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首页> 外文期刊>Diabetic medicine: A journal of the British Diabetic Association >Undiagnosed diabetes-data from the English longitudinal study of ageing.
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Undiagnosed diabetes-data from the English longitudinal study of ageing.

机译：未诊断的糖尿病数据来自于英国的纵向老龄化研究。

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AIMS: Diabetes UK estimates a quarter of UK cases of diabetes are undiagnosed; 750,000 people have undiagnosed diabetes in addition to 2.25 million with known diabetes, but research studies examining this are contradictory. The aim was to determine the prevalence of, and risk factors for, undiagnosed diabetes in the population of England aged > 50 years and to calculate the percentage of cases of undiagnosed diabetes. METHODS: This was a cross-sectional study in a nationally representative sample of 6739 people aged 52-79 years from the English Longitudinal Study of Ageing (ELSA) 2004/2005. Diabetes cases were ascertained by self-reported doctor diagnosis of diabetes. A fasting plasma glucose measurement after a minimum of 8-h fast was available for 2387 (38% of the participants without diabetes). Undiagnosed diabetes cases were based on a fasting plasma glucose >or= 7.0 mmol/l. RESULTS: The overall weighted prevalence of diabetes was 9.1%; 502 people (7.5%) had self-reported diabetes (9.0% of men and 6.0% of women); 36 (1.7%) had undiagnosed diabetes (2.6% of men and 0.8% of women). Of cases of diabetes, 18.5% were undiagnosed (22% in men, 12% in women). Significant risk factors for undiagnosed diabetes were male sex, higher body mass index, waist circumference, systolic blood pressure and triglycerides. CONCLUSIONS: In 2004 the prevalence of undiagnosed diabetes, and the proportion of cases of diabetes that were undiagnosed, appear smaller than in previous studies. This is likely to be due to increased awareness of diabetes and improved clinical care resulting in many of those with previously undetected disease having been diagnosed.
机译：目的：英国糖尿病估计英国有四分之一的糖尿病病例未被诊断。除了225万患有已知糖尿病的糖尿病外，还有750,000人没有被诊断出患有糖尿病，但是研究该疾病的研究是矛盾的。目的是确定年龄大于50岁的英格兰人群中未确诊的糖尿病的患病率和危险因素，并计算未确诊的糖尿病病例的百分比。方法：这是一项横断面研究，来自2004/2005年英国纵向老龄化研究（ELSA），对6739名52-79岁的人进行了全国代表性的研究。自我报告的糖尿病医生诊断为糖尿病病例。 2387（至少38％的无糖尿病参与者）可以进行至少8小时禁食后的空腹血糖测量。未诊断的糖尿病病例是基于空腹血糖≥7.0mmol / l。结果：糖尿病的总体加权患病率为9.1％。 502人（7.5％）患有自我报告的糖尿病（男性9.0％，女性6.0％）; 36名（1.7％）患有未确诊的糖尿病（男性2.6％，女性0.8％）。在糖尿病病例中，有18.5％未被诊断（男性为22％，女性为12％）。未被诊断的糖尿病的重要危险因素是男性，更高的体重指数，腰围，收缩压和甘油三酸酯。结论：2004年未诊断的糖尿病的患病率和未诊断的糖尿病病例的比例似乎比以前的研究要小。这可能是由于人们对糖尿病的意识增强以及临床护理水平的提高，导致许多先前未被发现疾病的人被诊断出来。

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