Определение риска развития предиабета и сахарного диабета 2-го типа на поликлиническом этапе у пациентов Красноярского края

Abstract

Objective – to study the risk of pre-diabetes and type 2 diabetes in patients at the outpatient level. The subject of the study was approved at the meeting of the local ethics Committee of the Krasnoyarsk state medical university. V.F. Voino-Yasenetsky Ministry of health of the Russian Federation № 547 of 29.11.2019. Single-stage analysis of 470 questionnaires of patients of polyclinics of the Krasnoyarsk region who came to a clinic to see a primary care physician in 2019 was carried out. Microsoft Office Excel 2010 was used to create the database. Statistical processing was carried out in the statistical program Statsoft Statistica 10.0. Absolute and relative values-n (%), reflect nominal and categorical variables, mean and standard deviation (M±m) – relative variables. The student's t-test was used to assess the reliability of the mean values. A nonparametric method was used to compare two unrelated groups by quality. The differences were statistically significant if the significance level was p˂0,05. Approximately 23 % of patients were classified as at high and very high risk for pre-diabetes and type 2 diabetes. The leading risk factors in the development of these diseases were elevated blood sugar levels, obesity and a complicated hereditary history. Pre-diabetes occurs in almost every third examined patient and increases the likelihood of developing type 2 diabetes. It is necessary to timely identify pre-diabetes by physicians to prevent the development of the disease and to carry out preventive measures in patients with subsequent correction of existing risk factors.