Ogle G D
HOPE worldwide, Sydney, Australia.
P N G Med J. 2001 Sep-Dec;44(3-4):81-7.
Type 2 diabetes mellitus is an increasing problem in Papua New Guinea (PNG). Five dominant themes emerge from the literature on diabetes in PNG: 1) The concept of the 'thrifty genotype' predisposing Papua New Guineans, like many other traditional populations, to type 2 diabetes, 2) Some coastal ethnic groups (particularly with Wanigelans and Tolais) appear to be more predisposed than others, 3) Prevalence of type 2 diabetes markedly rises with urbanization and adoption of a more western lifestyle, 4) Morbidity and mortality associated with the disease is high, and 5) Type 2 diabetes is overwhelmingly the most common type, with other types being rare. The literature is reviewed within the framework of these themes.
2型糖尿病在巴布亚新几内亚（PNG）正成为一个日益严重的问题。关于PNG糖尿病的文献中出现了五个主要主题：1）“节俭基因型”的概念使巴布亚新几内亚人与许多其他传统人群一样，易患2型糖尿病；2）一些沿海民族（特别是瓦尼盖兰人和托莱人）似乎比其他民族更易患病；3）2型糖尿病的患病率随着城市化和采用更西方化的生活方式而显著上升；4）与该疾病相关的发病率和死亡率很高；5）2型糖尿病是最常见的类型，其他类型很少见。本文在这些主题的框架内对相关文献进行了综述。
