Shestakova M V, Dedov I I
Endocrinology Research Center, Ministry of Health of Russia, Moscow, Russia; I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Endocrinology Research Center, Ministry of Health of Russia, Moscow, Russia.
Ter Arkh. 2016;88(10):4-8. doi: 10.17116/terarkh201688104-8.
Diabetes mellitus (DM) is a fast-spreading non-communicable disease epidemic of the 21st century. According to the Russian State Register, in 2015 a total of 4.3 million patients were registered for seeking medical advice for DM. were registered in 2015. However, the first NATION epidemiological survey aimed to actively screen type 2 DM (T2DM) in the population of Russia has shown that the true prevalence of T2DM is twice as high as the registered one, accounting for 5.4%. The proportion of previously undiagnosed T2DM was 54%. The highest prevalence of T2DM was seen in individuals older than 45 years and in those with obesity or cardiovascular diseases. The prevalence of prediabetes was 19.3%. The main cause of death in DM patients is cardiovascular diseases. Nonmedical and indirect costs are more than a quarter of the economic burden. The medical costs of treatment for patients with DM and complications are thrice higher than those in uncomplicated DM subjects.
糖尿病（DM）是21世纪迅速蔓延的一种非传染性疾病。根据俄罗斯国家登记处的数据，2015年共有430万患者因糖尿病就医登记。然而，俄罗斯首次旨在积极筛查2型糖尿病（T2DM）的全国性流行病学调查显示，T2DM的实际患病率是登记患病率的两倍，占5.4%。之前未被诊断出的T2DM比例为54%。T2DM在45岁以上人群以及肥胖或患有心血管疾病的人群中患病率最高。糖尿病前期的患病率为19.3%。糖尿病患者的主要死因是心血管疾病。非医疗和间接成本超过经济负担的四分之一。糖尿病患者及其并发症的治疗医疗成本比无并发症的糖尿病患者高出两倍。
