Diabetology, Endocrinology and Nutrition Department, Hôpital Bichat-Claude Bernard, Paris, France.
Eur J Prev Cardiol. 2012 Jun;19(3):374-81. doi: 10.1177/1741826711409324.
Diabetes is one of the most chronic diseases in Western populations. Mortality rates in diabetic patients are higher than in the general population and their prognosis following any cardiovascular event is generally worse. Type 1 diabetic patients' acute complications-related mortality decreases with time and the interval free from the diagnosis of diabetes until the development of chronic complications is larger although global mortality is still higher than that of sex- and age matched healthy individuals. As a consequence of better primary and secondary prevention, recent data in the general population show that there is a trend towards decreased cardiovascular events and increased life expectancy. The same thing applies for type 2 diabetic patients. However, increased survival in the general population associated to epidemic bursts of obesity and sedentary lifestyle all over the globe, leads to a higher incidence of type 2 diabetes worldwide. This counteracts the diminution of diabetes-related mortality that would move forward on an ascending slope in the next decades.
糖尿病是西方人群中最常见的慢性疾病之一。糖尿病患者的死亡率高于普通人群，他们在任何心血管事件后的预后通常更差。1 型糖尿病患者的急性并发症相关死亡率随时间降低，且从诊断糖尿病到发生慢性并发症的间隔时间更长，尽管全球死亡率仍高于同龄和同性别健康人群。由于更好的初级和二级预防，普通人群中的最新数据表明，心血管事件呈下降趋势，预期寿命呈上升趋势。2 型糖尿病患者也是如此。然而，与肥胖和全球久坐不动的生活方式的流行有关的普通人群的生存增加，导致全球 2 型糖尿病的发病率更高。这抵消了未来几十年糖尿病相关死亡率的下降，死亡率将呈上升趋势。
