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.
Highlights
It is extremely important to have information about the main epidemiological indicators characterizing the situation on diabetes mellitus (DM) in Moscow Region
The average life expectancy in adult patients with type 1 DM (T1DM) increased by 1.3 years, in patients with type 2 DM (T2DM) – by 1.7 years
It was found that the registered prevalence of both T2DM (35%) and T1DM increased within the 10-year period
Summary
ОСОБЕННОСТИ ЭПИДЕМИОЛОГИЧЕСКОЙ СИТУАЦИИ ПО САХАРНОМУ ДИАБЕТУ В МОСКОВСКОЙ ОБЛАСТИ. Цель – оценить динамику основных эпидемиологических показателей при СД 1-го и 2-го типов (СД1 и СД2) за период с 2004 по 2013 г. Расчет проведен на основании анализа данных регистра СД Московской области, содержащего информацию о 202 909 больных. Распространенность СД1 увеличилась за исследуемый период со 132,09 до 166,6, СД2 – с 2121,9 до 3263,12. Средняя продолжительность жизни взрослых больных СД1 возросла на 1,3 года, больных СД2 – на 1,7 года. За 10 лет в Московской области отмечен рост регистрируемой распространенности СД2 (на 35%) и СД1 (на 20,5%). При СД1 в случае манифестации заболевания до 25 лет в качестве причины смерти преобладает хроническая почечная недостаточность, после 25 лет – макрососудистые осложнения. Ключевые слова: сахарный диабет 1-го типа, сахарный диабет 2-го типа, смертность, распространенность, заболеваемость, продолжительность жизни
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