Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
J Formos Med Assoc. 2012 Nov;111(11):599-604. doi: 10.1016/j.jfma.2012.09.014. Epub 2012 Oct 23.
BACKGROUND/PURPOSE: Formerly, Taiwan's diabetic population has been estimated by surveys conducted at irregular intervals and using different sampling methods. To obtain nationwide data on the incidence and prevalence of diabetes mellitus (DM) in Taiwan, we performed an analysis of the 2000-2009 claim data from the National Health Insurance (NHI) database.
One-third of the claims in the NHI database from 2000 to 2009 were randomly sampled. DM was defined by three or more outpatient visits with diagnostic codes (ICD-9-CM: 250 or A code: A181) within 1 year or by one inpatient discharge diagnosis of DM. Confirmation of type 1 diabetes mellitus was based on the issue of a catastrophic illness certificate with the same diagnostic codes. Age and/or gender distribution for DM were determined.
In accordance with the global trend for DM, with a near constant standardized incidence rate, there was a more than 70% increase in the total diabetic population, or a 35% increase in the standardized prevalence rate, in Taiwan from 2000 to 2009. The incidence of diabetes was higher in men, especially in the 20-59-year-old age group, and the total number of men with diabetes exceeded the number of women with diabetes in 2005. However, the prevalence and incidence rates in women over the age of 60 years were higher than those in men. Type 1 DM was present in less than 1% of the diabetic population in Taiwan.
The incidence of diabetes, including type 1, remained stable over this 10-year period in Taiwan. However, the incidence rate in men aged 20-59 years was higher than that in age-matched women. With our nationwide database, subgroup analysis of DM incidence can be performed to refine our health policies for the prevention, screening, and treatment of diabetes mellitus.
背景/目的： 以前，台湾的糖尿病患者人群是通过不定期进行的调查和使用不同的抽样方法来估计的。为了获得台湾地区糖尿病（DM）发病率和患病率的全国性数据，我们对 2000 年至 2009 年国家健康保险（NHI）数据库的索赔数据进行了分析。
从 2000 年至 2009 年的 NHI 数据库中随机抽取了三分之一的索赔。DM 通过在 1 年内进行三次或更多次门诊就诊（ICD-9-CM：250 或 A 代码：A181）并用一次 DM 的住院诊断来定义。1 型糖尿病的确诊基于具有相同诊断代码的重大疾病证书的签发。确定 DM 的年龄和/或性别分布。
根据 DM 的全球趋势，总糖尿病患者人数增加了 70%以上，或标准化患病率增加了 35%，这与标准化发病率接近一致。2000 年至 2009 年，男性糖尿病的发病率更高，尤其是 20-59 岁年龄组，男性糖尿病患者总数超过 2005 年女性糖尿病患者总数。但是，60 岁以上女性的患病率和发病率更高。台湾的糖尿病患者中，1 型糖尿病不到 1%。
在这 10 年中，台湾的包括 1 型糖尿病在内的糖尿病发病率保持稳定。然而，20-59 岁男性的发病率高于同龄女性。使用我们的全国性数据库，可以对 DM 发病率进行亚组分析，以完善我们的卫生政策，以预防、筛查和治疗糖尿病。
