Moutet J P, Kangambega-Nouvier P, Donnet J P, Pileire B, Eschvege E, Patterson A W
Centre Hospitalier Régional, Guadeloupe.
West Indian Med J. 1990 Sep;39(3):139-43.
Diabetes mellitus is now among the ten leading causes of death in the Caribbean. Studies of the prevalence of dysglycaemic disorders and risk factors for diabetes are necessary in order to design and implement tailored prevention programmes. The present study is of a representative sample of the adult population in Guadeloupe. The estimated prevalence of diabetes is 5.8% in adults, and that of impaired glucose tolerance is 7.4%. The percentage of insulin-treated patients is low, 14% of diabetics. The principal risk factors of diabetes, as classically recognised, are shown to operate. At the individual level, the presence of a diabetic parent is a greater relative risk factor than obesity. However, considering the large percentage of persons who are obese, obesity seems to be the principal factor at which a primary prevention programme at the community level should be aimed, in order to limit the incidence of hyperglycaemic states.
糖尿病现已位列加勒比地区十大主要死因之中。为了设计并实施针对性的预防方案，对血糖异常紊乱的患病率及糖尿病风险因素进行研究很有必要。本研究以瓜德罗普岛成年人口的代表性样本为对象。据估计，成年人中糖尿病的患病率为5.8%，糖耐量受损的患病率为7.4%。接受胰岛素治疗的患者比例较低，占糖尿病患者的14%。传统上公认的糖尿病主要风险因素已得到证实。在个体层面，父母患有糖尿病比肥胖是更大的相对风险因素。然而，鉴于肥胖人群的比例很大，肥胖似乎是社区层面初级预防方案应针对的主要因素，以限制高血糖状态的发生率。
