文档介绍:该【胰岛素抵抗、糖尿病与冠心病英文 】是由【niuww】上传分享,文档一共【28】页,该文档可以免费在线阅读,需要了解更多关于【胰岛素抵抗、糖尿病与冠心病英文 】的内容,可以使用淘豆网的站内搜索功能,选择自己适合的文档,以下文字是截取该文章内的部分文字,如需要获得完整电子版,请下载此文档到您的设备,方便您编辑和打印。EpidemiologyofInsulinResistance,DiabetesMellitus,andCoronaryHeartDiseaseStevenHaffner,MD
,:WorldHealthOrganization:1999:52.
CriteriafortheDiagnosisofDiabetesMellitusandHyperglycemiaPlasmaGlucoseConcentration
>(>126)
>(>110)to<(<126)
2-HourPostGlucoseLoad
FastingGlucose
DiabetesMellitus
ImpairedGlucoseTolerance
ImpairedFastingGlucose
>(>200)
>(>140)to<(<200)
Valuesaremmol/L(mg/dl)
Developed
Developing
Percent
;21:1414-1431.
World
1995
PrevalenceofDiabetesinAdultPopulation(Aged>20years)byYearandRegion
2000
2025
HospitalizationCostsforChronicComplicationsofDiabetesintheUS
,VA:AmericanDiabetesAssociation,1998:1-14.
Totalcosts12billionUS$
CVDaccountsfor64%oftotalcosts
Others
Ophthalmicdisease
Cardiovasculardisease
Renaldisease
Neurologicdisease
Peripheralvasculardisease
AnnualCHDDeathsper1000Persons
KannelWB,;241:2035-2038.
FraminghamStudy:DMandCHDMortality20-YearFollow-up
17
8
17
4
Men
Women
DM
Non-DM
Ischemicheartdisease
%ofDeaths
:;chap11.
MortalityinPeoplewithDiabetesCausesofDeath
Otherheartdisease
Diabetes
Cancer
Stroke
Infection
Other
Mortalityper1000person-years*
*Age-adjusted
;21:1138-1145.
MortalityDuetoHeartDiseaseinMenandWomenwithorwithoutDiabetes(US)
Men
Women
Diabetes
NoDiabetes
Allheartdisease
Ischemicheartdisease
Men
Women
Nondiabetes
Diabetes
*Definedin1971-1975,followedupthrough1982-1984.**Definedin1982-1984,followedupthrough1992-1993.
;281:1291-1297.
TrendsinMortalityRatesforIschemicHeartDiseaseinNHANESSubjectswithandwithoutDiabetes*
-%
+%
Men,cohort1*
Men,cohort2**
Women,cohort1*
Women,cohort2**
-%
-%
(P=)
(P=)
(P<)
(P=)
Rateper1000person-years
WOMEN
MEN
SurvivalPost-MIinDiabeticandNondiabeticMenandWomen:MinnesotaHeartSurvey
;14:537-543.
100
80
60
40
0
Survival(%)
MonthsPost-MI
Nodiabetes
n=228
n=1628
MonthsPost-MI
Survival(%)
0
20
40
60
Diabetes
100
80
60
40
0
80
0
20
40
60
80
Diabetes
Nodiabetes
n=156
n=568
WOMEN
MEN
CardiovascularMortalityinPeoplewithDiabetes
%ofDeaths(CrudeRate)
;21:69-75.
Diabetes
NoDiabetes
Diabetes
NoDiabetes
28d–1y
Hospitalization–28d
OutofHospital