Lantion-Ang L C
Unit 25, Facilities Centre, The Philippine Diabetes Association INC, 548 Shaw Boulevard, Mandaluyong, Philippines.
Diabetes Res Clin Pract. 2000 Oct;50 Suppl 2:S29-34. doi: 10.1016/s0168-8227(00)00176-5.
The aim of Diabcare-Asia project was to collect data on diabetes control, management and complication status among patients in 12 Asian countries. Information was extracted from medical records, interviews and laboratory assessment. The majority (96%) of patients were diagnosed with type 2 diabetes mellitus, with mean age (+/-SD) of 59.3+/-12.5 years and mean diabetes duration of 9.4+/-7.0 years. Mean body mass index (BMI) was 24.7+/-4.9 kg/m(2) and the majority (60%) had BMI < or =25 kg/m(2). The majority (70%) of patients were treated with oral antidiabetic drugs (OADs), 15% with insulin, 10% with insulin and OAD combination therapy and 5% with diet control. Among OADs-treated patients, most (44%) received two or more medication. Majority of patients (> or =79%) had satisfactory metabolic control of triglycerides (<2.2 mmol/l), total cholesterol (<6.5 mmol/l) and HDL cholesterol (>0.9 mmol/l). Glucose self-monitoring (either urine or blood) was only practiced by 50% of patients. Glycaemic control (HbA1c) was unsatisfactory as majority of patients had HbA1c>7.4% (73%) and 50% had fasting blood glucose (FBG)>7.8 mmol/l. Cataract (26%), neuropathy (42%) and cerebral stroke (6%) were the most frequently reported complications. Clearly, the level of glycaemic control in majority of patients is below satisfaction. Effective education must be emphasised in the management of diabetes.
“亚洲糖尿病关爱”项目的目的是收集12个亚洲国家患者的糖尿病控制、管理及并发症状况的数据。信息从医疗记录、访谈及实验室评估中提取。大部分（96%）患者被诊断为2型糖尿病，平均年龄（±标准差）为59.3±12.5岁，平均糖尿病病程为9.4±7.0年。平均体重指数（BMI）为24.7±4.9kg/m²，大部分（60%）患者的BMI≤25kg/m²。大部分（70%）患者接受口服降糖药（OADs）治疗，15%使用胰岛素，10%采用胰岛素与OAD联合治疗，5%采用饮食控制。在接受OADs治疗的患者中，大多数（44%）使用两种或更多药物。大部分患者（≥79%）的甘油三酯（<2.2mmol/l）、总胆固醇（<6.5mmol/l）和高密度脂蛋白胆固醇（>0.9mmol/l）代谢控制良好。仅50%的患者进行血糖自我监测（尿液或血液）。血糖控制（糖化血红蛋白）不理想，因为大部分患者的糖化血红蛋白>7.4%（73%），50%的患者空腹血糖（FBG）>7.8mmol/l。白内障（26%）、神经病变（42%）和脑卒中（6%）是最常报告的并发症。显然，大多数患者的血糖控制水平未达满意标准。在糖尿病管理中必须强调有效的教育。
