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新诊断2型糖尿病患者中瘦型2型糖尿病的患病率

Prevalence of lean type 2 diabetes mellitus in recently diagnosed type 2 diabetes mellitus patients.

作者信息

Chaudhary Prateek, Laloo Demitrost, Salam Ranabir

机构信息

Department of Medicine, Regional Institute of Medical Sciences, Imphal, Manipur, India.

出版信息

Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S316-7. doi: 10.4103/2230-8210.119645.

Abstract

INTRODUCTION

Obesity has always been thought to be a risk factor for diabetes; however, some studies in India have reported that even lean people are prone to diabetes. We conducted this study to see if this holds true for this part of the country.

OBJECTIVES

To determine the prevalence of lean type 2 diabetes mellitus (DM) in recently diagnosed type 2 DM in Manipur.

MATERIALS AND METHODS

All recently diagnosed type 2 DM patients, within a period of 24 weeks, who attended the endocrine clinic of RIMS from Jan to Dec 2012 are included in the study. Exclusion criteria are patients with chronic diseases.

RESULTS

Out of the 181 recently diagnosed diabetics 3.9% had a BMI of <19 kg/m(2) of which five are females (5.4% of female patients) and two are males (2.2% of male patients). Mean age of Lean diabetics is 54.86 ± 15.32, mean fasting glucose is 212 ± 105.5 mg% and mean postprandial glucose is 351.57 ± 167.79 mg%. DM complications were observed in 28.6% of the Lean diabetics.

CONCLUSION

Our study shows a low prevalence rate of Lean DM in recently diagnosed type 2 DM.

摘要

引言

肥胖一直被认为是糖尿病的一个危险因素;然而,印度的一些研究报告称,即使是体型偏瘦的人也容易患糖尿病。我们开展这项研究以了解该国的这一地区是否也是如此。

目的

确定曼尼普尔邦新诊断的2型糖尿病患者中瘦型2型糖尿病(DM)的患病率。

材料与方法

纳入2012年1月至12月期间在RIMS内分泌门诊就诊的、24周内新诊断的所有2型糖尿病患者。排除标准为患有慢性疾病的患者。

结果

在181名新诊断的糖尿病患者中,3.9%的患者体重指数(BMI)<19kg/m²,其中5名是女性(占女性患者的5.4%),2名是男性(占男性患者的2.2%)。瘦型糖尿病患者的平均年龄为54.86±15.32岁,平均空腹血糖为212±105.5mg%,平均餐后血糖为351.57±167.79mg%。28.6%的瘦型糖尿病患者出现了糖尿病并发症。

结论

我们的研究表明,在新诊断的2型糖尿病患者中,瘦型糖尿病的患病率较低。

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本文引用的文献

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Clinical and biochemical profile of lean type 2 diabetes mellitus.
Indian J Endocrinol Metab. 2011 Jul;15(Suppl 1):S40-3. doi: 10.4103/2230-8210.83061.
2
Clinical profile of lean NIDDM in South India.
Diabetes Res Clin Pract. 1997 Nov;38(2):101-8. doi: 10.1016/s0168-8227(97)00088-0.

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