A 2-year follow-up analysis of diabetic patients and high-risk groups in a community in Shanghai
Journal Title: Shanghai Journal of Preventive Medicine - Year 2023, Vol 35, Issue 8
Abstract
ObjectiveA high-risk group of diabetes in a community in Shanghai was followed up for 2 years. The level of blood glucose control was monitoredï¼ the incidence and risk factors of the high-risk group were analyzedï¼ and the incidence and risk factors distribution in the community were studied. The results will provide a basis for the community to formulate strategies for early prevention and treatment of diabetes in Shanghai.MethodsA total of 580 subjects were collectedï¼ according to the criteria of high-risk groups of diabetes. Among themï¼ 77 people whose blood glucose had reached the diagnostic criteria for diabetes entered the patient groupï¼ and the rest 503 people entered the high-risk group. Corresponding intervention methods such as outpatient follow-up and health education were givenï¼ and blood glucose monitoring was repeated at the 12th month and 24th month after enrollment. Blood glucose controlï¼ new-onset diabetes and the effect of intervention were analyzed.ResultsThe patientsâ venous fasting blood glucose level at the 12th and 24th month was significantly lower than that at the baseline surveyï¼ and there was no significant change in body mass index ï¼BMIï¼ and waist circumference. Subjects in patient group were older and had a higher proportion of a history of impaired glycemic regulationï¼ family history of diabetesï¼ hypertensionï¼ and hyperlipidemia than those in high-risk group. In the high-risk group of 503 casesï¼ 74 ï¼14.7%ï¼ were new-onset diabetics during the follow-up periodï¼ A higher proportion of new-onset diabetics were maleï¼ BMIï¼ a combined history of impaired glucose regulation and gestational diabetes history of gestational diabetes mellitus ï¼women onlyï¼ was a contributing factor to the onset of diabetes.ConclusionHigh-risk groups are more susceptible to diabetesï¼ patients in the diabetes group have better control of fasting blood glucose levels during the 2-year follow-up periodï¼ and outpatient follow-up combined with comprehensive interventions helps diabetic patients to control blood glucose.
Authors and Affiliations
YAO Youhua,XU Lei,WANG Shiping,BAO Yong,
Keywords
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