Abu Al-Halaweh Ahmad, Davidovitch Nadav, Almdal Thomas Peter, Cowan Anna, Khatib Samah, Nasser-Eddin Lana, Baradia Ziad
Augusta Victoria Hospital Diabetes Care Center (AVH-DCC), Mount of Olives, Jerusalem, Ben-Gurion University of the Negev, Israel.
Ben-Gurion University of the Negev, Beer Sheva, Israel.
Diabetes Metab Syndr. 2017 Dec;11 Suppl 2:S783-S787. doi: 10.1016/j.dsx.2017.05.017. Epub 2017 Jun 3.
To assess the prevalence of microvascular and macrovascular complications of type 2 diabetes (T2DM) among Palestinians.
1308 diagnosed T2DM attending four main Primary Health Care Clinics on the Southern West Bank of Palestine examined by a Mobile Diabetes Clinic team. All diabetes patients visiting the clinics during a one-month period for each clinic were included. Interviews, anthropometric measurements, physical examination, and laboratory tests: HbA1c, lipid profile, and kidney function tests analyzed in a central laboratory were obtained RESULTS: 1308 diabetes patients, including 839 females (64%), with a mean age of 57 years (SD=8.7), and mean diabetes duration 7.1 years(SD=6.25), participated. 95.3% presented as overweight (BMI >25kg/m) or obese (BMI>30kg/m) with mean BMI of 33.46 (SD=5.95). The mean HbA1c (tested in 1221 patients) was 9.21(SD=2). Only 16.1% had HbA1c <7.0%. Hypertension (blood pressure>140/90mmHg) were found in 23%, and dyslipidemia (total cholesterol>200mg/dl) was present in 37.3% of patients. 213(16.3%) had a history of the macrovascular disease (previous myocardial infarction or stroke), and 290 (25.9%) had microvascular complications. Moreover, 40 (4.9%) had advanced kidney disease with serum creatinine>1.4mg/dl.
The present cross-sectional study shows poor glycemic control in Palestine, while blood pressure and lipids are less poorly controlled. The study emphasizes the need to optimize the glucose-lowering treatment and to implement diabetes care program that could face the challenge of high uncontrolled diabetes as well as complications of diabetes.
评估巴勒斯坦人中2型糖尿病（T2DM）微血管和大血管并发症的患病率。
由一个移动糖尿病诊所团队对在约旦河西岸南部的四个主要初级卫生保健诊所就诊的1308例确诊T2DM患者进行检查。纳入每个诊所在一个月期间就诊的所有糖尿病患者。进行访谈、人体测量、体格检查以及实验室检测：获得在一个中心实验室分析的糖化血红蛋白（HbA1c）、血脂谱和肾功能检测结果。
1308例糖尿病患者参与研究，其中包括839名女性（64%），平均年龄57岁（标准差=8.7），平均糖尿病病程7.1年（标准差=6.25）。95.3%的患者表现为超重（体重指数>25kg/m）或肥胖（体重指数>30kg/m），平均体重指数为33.46（标准差=5.95）。平均糖化血红蛋白（在1221例患者中检测）为9.21（标准差=2）。只有16.1%的患者糖化血红蛋白<7.0%。23%的患者患有高血压（血压>140/90mmHg），37.3%的患者存在血脂异常（总胆固醇>200mg/dl）。213例（16.3%）有大血管疾病史（既往心肌梗死或中风），290例（25.9%）有微血管并发症。此外，40例（4.9%）患有晚期肾病，血清肌酐>1.4mg/dl。
本横断面研究显示巴勒斯坦的血糖控制较差，而血压和血脂控制稍好。该研究强调需要优化降糖治疗，并实施能够应对高比例未控制糖尿病以及糖尿病并发症挑战的糖尿病护理计划。
