型为平均正常值的154%/153%,ii型为178%/175%。在耶拿,1型和2型糖尿病患者的视网膜病变患病率和1型糖尿病患者的蛋白尿患病率没有差异,而2型糖尿病患者的蛋白尿患病率和两种糖尿病患者的高血压患病率更高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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