韩国糖尿病概况手册 2018：现状评估。

Diabetes Fact Sheets in Korea, 2018: An Appraisal of Current Status.

机构信息

Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.

Division of Endocrinology and Metabolism, Department of Internal Medicine, Cardiovascular and Metabolic Disease Center, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.

出版信息

Diabetes Metab J. 2019 Aug;43(4):487-494. doi: 10.4093/dmj.2019.0067. Epub 2019 Jul 17.

BACKGROUND

The objective of this study was to investigate the prevalence, management, and comorbidities of diabetes among Korean adults aged 30 years and older.

METHODS

This study used 2013 to 2016 data from the Korea National Health and Nutrition Examination Survey, a nationally-representative survey of the Korean population. Diabetes was defined as fasting glucose ≥126 mg/dL, current use of antidiabetic medication, a previous history of diabetes, or glycosylated hemoglobin (HbA1c) ≥6.5%.

RESULTS

In 2016, 14.4% (approximately 5.02 million) of Korean adults had diabetes. The prevalence of impaired fasting glucose was 25.3% (8.71 million). From 2013 to 2016, the awareness, control, and treatment rates for diabetes were 62.6%, 56.7%, and 25.1%, respectively. People with diabetes had the following comorbidities: obesity (50.4%), abdominal obesity (47.8%), hypertension (55.3%), and hypercholesterolemia (34.9%). The 25.1%, 68.4%, and 44.2% of people with diabetes achieved HbA1c <6.5%, blood pressure <140/85 mm Hg, and low density lipoprotein cholesterol <100 mg/dL. Only 8.4% of people with diabetes had good control of all three targets.

CONCLUSION

This study confirms that diabetes is as an important public health problem. Efforts should be made to increase awareness, detection, and comprehensive management of diabetes to reduce diabetes-related morbidity and mortality.

背景

本研究旨在调查韩国 30 岁及以上成年人中糖尿病的患病率、管理情况和合并症。

方法

本研究使用了 2013 年至 2016 年韩国国家健康和营养检查调查的数据，这是一项具有全国代表性的韩国人口调查。糖尿病的定义为空腹血糖≥126mg/dL、正在使用抗糖尿病药物、有糖尿病病史或糖化血红蛋白（HbA1c）≥6.5%。

结果

2016 年，韩国有 14.4%（约 502 万人）的成年人患有糖尿病。空腹血糖受损的患病率为 25.3%（871 万人）。从 2013 年到 2016 年，糖尿病的知晓率、控制率和治疗率分别为 62.6%、56.7%和 25.1%。患有糖尿病的人有以下合并症：肥胖症（50.4%）、腹部肥胖症（47.8%）、高血压（55.3%）和高胆固醇血症（34.9%）。25.1%、68.4%和 44.2%的糖尿病患者的糖化血红蛋白<6.5%、血压<140/85mmHg 和低密度脂蛋白胆固醇<100mg/dL。只有 8.4%的糖尿病患者同时很好地控制了这三个目标。