THE EPIDEMIOLOGICAL SITUATION ON DIABETES MELLITUS IN THE MOSCOW REGION IN THE YEARS 2004-2013

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Abstract

Background: It is extremely important to have information about the main epidemiological indicators characterizing the situation on diabetes mellitus (DM) in Moscow Region. Aim: To assess the dynamics of the main epidemiological indicators of type 1 DM (T1DM) and type 2 DM (T2DM) for the 10-year period (2004-2013). Materials and methods: The study was performed based on the analysis of data of the Moscow Region DM Register, which contained information about 202 909 patients with DM. The indicators are presented per 100 000 of the population. Results: The T1DM prevalence increased from 132.09 to 166.6 per 100 000 within a decade fixed, and that of DM2 – from  2121.9  to 3263.12. The T2DM incidence increased from 193.22 to 224.4. T1DM mortality decreased from 0.9 to 0.6 per 100 000, and in patients with DM2 – from 68.3 to 61.4. The average life expectancy in adult patients with T1DM increased by 1.3 years, in patients with T2DM – by 1.7 years. Conclusion: It was found that the registered prevalence of both T2DM (35%) and T1DM (by 20.5%) increased within the 10-year period. Increase of T2DM incidence was noted in individuals under 40 years of age, and the average peak of T1DM morbidity shifted from the age group of 10-14 years to the 7-9-year group. Cardiovascular diseases are still the prevailing cause of death in T2DM patients (60%). In T1DM patients, the main cause of death was chronic renal failure if onset of the disease occurred in patients under 25, and macrovascular complications – if the first disease manifestation was noted in patients above 25.

About the authors

I. V. Misnikova

Moscow Regional Research and Clinical Institute (MONIKI); 61/2 Shchepkina ul., Moscow, 129110, Russian Federation

Author for correspondence.
Email: inna-misnikova@mail.ru

д-р мед. наук, вед. науч. сотр. отделения терапевтической эндокринологии МОНИКИ, профессор кафедры эндокринологии факультета усовершенствования врачей МОНИКИ

Russian Federation

A. V. Dreval’

Moscow Regional Research and Clinical Institute (MONIKI); 61/2 Shchepkina ul., Moscow, 129110, Russian Federation

Email: fake@neicon.ru

д-р мед. наук, профессор, руководитель отделения терапевтической эндокринологии МОНИКИ

Russian Federation

Yu. A. Kovaleva

Moscow Regional Research and Clinical Institute (MONIKI); 61/2 Shchepkina ul., Moscow, 129110, Russian Federation

Email: fake@neicon.ru

канд. мед. наук, ст. науч. сотр. отделения терапевтической эндокринологии МОНИКИ

Russian Federation

V. A. Gubkina

Moscow Regional Research and Clinical Institute (MONIKI); 61/2 Shchepkina ul., Moscow, 129110, Russian Federation

Email: fake@neicon.ru

канд. мед. наук, ст. науч. сотр. отделения терапевтической эндокринологии МОНИКИ

Russian Federation

References

  1. IDF Diabetes Atlas. 6th edition. International Diabetes Federation; 2013. Available from: URL: http://www.idf.org/diabetes-atlas
  2. Мисникова ИВ, Древаль АВ, Ковалева ЮА. Перспективы использования регистров хронических заболеваний при проведении ретроспективных исследований на примере регистра больных сахарным диабетом Московской области. Медицинские технологии. Оценка и выбор. 2012;(1):42-6. (Misnikova IV, Dreval AV, Kovaleva YA. [Chronic diseases registries for retrospective studies: Diabetes Mellitus Registry of Moscow Region]. Meditsinskie tekhnologii. Otsenka i vybor. 2012;(1):42-6. Russian).
  3. Мисникова ИВ, Древаль АВ, Ковалева ЮА, Исакова ЕВ, Козяйкин ВВ. Риск развития острых нарушений мозгового кровообращения у больных сахарным диабетом 2 типа. Проблемы стандартизации в здравоохранении. 2011;(11-12):35-8. (Misnikova IV, Dreval’ AV, Kovaleva YuA, Isakova EV, Kozyaykin VV. [Risk of development of the cerebral circulation acute disturbances in patients with a Type 2 diabetes mellitus]. Problemy standartizatsii v zdravookhranenii. 2011;(11-12):35-8. Russian).

Copyright (c) 2014 Misnikova I.V., Dreval’ A.V., Kovaleva Y.A., Gubkina V.A.

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