北京某地区糖尿病前期危险因素分析

To investigate and analyze subjects in the diabetic in a certain community of Beijing

目的:探讨北京市某地区糖尿病前期危险因素。方法:采用自行设计的调查、评价表对北京市某地区的三个社区的292名糖尿病高危人群进行问卷调查和血糖测定。所有受检对象均隔夜禁食(正常晚餐)10 h以上,于次晨空腹和进食100 g馒头后2 h测毛细血管血糖。记录既往家族史、超重、高血压病、高血脂等病史。结果:新发糖尿病37例(12.67%),其中有糖尿病家族史27.27%,超重31.31%,高血脂30.30%,高血压病23.23%;空腹血糖受损38例(13.01%),糖耐量减低18例(6.16%);其中有糖尿病家族史17.58%,超重26.37%,高血脂20.88%,高血压病32.97%。结论:北京某地区新发糖尿病者家族史、超重、高血脂较糖尿病前期人群明显,糖尿病前期人群中合并高血压病者较新发糖尿病者明显。患病率与年龄关系密切,尤其应关注45岁以下有糖尿病家族史者空腹血糖受损的发生,65岁以上有高血压病者糖耐量减低的发生,对该类人群应尽早进行干预,以减少糖尿病的发生。

Objective ：To investigate and analyze the blood glucose abnormality and related risk factors in the diabetic high risk group in a area of Beijing. Methods ： After overnight fasting of more than 10 hours, capillaries sugar levels of all 292 subjects were measured directly and at ：2 hours after 100g standard bread test. Record the past history of hypertension , hyperlipemia, coronary heart disease, cerebral infarction, stroke, giant baby, overweight, family history. Results ： Among the 292 subjects surveyed, （65 already diagnosed, 37 newly diagnosed）, 38 with IFG and 18 with IGT. The prevalence of diabetes, IFG and IGT were 12.67%, 13.01% ,and 6.16%, respectively. Conclusion：The family history of diabetic,overweight and nyperlipidemia of new diabetic patients were significantly than pre - diabete. The prevalence was closely related of age. It＇s suggested that do well the prevention for 45 years or older 65 years or older to reduce the occur of diabete.