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Prevalence and management of diabetes and associated risk factors by regions of Thailand: Third National Health Examination Survey 2004.

机译：泰国各地区糖尿病的患病率和管理及相关危险因素：2004年第三次全国健康检查调查。

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OBJECTIVE: The aim of this study was to determine the prevalence of diabetes and impaired fasting glucose (IFG) and their association with cardiovascular risk factors and to evaluate the management of blood glucose, blood pressure, and cholesterol in individuals with diabetes by geographical regions of Thailand. RESEARCH DESIGN AND METHODS: With the use of a stratified, multistage sampling design, data from a nationally representative sample of 37,138 individuals aged > or = 15 years were collected using questionnaires, physical examination, and blood samples. RESULTS: The prevalence of diabetes and IFG weighted to the national 2004 population was 6.7% (6.0% in men and 7.4% in women) and 12.5% (14.7% in men and 10.4% in women), respectively. Diabetes was more common in urban than in rural men but otherwise prevalence was relatively uniform across geographical regions. In more than one-half of those with diabetes, the disease had not been previously diagnosed, although the majority of those with diabetes were treated with oral antiglycemic agents or insulin. The prevalence of associated risk factors was high among individuals with diabetes as well as those with IFG. Two-thirds of those with diabetes and concomitant high blood pressure (> or = 130/80 mmHg) were not aware that they had high blood pressure, and > 70% of those with diabetes and concomitant high cholesterol (total cholesterol > or = 6.2 mmol/l) were not aware that they had high cholesterol. CONCLUSIONS: The prevalences of diabetes and IFG were uniformly high in all regions. Improvements in prevention, diagnosis, and treatment of diabetes and associated risk factors are required if the health burden of diabetes in Thailand is to be averted.
机译：目的：本研究旨在确定糖尿病和空腹血糖受损（IFG）的患病率及其与心血管危险因素的关系，并按以下地区评估糖尿病患者的血糖，血压和胆固醇管理：泰国。研究设计和方法：采用分层，多阶段的抽样设计，使用问卷，体格检查和血液样本收集了来自37,138名年龄≥15岁的全国代表性样本的数据。结果：2004年全国糖尿病和IFG患病率分别为6.7％（男性为6.0％，女性为7.4％）和12.5％（男性为14.7％，女性为10.4％）。糖尿病在城市中比在农村男性中更为普遍，但在其他地区，糖尿病的患病率相对统一。在一半以上的糖尿病患者中，尽管大多数糖尿病患者接受了口服降糖药或胰岛素治疗，但先前并未诊断出该病。糖尿病患者和IFG患者的相关危险因素患病率较高。患有糖尿病并伴有高血压（>或= 130/80 mmHg）的人中有三分之二不知道自己患有高血压，而患有糖尿病并伴有高胆固醇（总胆固醇>或= 6.2的那些人）中的> 70％ mmol / l）不知道他们有高胆固醇。结论在所有地区，糖尿病和IFG的患病率均较高。如果要避免泰国的糖尿病健康负担，就需要改善糖尿病的预防，诊断和治疗以及相关的危险因素。

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