ABBOTT M M, HIMEL H A, LEIBEL B S, MARKSON C A, STARKMAN S P, STEIN H A
Can Med Assoc J. 1964 Mar 21;90(12):726-30.
The planning of a diabetic control program in a home and hospital for the aged prompted a survey of the incidence, severity and number of complications of diabetes mellitus in this population. Twenty-eight per cent of the total population of 265 persons were found to be diabetic. In most of them the onset of diabetes was late in life and in the majority the disease was controlled by dietary measures alone. Of interest was the low incidence of gallbladder disease, hypercholesterolemia, ocular disease, myocardial and peripheral vascular disease. Neurological complications were minimal. The measures adopted to achieve biochemical stabilization in diabetes mellitus are discussed and the absence of acidosis and ketosis in this group is noted. The high incidence of diabetes, the need for detection of undiagnosed cases, and the low rate of complications are discussed.
在一家老年之家和医院开展糖尿病控制项目的规划工作，促使对该人群中糖尿病的发病率、严重程度及并发症数量进行了一项调查。在265人的总人口中，发现28%患有糖尿病。他们中的大多数人糖尿病发病较晚，而且大多数患者仅通过饮食措施就能控制病情。值得关注的是胆囊疾病、高胆固醇血症、眼部疾病、心肌和外周血管疾病的低发病率。神经并发症极少。文中讨论了为实现糖尿病生化稳定所采取的措施，并指出该组患者不存在酸中毒和酮症。文中还讨论了糖尿病的高发病率、发现未确诊病例的必要性以及低并发症发生率。
