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目的了解我国城市居民糖尿病患病现状。方法以全国31省、直辖市、自治区的44个城市调查点中20岁以上成年人为调查对象,共16 511人。以现场测定空腹血糖为主要诊断指标,并结合糖耐量试验和患病史调查结果确定糖尿病患者。结果大城市20岁及以上成年人糖尿病标化患病率为6.13%,男性6.08%,女性6.30%;20～、30～、40～、50～、60～、70～、80～岁年龄组患病率分别为1.07%、2.72%、6.50%、11.62%、17.36%、18.32%、10.06%,空腹血糖水平分别是(4.74±0.90)mmol/L、(4.93±1.03)mmol/L、(5.12±1.47)mmol/L、(5.42±1.76)mmol/L、(5.63±1.88)mmol/L、(5.70±2.07)mmol/L、(5.24±1.10)mmol/L。中小城市20岁及以上成年人糖尿病标化患病率为3.78%,男性3.98%,女性3.63%;20～、30～、40～、50～、60～、70～、80～岁年龄组患病率分别为0.41%、1.38%、3.41%、9.14%、12.56%、11.23%、5.56%,空腹血糖水平分别是(4.68±0.58)mmol/L、(4.82±0.74)mmoL/L、(4.99±1.04)mmoL/L、(5.31±1.55)mmol/L、(5.49±1.73)mmol/L、(5.39±1.62)mmol/L、(5.22±1.30)mmol/L。结论大城市、中小城市居民糖尿病患病率和空腹血糖水平的增龄效应明显;与青年人群比较,中老年人群糖尿病患病率明显增高。大城市各年龄组居民糖尿病患病率和空腹血糖水平明显高于中小城市。
Objective To understand the prevalence of diabetes in urban residents in China. Methods A total of 16 511 adults aged over 20 were investigated in 44 cities in 31 provinces, municipalities and autonomous regions in China. The fasting blood glucose was measured in the field as the main diagnostic index, and diabetes mellitus was determined according to the results of glucose tolerance test and medical history. Results The prevalence of diabetes mellitus in adults aged 20 years and over in big cities was 6.13%, 6.08% for males and 6.30% for females. The prevalence of diabetes mellitus was significantly higher in 20-, 30-, 40-, 50-, 60-, 70-, The prevalences of fasting blood glucose were 1.07%, 2.72%, 6.50%, 11.62%, 17.36%, 18.32% and 10.06%, respectively. The fasting blood glucose levels were 4.74 ± 0.90 mmol / L and 4.93 ± 1.03 mmol / (5.12 ± 1.47) mmol / L, (5.42 ± 1.76) mmol / L, (5.63 ± 1.88) mmol / L, (5.70 ± 2.07) mmol / L and (5.24 ± 1.10) mmol / L respectively. The prevalence of diabetes mellitus in adults aged 20 years and over in small and medium-sized cities was 3.78%, 3.98% for males and 3.63% for females. In 20 ~, 30 ~, 40 ~, 50 ~, 60 ~, 70 ~, 80 ~ The rates of fasting blood glucose were 0.41%, 1.38%, 3.41%, 9.14%, 12.56%, 11.23% and 5.56% respectively. The fasting blood glucose levels were 4.68 ± 0.58 mmol / L and 4.82 ± 0.74 mmoL / ± 1.04) mmoL / L, (5.31 ± 1.55) mmol / L, (5.49 ± 1.73) mmol / L, (5.39 ± 1.62) mmol / L and (5.22 ± 1.30) mmol / L respectively. Conclusion The prevalence of diabetes and fasting blood glucose of residents in big cities and small and medium-sized cities are obviously increased. Compared with young people, the prevalence of diabetes in middle-aged and elderly people is significantly higher. The prevalence of diabetes and fasting blood glucose in residents of all age groups in big cities were significantly higher than those in small and medium-sized cities.