Tukuitonga C F
Auckland Area Health Board.
N Z Med J. 1990 Jul 25;103(894):351-3.
Noninsulin dependent diabetes mellitus (NIDDM) is a major public health problem among Polynesians in the South Pacific. The prevalence of NIDDM on Niue Island is higher than other Pacific Islands and is increasing. NIDDM is preceded by a state of impaired glucose tolerance in some cases. Progress to NIDDM is associated with certain factors that are modifiable. In 1980, the South Pacific Commission conducted a metabolic disease survey on Niue. Sixty-one people were diagnosed as having impaired glucose tolerance. In 1985, 48 of these people (all those still on the island) were reexamined. Demographic, biological and indicators of westernisation were recorded. Thirty-one percent (6% per year) had progressed to diabetes mellitus. This was higher than rates described elsewhere but comparable with the rates described among the Pima Indians. Younger age, skilled occupations, high socioeconomic status and higher overall modernity were associated with progression to NIDDM.
非胰岛素依赖型糖尿病（NIDDM）是南太平洋波利尼西亚人面临的一个主要公共卫生问题。纽埃岛的NIDDM患病率高于其他太平洋岛屿，且呈上升趋势。在某些情况下，NIDDM之前存在糖耐量受损状态。发展为NIDDM与某些可改变的因素有关。1980年，南太平洋委员会在纽埃进行了一项代谢疾病调查。61人被诊断为糖耐量受损。1985年，对其中48人（所有仍在该岛的人）进行了复查。记录了人口统计学、生物学和西方化指标。31%（每年6%）已发展为糖尿病。这一比例高于其他地方描述的比例，但与皮马印第安人描述的比例相当。年龄较小、从事技能职业、社会经济地位较高和整体现代性较高与发展为NIDDM有关。
