Heidemann Christin, Du Yong, Mauz Elvira, Walther Lena, Peitz Diana, Müller Anja, Buchmann Maike, Allen Jennifer, Scheidt-Nave Christa, Baumert Jens
Robert Koch Institute, Department of Epidemiology and Health Monitoring, Berlin, Germany.
J Health Monit. 2024 Jun 19;9(2):e12128. doi: 10.25646/12128. eCollection 2024 Jun.
The nationwide study German Health Update (GEDA) 2021/2022-Diabetes was conducted to assess the current healthcare and health situation of adults with diabetes in Germany.
GEDA 2021/2022-Diabetes comprises a sample of adults with diagnosed diabetes from the general population. The analysis focuses on adults aged 45 years and over with type 2 diabetes (N = 1,448) and provides selected indicators on diabetes care as well as mental, social and general health.
87.5 % of participants aged 45 years and over with type 2 diabetes are treated with blood glucose-lowering medication. 36.5 % receive insulin alone or in combination with other antidiabetics; 0.7 % use an insulin pump. Almost 96 % had an HbA1c measurement in the last year and about two thirds each report annual foot and eye examinations, participation in a diabetes self-management education programme and self-monitoring of their feet and of blood glucose (12.0 % with continuous glucose monitoring). On average, the quality of diabetes care is perceived as moderate. 23.8 % rate their mental health as excellent/very good. More than a tenth each have anxiety or depressive symptoms and feelings of loneliness. Half rate their general health as very good/good.
There is a potential for improvement in the quality of diabetes care and the mental and physical health of adults with type 2 diabetes.
开展了全国性研究“德国健康更新（GEDA）2021/2022 - 糖尿病”，以评估德国成年糖尿病患者当前的医疗保健和健康状况。
GEDA 2021/2022 - 糖尿病研究包含从普通人群中抽取的已确诊糖尿病成年患者样本。分析聚焦于45岁及以上的2型糖尿病成年患者（N = 1448），并提供有关糖尿病护理以及心理、社会和总体健康状况的选定指标。
45岁及以上的2型糖尿病患者中，87.5%接受降糖药物治疗。36.5%单独使用胰岛素或与其他抗糖尿病药物联合使用；0.7%使用胰岛素泵。近96%的患者在过去一年进行了糖化血红蛋白（HbA1c）检测，约三分之二的患者分别报告每年进行足部和眼部检查、参加糖尿病自我管理教育项目以及自我监测足部和血糖（12.0%进行连续血糖监测）。总体而言，糖尿病护理质量被认为处于中等水平。23.8%的患者将其心理健康状况评为优秀/非常好。超过十分之一的患者有焦虑或抑郁症状以及孤独感。一半的患者将其总体健康状况评为非常好/良好。
2型糖尿病成年患者的糖尿病护理质量以及心理和身体健康状况有改善的潜力。
