Lekishvili S, Chayen B, Chayen S
1Medical Institute Sumy State University; 2Sumy State University, Oleg Balatskyi Academic and Research Institute of Finance, Economics and Management, Economic Theory Department, Ukraine.
Georgian Med News. 2018 May(278):120-126.
The aim of the study was to compare and research: the general prevalence of DM in the Sumy region compared with the prevalence of DM in the whole of Ukraine during the years 2011-2016; the prevalence of ocular complications of diabetes and their tendency to progress in Ukraine and Sumy region over this period; various demographical traits of the prevalence of ocular complications of diabetes and the dependence of prevalence of ocular complications of diabetes upon environmental causes and various socio-economic factors. We conducted a statistical analysis of data on diabetes and its complications in the whole of Ukraine and the Sumy region. The materials that were analyzed were collected over the last 6 years from the Department of Endocrine diseases of the Regional Hospital of Sumy. In addition materials were collected from the Global Burden of Disease Study (GBD) presented by the Institute of Health Metrics and Evaluation (University of Washington, Seattle). In this work we have shown an increase of 17.5% in the prevalence of diabetes mellitus in the Sumy region during the period 2011 - 2016. During that period there was no significant change in the prevalence of DM in the whole of Ukraine. The prevalence of ocular complications of DM are approximately 22% of which 6% for DC and 16% for DR. The prevalence of ocular complications did not change over the years. We have shown that the increase of DM prevalence is in accordance with severe increase in environmental pollution. In addition we have shown that there is a process of the population moving from the villages to the towns - a process which invites negative change in life style leading to higher prevalence of DM. We plan in the future to look in detail into the question of ground water pollution and research whether the drinking water is polluted in a way that it may affect the increased prevalence of DM.
2011 - 2016年期间，苏梅州地区糖尿病的总体患病率与乌克兰全国糖尿病患病率；这一时期乌克兰和苏梅州地区糖尿病眼部并发症的患病率及其进展趋势；糖尿病眼部并发症患病率的各种人口统计学特征，以及糖尿病眼部并发症患病率与环境因素和各种社会经济因素的相关性。我们对乌克兰全国和苏梅州地区糖尿病及其并发症的数据进行了统计分析。所分析的材料是在过去6年中从苏梅地区医院内分泌疾病科收集的。此外，还从健康指标与评估研究所（华盛顿大学，西雅图）发布的全球疾病负担研究（GBD）中收集了材料。在这项工作中，我们发现2011 - 2016年期间苏梅州地区糖尿病患病率增加了17.5%。在此期间，乌克兰全国糖尿病患病率没有显著变化。糖尿病眼部并发症的患病率约为22%，其中糖尿病性角膜病变为6%，糖尿病视网膜病变为16%。眼部并发症的患病率多年来没有变化。我们发现糖尿病患病率的增加与环境污染的严重加剧相一致。此外，我们还发现存在人口从农村向城镇迁移的过程，这一过程导致生活方式发生负面变化，进而导致糖尿病患病率升高。我们计划在未来详细研究地下水污染问题，并研究饮用水是否受到污染，以至于可能影响糖尿病患病率的上升。
