Ingberg C M, Palmér M, Aman J, Larsson S
Department of Internal Medicine, Orebro Medical Centre Hospital, Sweden.
Diabet Med. 1996 Aug;13(8):729-33. doi: 10.1002/(SICI)1096-9136(199608)13:8<729::AID-DIA147>3.0.CO;2-A.
In a population-based study, the social situation of 91 young adult patients with Type 1 diabetes mellitus (IDDM) since childhood was compared to that of an age- and sex-matched group of 189 healthy persons. Their mean age was 37.2 years, duration of diabetes 28.7 years and severe complications were present in 13 of the 91 patients. A nearly 10-fold increased mortality rate was found in diabetic patients, mainly due to diabetic nephropathy and trauma, including suicide. The employment rate was lower in diabetic patients (71% vs 85%, p < 0.05); the need for welfare benefits was greater (15% vs 3%, p < 0.01). These differences were mainly the consequence of diabetic late complications. Education, housing conditions, life style, civil state, alcohol and smoking habits were similar in both groups. Confidence in the future was slightly less in diabetic patients (p < 0.05). In conclusion, besides an increased mortality rate, the present study has shown no serious social consequences in adult Type 1 diabetic patients without severe late complications, as compared to matched controls. Our results indicate that IDDM affects social life only to a limited extent, in the absence of severe vascular complications.
在一项基于人群的研究中，将91例自幼患1型糖尿病（IDDM）的青年成年患者的社会状况与189名年龄和性别匹配的健康人的社会状况进行了比较。他们的平均年龄为37.2岁，糖尿病病程为28.7年，91例患者中有13例出现严重并发症。糖尿病患者的死亡率增加了近10倍，主要原因是糖尿病肾病和创伤，包括自杀。糖尿病患者的就业率较低（71%对85%，p<0.05）；对福利的需求更大（15%对3%，p<0.01）。这些差异主要是糖尿病晚期并发症的结果。两组在教育、住房条件、生活方式、婚姻状况、饮酒和吸烟习惯方面相似。糖尿病患者对未来的信心略低（p<0.05）。总之，与匹配的对照组相比，本研究表明，除了死亡率增加外，成年1型糖尿病患者在无严重晚期并发症的情况下，没有严重的社会后果。我们的结果表明，在没有严重血管并发症的情况下，IDDM对社会生活的影响仅在有限程度上。
