| Objective:In order to understand the incidence of diabetes in Changchun community and strengthen the management of diabetic patients,we followed up the elderly over 60 years old in Changchun Fuao community for 3 years to observe the incidence of type 2 diabetes and its influencing factors.Method:We included 520 elderly people over 60 years old who participated in physical examination in Fuao community from January to December 2015,followed up the above population for 3 years,lost 106 people by December 2018,and the remaining 414 people were included in the study.The contents of both surveys included basic demographic information of residents,past history,physical examination and routine laboratory examination,etc.According to the collected clinical data,the incidence rate of diabetes was calculated.Resuls:(1)The incidence of diabetes mellitus was followed up for 3 years.Following up for 3 years,the incidence of diabetes was 5.1%.(2)Influencing factors of diabetes mellitus.(1)Gender:Divided into two groups: male and female,with 33.3% of males in diabetes group and 42.5% of males in non-diabetes group.The gender difference between diabetes group and non-diabetes group has no statistical significance.(2)Age:The age(years)is divided into 3 groups: 60-69,70-79,80 and above.The diabetes group 3 groups account for 57.1%,38.1% and 4.8% respectively,while the non-diabetes group accounts for 68.7%,25.4% and 5.9% respectively.There is no significant difference between the age stratification groups of diabetes group and non-diabetes group.(3)The differences in educational level,physical exercise,eating habits and drinking groups are not statistically significant.(4)There was no significant difference in body mass index group and central obesity group between diabetic group and non-diabetic group.(5)Smoking:Smoking accounted for 66.7% in diabetes group and 17.0% in non-diabetes group,with statistically significant difference.Drinking accounted for 4.8% in diabetic group and 17.6% in non-diabetic group,with no significant difference.(6)Uric acid:Uivided into high uric acid group and normal group,uric acid > 390 umol/l in diabetes group accounted for 52.4%,uric acid > 390 umol/l in non-diabetes group accounted for 9.9%,uric acid ≤390umol/L in diabetes group accounted for 47.6%,uric acid ≤390umol/L in non-diabetes group accounted for 90.1%,the difference was statistically significant.(7)Hypertension:Divided into hypertension group and non-hypertension group,diabetes group accounted for 71.4%,non-diabetes hypertension accounted for 40.5%,the difference was statistically significant.(8)Urine protein,creatinine,blood lipid and fatty liver were not significantly different between diabetic group and non-diabetic group.(9)Through single factor statistical analysis of numerical variables such as age,body mass index,waist circumference,triglyceride and low density lipoprotein cholesterol,high density lipoprotein cholesterol,cholesterol,blood uric acid,creatinine and glutamyltransferase,it is found that hypertension,smoking,body mass index and blood uric acid have statistical significance in the difference between diabetic group and non-diabetic group.(10)Multivariate Logistic regression analysis showed that hypertension and smoking were independent risk factors for DM.(3)subgroup analysis(1)The proportion of women in the pre-diabetes group and the normal blood glucose group was 73.8% and 55.6%,respectively,with statistically significant differences.(2)Hypertension: The proportion of hypertension in pre-diabetic group and normal blood glucose group was 64.3% and 37.6% respectively,the difference was statistically significant.Conclusion:The incidence of type 2 diabetes in this study was 5.1%.Hypertension and smoking are independent risk factors for DM.People with hypertension and women are more likely to develop prediabetes.The effect of diabetes chronic disease management mode is satisfactory,and the management system needs to be gradually improved. |
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