Muneta B, Newman J, Stevenson J, Eggers P
Division of Diabetes Translation, Centers for Disease Control, Atlanta, Georgia 30333.
Diabetes Care. 1993 Jan;16(1):346-8. doi: 10.2337/diacare.16.1.346.
To examine why ESRD has become a major source of morbidity and mortality for Native Americans with diabetes mellitus.
Using data from the Medicare ESRD Program, we examined incidence rates for ESRD among Native Americans for the years 1983-1987.
During this period, the annual incidence of total ESRD in Native Americans increased by 18%, from 170.5/million to 200.1/million. The incidence of diabetic ESRD increased by 47%, from 80.6/million to 118.2/million. In 1987, the age-adjusted incidence rate of diabetic ESRD was 6.8 times higher in Native Americans than in whites.
Recommendations for the prevention of diabetic ESRD include early identification of renal disease and improved control of hypertension and blood glucose. The magnitude of diabetic ESRD among Native Americans also underscores the need for primary prevention of non-insulin-dependent diabetes mellitus.
研究为何终末期肾病（ESRD）已成为美国糖尿病原住民发病和死亡的主要原因。
利用医疗保险终末期肾病项目的数据，我们调查了1983 - 1987年美国原住民中终末期肾病的发病率。
在此期间，美国原住民中终末期肾病的年发病率增长了18%，从每百万170.5例增至每百万200.1例。糖尿病终末期肾病的发病率增长了47%，从每百万80.6例增至每百万118.2例。1987年，美国原住民中经年龄调整的糖尿病终末期肾病发病率比白人高6.8倍。
预防糖尿病终末期肾病的建议包括早期识别肾脏疾病以及更好地控制高血压和血糖。美国原住民中糖尿病终末期肾病的严重程度也凸显了对非胰岛素依赖型糖尿病进行一级预防的必要性。
