Mansour Abbas Ali, Wanoose Header Laftah, Hani Ibrahem, Abed-Alzahrea Akeal, Wanoose Hameed Laftah
Department of Medicine, Basrah College of Medicine, Hattin Post Office, P.O. Box 142, Basrah 42002, Iraq.
Diabetes Res Clin Pract. 2008 Jan;79(1):147-50. doi: 10.1016/j.diabres.2007.07.016. Epub 2007 Sep 4.
Noncommunicable diseases are going to be the major challenge to public health in the Eastern Mediterranean area after the control of infectious diseases and malnutrition. The aim of the present study is to assess the prevalence of abnormal glycemia {diagnosed diabetes mellitus, previously undiagnosed diabetes and impaired fasting plasma glucose (IFG)} in adult non-pregnant population 20 years of age and older in Basrah, Southern Iraq using American Diabetes Association (ADA) criteria.
Cross-sectional population-based study to screen for diabetes in al-Madina a rural area located 100 km to the north of the Basrah. The study samples were villages residence, intervened at home during vaccination program of their children for the period of April and May 2007. New diabetes diagnosis was based on fasting plasma glucose (FPG) equal or more than 126 mg/dl (7.0 mmol/l) on two occasions. Impaired fasting glucose (IFG) or prediabetes used for people whose FPG ranged from 100mg/dl (6.1 mmol/l) to125 mg/dl (6.9 mmol/l).
Total survey sample was 3176 (43.2% males and 56.8% females). Mean age of 43.17+/-16.37. The overall prevalence of undiagnosed diabetes was 2.14%. People with known diabetes constituted 5.29%. Combined prevalence of new and known diabetes was 7.43%. IFG was seen in 2.02%. Those with abnormal glycemia (diabetes and IFG) constitute 9.45%. Previously undiagnosed diabetics constitute 28.81% of all diabetics in this study.
This study provides the first baseline data on diabetes mellitus and IFG in Basrah, Iraq. The prevalence was within the wide range of diabetes in Middle East.
在传染病和营养不良得到控制之后，非传染性疾病将成为东地中海地区公共卫生面临的主要挑战。本研究的目的是采用美国糖尿病协会（ADA）标准，评估伊拉克南部巴士拉20岁及以上非妊娠成年人群中血糖异常（诊断为糖尿病、既往未诊断糖尿病和空腹血糖受损[IFG]）的患病率。
基于人群的横断面研究，在距离巴士拉以北100公里的农村地区麦地那筛查糖尿病。研究样本为村庄居民，于2007年4月和5月在其子女接种疫苗期间进行入户干预。新的糖尿病诊断基于两次空腹血糖（FPG）等于或高于126mg/dl（7.0mmol/l）。空腹血糖受损（IFG）或糖尿病前期用于FPG范围为100mg/dl（6.1mmol/l）至125mg/dl（6.9mmol/l）的人群。
总调查样本为3176人（男性占43.2%，女性占56.8%）。平均年龄为43.17±16.37岁。未诊断糖尿病的总体患病率为2.14%。已知糖尿病患者占5.29%。新诊断和已知糖尿病的合并患病率为7.43%。IFG患病率为2.02%。血糖异常（糖尿病和IFG）者占9.45%。在本研究中，既往未诊断的糖尿病患者占所有糖尿病患者的28.81%。
本研究提供了伊拉克巴士拉糖尿病和IFG的首个基线数据。患病率处于中东地区糖尿病的广泛范围内。
