Rhee Sang Youl, Kim Young Seol, Oh Seungjoon, Choi Woong Hwan, Park Jong Eun, Jeong Woo Jin
Department of Endocrinology and Metabolism, School of Medicine, Kyung Hee University, Seoul, Korea.
Korean J Intern Med. 2005 Mar;20(1):48-54. doi: 10.3904/kjim.2005.20.1.48.
The Diabcare-Asia study was designed for the purpose of describing diabetes control and management, and late complication status in the diabetic population.
From the 1st of July 2001 to the 1st of September 2001, data from 1170 diabetic patients were collected in 21 centers (one university hospital and 20 clinics located in Seoul and in Gyeonggi, Korea), and blood samples were collected for centralized HbAtc measurements.
Only 16.8% of patients at the clinics reported self-monitoring their blood glucose. The mean HbA(1c) was 7.3 +/- 1.4% at the hospital and 7.5 +/- 1.5% at the clinics, and the mean fasting plasma glucose (FPG) levels were 7.0 +/- 3.3 mmol/L at the hospital and 7.9 +/- 2.5 mmol/L at the clinics. About 40% of patients had a HbA(1c) and FPG above the normal upper limits. Screening for microalbuminuria was rarely performed. The available data represents only about 0.9% of the patients at the hospital and 12.3% of the patients at the clinics. Nephropathy (serum creatinine >2 mg/dL) was found in 0.8% of the patients at the hospital and in 3.4% of the patients at the clinics. Retinopathy and neuropathy were commonly reported diabetic complications. The prevalence of other severe late complications was relatively low.
The data revealed suboptimal glycemic control in about 40% of patients.
亚洲糖尿病护理研究旨在描述糖尿病患者的血糖控制与管理情况以及晚期并发症状况。
2001年7月1日至2001年9月1日，在韩国首尔和京畿道的21个中心（1所大学医院和20家诊所）收集了1170例糖尿病患者的数据，并采集血样进行集中糖化血红蛋白（HbAtc）检测。
诊所中仅16.8%的患者报告进行自我血糖监测。医院患者的糖化血红蛋白（HbA1c）均值为7.3±1.4%，诊所患者为7.5±1.5%；医院患者的空腹血糖（FPG）均值为7.0±3.3毫摩尔/升，诊所患者为7.9±2.5毫摩尔/升。约40%的患者糖化血红蛋白和空腹血糖高于正常上限。微量白蛋白尿筛查很少进行。现有数据仅代表医院约0.9%的患者和诊所12.3%的患者。医院0.8%的患者和诊所3.4%的患者发现患有肾病（血清肌酐>2毫克/分升）。视网膜病变和神经病变是常见的糖尿病并发症。其他严重晚期并发症的患病率相对较低。
数据显示约40%的患者血糖控制欠佳。
