A 2-year follow-up analysis of diabetic patients and high-risk groups in a community in Shanghai
ObjectiveA high-risk group of diabetes in a community in Shanghai was followed up for 2 years. The level of blood glucose control was monitored， the incidence and risk factors of the high-risk group were analyzed， and the incidence and risk factors distribution in the community were studied. The res...
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| Format: | Article |
| Language: | zho |
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Shanghai Preventive Medicine Association
2023-08-01
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| Series: | Shanghai yufang yixue |
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| Online Access: | http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2023.22940 |
| _version_ | 1797633162544676864 |
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| author | YAO Youhua XU Lei WANG Shiping BAO Yong |
| author_facet | YAO Youhua XU Lei WANG Shiping BAO Yong |
| author_sort | YAO Youhua |
| collection | DOAJ |
| description | ObjectiveA high-risk group of diabetes in a community in Shanghai was followed up for 2 years. The level of blood glucose control was monitored， the incidence and risk factors of the high-risk group were analyzed， 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 collected， according to the criteria of high-risk groups of diabetes. Among them， 77 people whose blood glucose had reached the diagnostic criteria for diabetes entered the patient group， and the rest 503 people entered the high-risk group. Corresponding intervention methods such as outpatient follow-up and health education were given， and blood glucose monitoring was repeated at the 12th month and 24th month after enrollment. Blood glucose control， new-onset diabetes and the effect of intervention were analyzed.ResultsThe patients’ venous fasting blood glucose level at the 12th and 24th month was significantly lower than that at the baseline survey， and there was no significant change in body mass index （BMI） and waist circumference. Subjects in patient group were older and had a higher proportion of a history of impaired glycemic regulation， family history of diabetes， hypertension， and hyperlipidemia than those in high-risk group. In the high-risk group of 503 cases， 74 （14.7%） were new-onset diabetics during the follow-up period， A higher proportion of new-onset diabetics were male， BMI， a combined history of impaired glucose regulation and gestational diabetes history of gestational diabetes mellitus （women only） was a contributing factor to the onset of diabetes.ConclusionHigh-risk groups are more susceptible to diabetes； patients in the diabetes group have better control of fasting blood glucose levels during the 2-year follow-up period， and outpatient follow-up combined with comprehensive interventions helps diabetic patients to control blood glucose. |
| first_indexed | 2024-03-11T11:50:08Z |
| format | Article |
| id | doaj.art-c9bcdf2afc254fc6b017791a574ca8e1 |
| institution | Directory Open Access Journal |
| issn | 1004-9231 |
| language | zho |
| last_indexed | 2024-03-11T11:50:08Z |
| publishDate | 2023-08-01 |
| publisher | Shanghai Preventive Medicine Association |
| record_format | Article |
| series | Shanghai yufang yixue |
| spelling | doaj.art-c9bcdf2afc254fc6b017791a574ca8e12023-11-09T09:12:36ZzhoShanghai Preventive Medicine AssociationShanghai yufang yixue1004-92312023-08-0135879980310.19428/j.cnki.sjpm.2023.229401004-9231（2023）08-0799-06A 2-year follow-up analysis of diabetic patients and high-risk groups in a community in ShanghaiYAO Youhua0XU Lei1WANG Shiping2BAO Yong3Community Health Service Center of Baoshan Road， Jing'an District， Shanghai 200070， ChinaChinese 905th Hospital of the People's Liberation Army Navy，Shanghai 200052， ChinaCommunity Health Service Center of Baoshan Road， Jing'an District， Shanghai 200070， ChinaInstitute of Community Medicine and Health Management， Shanghai Jiao Tong University，Shanghai 200025， ChinaObjectiveA high-risk group of diabetes in a community in Shanghai was followed up for 2 years. The level of blood glucose control was monitored， the incidence and risk factors of the high-risk group were analyzed， 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 collected， according to the criteria of high-risk groups of diabetes. Among them， 77 people whose blood glucose had reached the diagnostic criteria for diabetes entered the patient group， and the rest 503 people entered the high-risk group. Corresponding intervention methods such as outpatient follow-up and health education were given， and blood glucose monitoring was repeated at the 12th month and 24th month after enrollment. Blood glucose control， new-onset diabetes and the effect of intervention were analyzed.ResultsThe patients’ venous fasting blood glucose level at the 12th and 24th month was significantly lower than that at the baseline survey， and there was no significant change in body mass index （BMI） and waist circumference. Subjects in patient group were older and had a higher proportion of a history of impaired glycemic regulation， family history of diabetes， hypertension， and hyperlipidemia than those in high-risk group. In the high-risk group of 503 cases， 74 （14.7%） were new-onset diabetics during the follow-up period， A higher proportion of new-onset diabetics were male， BMI， a combined history of impaired glucose regulation and gestational diabetes history of gestational diabetes mellitus （women only） was a contributing factor to the onset of diabetes.ConclusionHigh-risk groups are more susceptible to diabetes； patients in the diabetes group have better control of fasting blood glucose levels during the 2-year follow-up period， and outpatient follow-up combined with comprehensive interventions helps diabetic patients to control blood glucose.http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2023.22940diabeteshigh-risk populationfollow-uprisk factorhealth education |
| spellingShingle | YAO Youhua XU Lei WANG Shiping BAO Yong A 2-year follow-up analysis of diabetic patients and high-risk groups in a community in Shanghai Shanghai yufang yixue diabetes high-risk population follow-up risk factor health education |
| title | A 2-year follow-up analysis of diabetic patients and high-risk groups in a community in Shanghai |
| title_full | A 2-year follow-up analysis of diabetic patients and high-risk groups in a community in Shanghai |
| title_fullStr | A 2-year follow-up analysis of diabetic patients and high-risk groups in a community in Shanghai |
| title_full_unstemmed | A 2-year follow-up analysis of diabetic patients and high-risk groups in a community in Shanghai |
| title_short | A 2-year follow-up analysis of diabetic patients and high-risk groups in a community in Shanghai |
| title_sort | 2 year follow up analysis of diabetic patients and high risk groups in a community in shanghai |
| topic | diabetes high-risk population follow-up risk factor health education |
| url | http://www.sjpm.org.cn/article/doi/10.19428/j.cnki.sjpm.2023.22940 |
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