空腹血糖受损不同下限切点在健康体检中的应用

Application of the different lower limit of the impaired fasting glucose in physical examination

目的探讨应用空腹血糖受损（IFG）不同下限切点及相应IFG范围人群的空腹血糖（FPG）转归情况。方法 2007年来徐州电力医院进行健康体检的人员2 860例,对其中FPG为5.6-6.9 mmol/L的712例人员作为期2年的观察。结果将IFG下限由6.1 mmol/L下调至5.6 mmol/L后,2007年患IFG的人数由187例增加到712例,IFG患病率由6.5%增加到24.9%。2007年FPG为5.6-6.0 mmol/L的人群中,其2009年FPG在6.1-6.9 mmol/L、≥7.0 mmol/L范围者分别占当年相应人群的57.3%、34.5%。结论 IFG下限切点调至5.6mmol/L,在本地区健康体检中应用是可行的,应关注FPG处于5.6-6.0 mmol/L的人群。

Objective To study the fasting plasma glucose（FPG） change of the FPG related range for impaired fasting glucose（IFG）.Methods 712 people with FPG 5.6-6.9 mmol/L were obtained from 2 860 physical examination cases in 2007,and measured by FPG again in 2009.Results The lower limit for IFG decreased from 6.1 to 5.6 mmol/L,while the number of patients with IFG increased from 187 to 712.The prevalence of IFG increased from 6.5% to 24.9%.Among the people with FPG 5.6-6.9 mmol/l in 2007,there were 57.3% and 34.5% people in the related region changed FPG into 6.1-6.9 mmol/L or FPG≥7.0 mmol/L in 2009.Conclusion It is suitable to use a lower cut point 5.6 mmol/L for IFG in local physical examination,and we should pay attention to individuals with FPG 5.6-6.0 mmol/L.