Kravchenko V I, Tronko N D, Pankiv V I, Prudius F G
Laboratory of Epidemiology of Endocrine Diseases, Ukrainian Research Institute of Endocrinology and Metabolism, Academy of Medical Sciences of the Ukraine, Kiev, Ukraine.
Diabetes Res Clin Pract. 1996 Oct;34 Suppl:S73-8. doi: 10.1016/s0168-8227(96)90011-x.
Analysis of the prevalence of insulin-dependent diabetes mellitus (IDDM) and non-insulin-dependent diabetes mellitus (NIDDM) in various climato-geographic and administrative regions of the Ukraine was performed. The prevalence of diabetes mellitus (DM) complication in the west and north zones of the Ukraine was studied. The role of prophylactic measures in decreasing the number of complications was elucidated. The statistical reports from the specialized endocrinologic institutions of the Ukraine were analysed in the Laboratory of Epidemiology of Endocrine disease of Institute and results from 3450 and 673 diabetic patients in the west and north zone of the Ukraine were used, respectively. In various administrative regions of the Ukraine the prevalence of IDDM significantly varied from 1740 to 3813 patients per 1 million population. Significant differences in the prevalence of NIDDM were found. Generally in the west zone of the Ukraine the prevalence of DM was less than that of average in the Ukraine. Angiopathy of the lower extremities, neuropathy and retinopathy were registered in 92, 24, and 21% of diabetes cases in the west zone, respectively. Prophylactic measures directed at a decrease in patient weight, the normalization of metabolism, arterial pressure and the elimination of pernicious habits promoted a decrease in the number of complications.
对乌克兰不同气候地理和行政区胰岛素依赖型糖尿病（IDDM）及非胰岛素依赖型糖尿病（NIDDM）的患病率进行了分析。研究了乌克兰西部和北部地区糖尿病（DM）并发症的患病率。阐明了预防措施在减少并发症数量方面的作用。分析了乌克兰专门内分泌机构的统计报告，分别采用了乌克兰西部和北部地区3450例及673例糖尿病患者的研究结果。在乌克兰不同行政区，IDDM的患病率显著不同，每百万人口中为1740至3813例患者。发现NIDDM的患病率存在显著差异。总体而言，乌克兰西部地区DM的患病率低于乌克兰平均水平。乌克兰西部地区分别有92%、24%和21%的糖尿病病例出现下肢血管病变、神经病变和视网膜病变。旨在减轻患者体重、使代谢、动脉血压正常化以及消除不良习惯的预防措施促使并发症数量减少。
