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目的调查上海市区成人糖尿病患病率。方法上海市区 ３０岁以上 ９ ３７６人，馒头餐后２小时指尖血糖≥６．７ｍｍｏｌ／Ｌ者作ＯＧＴＴ，并测量身高、体重、腰围与臀围。结果９３７６人中按ＷＨＯ诊断标准，糖尿病与ＩＧＴ患病率分别为４．１６％和４．２６％；按ＡＤＡ诊断标准，糖尿病患病率为４．７６％。从糖尿病与ＩＧＴ患病率中可见：在４０岁以上者随年龄增长而增高；ＢＭＩ≥２５者高于ＢＭＩ〈２５者；男性ＷＨＲ高于女性。结论上海市区成人糖尿病与 ＩＧＴ患病率近年来显著增加。流行病学调查中糖尿病的诊断标准采用 ＦＰＧ≤７． ０ｍｍｏｌ／Ｌ是适当的， ２ｈＰＧ≥ １１． １ｍｍｏｌ／Ｌ亦应同时作为诊断标准。
Objective To investigate the prevalence of diabetes in adults in Shanghai. Methods 9 376 people over the age of 30 in Shanghai, 2 hours postprandial 2 hours postprandial glucose ≥ 6.7mmol / L as OGTT, and measured height, weight, waist circumference and hip circumference. Results According to WHO diagnostic criteria, the prevalence rates of diabetes and IGT among 9376 people were 4.16% and 4.26%, respectively. According to ADA diagnostic criteria, the prevalence of diabetes was 4.76%. From the prevalence of diabetes and IGT can be seen: in people over the age of 40 increased with age; BMI ≥ 25 were higher than those with BMI <25; men WHR higher than women. Conclusion The prevalence of diabetes and IGT in Shanghai urban areas increased significantly in recent years. The epidemiological survey of diabetes diagnosis using FPG ≤ 7. 0 mmol / L is appropriate, 2 hPG ≧ 11. 1mmol / L should also be used as a diagnostic criteria.