沧州市2型糖尿病和糖尿病高危人群的调查

The investigation of type 2 diabetes and the corresponding high-risk population in Cangzhou city

目的通过对沧州市2型糖尿病（T2DM）和T2DM高危人群的调查和研究为本地T2DM的防治工作提供依据。方法采用整群抽样的方法，测定沧州市6287例常住居民的糖化血红蛋白（HbAlc）、空腹血糖（FPG）和血脂等。结果经筛查，T2DM患病率9．5％，T2DM高危人群患病率25．3％；在高危人群中，50岁以前男性患病率较高，60岁以后则女性患病率较高，40～60岁是女性患病率增长最快阶段。T2DM高危人群的血脂明显异常，且与HbAlc相关。结论T2DM高危人群患病率较高，且已经存在血脂异常等并发症，要积极防治，女性围绝经期是防治重点。

Objective To provide the basis for diabetes prevention by investigating type 2 diabetes （T2DM） and the cor- responding high-risk population in Cangzhou city. Methods The levels of glyeosylated hemoglobin （HbAlc）, fasting glucose and dys- lipidemia were determined in 6287 subjects in Cangzhou city. Results Among all subjects,the incidence of diabetes was 9.5% and the incidence of high-risk diabetes was 25.3%. In the high-risk population,the prevalence rate in male was higher than female before the age of 50, but the rate in female was higher after the age of 60. The prevalence rate increased rapidly for female between age 40 and 60. High-risk population of type 2 diabetes had abnormalities in plasma lipoprotein. Conclusion The prevalence rate of T2DM in high-risk population in Cangzhou city is higher and patients are suffering from hyperlipidemia. Treatment is necessary and female climacteric is a critical period for diabetes control.