Beijing Dongcheng District Residents Diabetes And Diabetic Nephropathy Prevalence And Risk Factors Survey

Purpose: From the investigation to 2400 Beijing residents'prevalence of Diabetes Mellitus (DM) and diabetic nephropathy (DN), will guide the role of the controlling to the risk factor. Through the controlling of the risk factor could lower the ratio of the T2DM and DN's prevalence, and provides the positive effective on the treatment, prevention and cure to the clinical. Method: Curry out the investigation from the residents of the district with the self design questionnaire, multiple logistic regressions and the data analysis through SAS8.2 on Excel to screen out the risk factor. First test on the Normality and the homogeneity of variance; to the variable of the numerical value, the one that matches to the normal distribution and the homogeneity of variance will examine as the t-test and the analysis of variance, the one that does not matches will examine with the non-parametric test and proceed the different teams'differential analysis; the variable of classify work with X2 test, the standard test of significance is P< 0.05. Result: The Dongcheng District's residents have 6.9% of chance to get DM , and these diabetics have the disease rate of 47.6% for DN, the ratio of the knowledge of prevention and cure has showed the inverse correlations. With the different groups of people will have the different levels of understanding to diabetes; the Abdominal fat and the over-weight team's DM has the higher disease rate than the normal team; the diabetes are mostly involve with the middle-age and the old age people; the hypertension group has the higher disease rate than the normotension team; the smoking and the non-smoking people's differential disease rate of DM exist on statistical significance; sedentarily habit is the causative factor of DM; no differentiation reveal from the drinking and non-alcohol drinker. DM has the different type of syndrome and different disease rate in Chinese medicine; the ratio from high to low: deficiency of both vital energy and yin, stagnation of QI and blood, excessive heat in lung and stomach, hepatic and renal yin deficiency, dampness blockage, deficiency of both vital energy and yin in spleen and stomach, heat-transmission cause by the stagnation of liver-QI, deficiency in both YIN and YANG. The DN disease rate from DM has the definite relation with the different symptoms from the Chinese medicine, the symptom of the hepatic and renal yin deficiency and the stagnation of QI and blood has the statistical significance to the normal control group on the disease rate from the DN of T2DM. Conclusion: The attention on diabetes will influences directly to the knowledge of prevention and cure, bur it does not relate it with the education background. The age, weight, waist-to-hip ratio, course of disease, hypertension, hyperlipemia and living habit will all relate with prevalence of diabetes; therefore, the improvement for dietary pattern and life style are the most affective way to decrease the diabetes. The type of deficiency of both QI and YIN has the highest rate to get DM; the type of QI-stagnation and blood stasis is very easy to complicate the DN. The above has shows that the type of deficiency of both QI and YIN is the main factor that cause the DM. In the symptom of the Chinese medicine with the cause of diabetes, the excessive heat in lung and stomach will decrease the ratio when the cause of the diabetes extend longer, but"hepatic and renal yin deficiency"and"type of QI-stagnation and blood stasis"will raise the ratio of the cause of the disease. To promote the idea and the knowledge of the T2DM and DN's prevention to the patient and that will effectively decrease the DN to occur and to develop.