印度的糖尿病前期和糖尿病：基于 HbA1c 的流行病学研究。

IF 6.1 3区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes research and clinical practice Pub Date : 2024-10-15 DOI:10.1016/j.diabres.2024.111889

Hardeep Vora , Preet Kaur

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引用次数: 0

摘要

背景：2 型糖尿病（T2DM）和糖尿病前期患者的不断增加给印度的医疗保健系统带来了复杂的挑战。本研究利用 2023 年期间收集的实验室数据分析了印度各邦成年人中这些病症的患病率和趋势。方法：对 19,66,449 份成年人样本的 HbA1c 值以及人口和地理详情进行了回顾性分析。数据按州、年龄和性别进行了分层，并根据国家统计参数（如食品消费和社会经济状况）进行了评估：全国各地的地区差异很大，22.25%的受测人群被认为患有糖尿病前期，27.18%患有糖尿病。奥迪沙的患病率最高，而查谟和克什米尔的患病率最低。按性别划分的趋势表明，男性糖尿病患病率高于女性。按年龄分层的数据显示，糖尿病前期和糖尿病在有经济能力的年龄组中的发病率很高。疾病患病率与各州谷物消费量之间存在相关性，这表明饮食对疾病有影响：结论：所报告的糖尿病前期和糖尿病患病率高于以往的研究，这凸显了定期筛查的重要性。使用 HbA1c 作为长期平均血糖指标进行估算，有助于发现之前未确诊的糖尿病。患病率与粮食产量的相关性强调了饮食在疾病管理中的重要性。

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Prediabetes and diabetes in India: An HbA1c based epidemiology study

Background

The relentless rise in Type 2 diabetes mellitus (T2DM) and prediabetes presents a complex challenge to India’s healthcare system. This study analyses the prevalence and trends of these conditions in adults across Indian states using laboratory data collected during 2023.

Methods

HbA1c values from 19,66,449 samples from adults alongside demographic and geographic details were retrospectively analysed. Data were stratified by state, age, and gender and evaluated against national statistics parameters such as food consumption and socio-economic status.

Results

Substantial regional variation was seen across the country where 22.25% of the tested population was considered having prediabetes, and 27.18% with diabetes. Odisha had the highest rates, while J&K reported the lowest. Gender-specific trends indicate an increase in prevalence of diabetes among males compared to females. Age-wise data stratification shows a significant burden of prediabetes and diabetes in the economically productive age groups. Correlations between disease prevalence and state-specific grain consumption were observed, suggesting dietary influences.

Conclusions

The reported prevalence of prediabetes and diabetes higher than previous studies highlights the importance of regular screening. The use of HbA1c for estimation as a long-term average blood sugar marker helps to identify previously undiagnosed diabetes. The correlation of prevalence with food production underscores the importance of diet in disease management.

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来源期刊

Diabetes research and clinical practice 医学-内分泌学与代谢

CiteScore

10.30

自引率

3.90%

发文量

862

审稿时长

32 days

期刊介绍： Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.