Breidert M, Schmoeckel A, Nettesheim O, Hanefeld M
Medizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden.
Gesundheitswesen. 1998 Oct;60(10):572-5.
Based upon epidemiological studies it is assumed that the prevalence of diabetes mellitus is approximately 8 million patients in Germany. Since a significant increase of risk for diabetes and in parallel an increase of vascular and mortality risk was observed even with slight hyperglycaemia, the World Health Organization (WHO) and the American Diabetes Association (ADA) formulated new criteria for diagnosis in 1997. One way to record endangered and asymptomatic diabetic patients is to appeal for public health checks, propagated by mass media. During a public health day in Dresden, Germany, a simple examination of the state of health was carried out, including determination of the BMI, blood pressure, and blood glucose. As a result, in this population already selected already for health orientation (n = 513; 366 women, 147 men; age: 64.5 +/- 13.6, range: 7-97) 152 subjects (110 women, 42 men) were found with hyperglycaemia (capillary blood glucose between 6.1 and 11.1 mmol/l) who should be controlled regarding their plasma glucose levels, and 3 newly detected diabetic subjects (total of diabetic patients: 23 females/15 males) were discovered 50% of the participants had a BMI of over 25 kg/m2. Our results indicate that the possibilities for preventive checkups for subjects on risk and early diagnosis of diabetes mellitus should be offered on a much broader basis for the entire population.
基于流行病学研究,据推测德国糖尿病患者的患病率约为800万。由于即便存在轻度高血糖,糖尿病风险也会显著增加,同时血管风险和死亡风险也会上升,世界卫生组织(WHO)和美国糖尿病协会(ADA)于1997年制定了新的诊断标准。记录处于糖尿病风险中的无症状患者的一种方法是通过大众媒体宣传呼吁进行公共健康检查。在德国德累斯顿的一个公共健康日,开展了一项简单的健康状况检查,包括测定体重指数(BMI)、血压和血糖。结果,在这个已经选定进行健康指导的人群中(n = 513;366名女性,147名男性;年龄:64.5±13.6,范围:7 - 97岁),发现152名受试者(110名女性,42名男性)存在高血糖(毛细血管血糖在6.1至11.1 mmol/l之间),应对他们的血糖水平进行监测,并且发现了3名新诊断的糖尿病患者(糖尿病患者总数:23名女性/15名男性)。50%的参与者BMI超过25 kg/m²。我们的结果表明,应该为全体人群更广泛地提供针对糖尿病风险人群的预防性检查和糖尿病早期诊断的机会。