文档介绍：Adapted from World anization. Definition, Diagnosis and Classification of Diabetes Mellitus and plications. Geneva: World anization:1999:52.
Criteria for the Diagnosis of Diabetes Mellitus and Hyperglycemia Plasma Glucose Concentration
> (>126)
> (>110) to < (<126)
2-Hour Post Glucose Load
Fasting Glucose
Diabetes Mellitus
Impaired Glucose Tolerance
Impaired Fasting Glucose
> (>200)
> (>140) to < (<200)
Values are mmol/L (mg/dl)
Developed
Developing
Percent
King H et al. Diabetes Care 1998;21:1414-1431.
World
1995
Prevalence of Diabetes in Adult Population (Aged >20 years) by Year and Region
2000
2025
Hospitalization Costs for plications of Diabetes in the US
American Diabetes Association. Economic Consequences of Diabetes Mellitus in the US in 1997. Alexandria, VA: American Diabetes Association, 1998:1-14.
Total costs 12 billion US $
CVD accounts for 64% of total costs
Others
Ophthalmic disease
Cardiovascular disease
Renal disease
Neurologic disease
Peripheral vascular disease
Annual CHD Deaths per 1000 Persons
Kannel WB, McGee DL. JAMA 1979;241:2035-2038.
Framingham Study: DM and CHD Mortality 20-Year Follow-up
17
8
17
4
Men
Women
DM
Non-DM
Ischemic heart disease
% of Deaths
Geiss LS et al. In: Diabetes in America. 2nd ed. 1995; chap 11.
Mortality in People with Diabetes Causes of Death
Other heart disease
Diabetes
Cancer
Stroke
Infection
Other
Mortality per 1000 person-years*
*Age-adjusted
Adapted from Gu K et al. Diabetes Care 1998;21:1138-1145.
Mortality Due to Heart Disease in Men and Women with or without Diabetes (US)
Men
Women
Diabetes
No Diabetes
All heart disease
Ischemic heart disease
Men
Women
Nondiabetes
Diabetes
*Defined in 1971-1975, followed up through 1982-1984. **Defined in 1982-1984, followed up through 1992-1993.
Gu K et al. JAMA 1999;281:1291-1297.
Trends in Mortality Rates for Ischemic Heart Disease in NHANES Subj