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目的:了解广州“城中村”石牌社区50岁以上人群糖尿病患病及代谢控制状况。方法:2010年10月至2011年1月,对该人群进行普查,无糖尿病史、空腹血糖≥5.6mmol/L或糖化血红蛋白(HbA1c)≥5.7%的居民参加复检,行口服葡萄糖耐量试验(OGTT)。共调查1494例(72.8%),数据完整者1473例,453例行OGTT。结果:该人群糖尿病和糖调节受损患病率分别为16.0%(标化率15.7%)和8.8%(标化率8.1%)。在已诊断的161例糖尿病患者中,HbA1c<7.0%、血压<130/80mmHg、男性HDL-C>1.0mmol/L或女性HDL-C>1.3mmol/L、甘油三酯<1.7mmol/L和LDL-C<2.6mmol/L的患者比例分别为46.6%、16.1%、59.6%、31.7%和18.0%。结论:该社区50岁以上人群糖尿病患病率高,且糖尿病患者HbA1c、血压和血脂控制差。
OBJECTIVE: To understand the prevalence of diabetes and metabolic control in over 50-year-olds in Guangzhou City Village. Methods: From October 2010 to January 2011, residents with no history of diabetes, fasting blood glucose≥5.6mmol / L or HbA1c≥5.7% were enrolled in reexamination. The oral glucose tolerance test OGTT). A total of 1494 cases (72.8%), 1473 cases of complete data, 453 cases of OGTT. RESULTS: The prevalence of diabetes and impaired glucose regulation was 16.0% (15.7%) and 8.8% (standardized rate 8.1%), respectively. HbA1c <7.0%, blood pressure <130/80 mmHg, male HDL-C> 1.0 mmol / L or female HDL-C> 1.3 mmol / L, triglycerides <1.7 mmol / L and The proportion of patients with LDL-C <2.6 mmol / L was 46.6%, 16.1%, 59.6%, 31.7% and 18.0%, respectively. Conclusion: The prevalence of diabetes in people over 50 years old in this community is high, and the control of HbA1c, blood pressure and blood lipids in diabetic patients is poor.