Burger M, Tiemann F
Robert Koch-Institut, Berlin.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2005 Nov;48(11):1242-9. doi: 10.1007/s00103-005-1151-1.
Diabetes mellitus is one of the most prevalent endocrine disorders in Germany. Secondary diseases and complications have serious effects on the lives of diabetics. They also represent an important challenge for economic and health policy processes. According to the 2003 Telephone Health Survey, the prevalence of diabetes mellitus among the population aged 18 years and older is 6.1% for women and 5.4% for men. The percentage of diabetics among older population groups is considerably higher (65+: 16%). The need for effective health care for diabetes patients is reflected in frequent medical consultations. At the same time, there are deficiencies in the treatment of diabetes, for example in HbA1c measurement and the examination of diabetics' ocular fundus and feet. Although special training courses for diabetics are well publicized, only one in two diabetics makes use of them. Future surveys will show whether disease management programmes can help bridge the existing health care gaps.
糖尿病是德国最常见的内分泌疾病之一。继发性疾病和并发症对糖尿病患者的生活有严重影响。它们也是经济和卫生政策进程面临的一项重大挑战。根据2003年电话健康调查，18岁及以上人群中糖尿病的患病率女性为6.1%，男性为5.4%。老年人群体中糖尿病患者的比例要高得多（65岁及以上：16%）。糖尿病患者对有效医疗保健的需求体现在频繁的就医咨询上。与此同时，糖尿病治疗存在不足，例如糖化血红蛋白测量以及糖尿病患者眼底和足部检查方面。尽管针对糖尿病患者的特殊培训课程宣传力度很大，但只有二分之一的糖尿病患者会参加。未来的调查将表明疾病管理计划是否有助于弥合现有的医疗保健差距。
