The number of diabetic of our country is to sharply increase nearly hundred million 60% of the patients are ignorant

The number of diabetic of our country is to sharply increase nearly hundred million 60% of the patients are ignorant
As GDP index was lifted successively, some was in the past only in the western countries common " rich man's disease " ,Enter into the ordinary household of China too nowadays, the ill number of people is rising constantly. " diabetes " It is the outstanding representatives among them. The internationally recognized academic periodical " medical magazine of New England " issues a diabetic credit of Chinese Medical Association and knows the thesis that experts wrote this year, point out 92,400,000 adults suffer from diabetes in China, men 50,200,000 among them, women 42,200,000, this means the ill rate of adult's diabetes reaches 9.7% in China 20. Among them, man ill rate 10.6%, women ill rate 8.8%. In addition 148 million people are in diabetes earlier stage, the proportion is up to 15.5%. The more terrible thing is, 60% of the patients do not know one's own situation. Just of the result issue attracted the dispute. Because the patient number up to 92,400,000 is not merely more than 3 times of survey statistics of 2002, have exceeded the estimation to China of international diabetic alliance even more. However, outside the the quantity dispute, the experts' common understanding is, the Chinese diabetic's quantity is really running up, combine with the huge one " The reserves " ,Have already become the serious public health problem.
Patient's quantity is sharply increased
The direct manifestation of diabetes is that the glucose density goes beyond the normal value in the blood, and reach certain scale. The level of blood glucose, is influenced by insulin. Insulin is that one kind can be promoted and organized absorbing, utilizing hormone of glucose all over, it reduces the function of glucose density in the blood. After eating the carbohydrate, glucose increases, will stimulate insulin to secrete in the blood. Insulinogenic secretion is insufficient in absolute magnitude, or the human body is insensitive to insulin, will all cause the abnormal state of blood glucose, the former is 1 type diabetes, the latter is 2 type diabetes. In China, 2 type diabetes accounts for 93.7% of the total number of patients.
Relieved of one's office just the end of 2009 the intersection of Chinese Medical Association and diabetic credit know to General Board's Yang WenYing, say, the basis of the latest ill rate is the investigation finished from 2007 to 2008, investigate that covers more than 46,000 people of the provinces and cities of the whole country 14. The experts are dealt with the investigation result by statistics, extrapolate the data of the whole country. Before this, China has carried on the nationwide investigation of the ill rate of several diabetes too. The result investigated in 1979 is 0.67%, it was 2.5% in 1994, it was 3.2% in 1996.
In 2002, while the organization of Ministry of Public Health carried on the national nutrition survey, investigated the prevailing situation of diabetes too, the conclusion is that the ill rate of the city is 4.5%, the countryside is 1.8%, the total number of patients is up to more than 20 million. But PLA man three the intersection of O and six hospital the intersection of entire PLA and diabetes treat Xu ZhangRong, director of in the center, say, some experts thought originally this figure was on the low side. And then according to the estimation by international diabetic alliance, the ill number of people of 2007 of China diabetes is about 39,800,000, be up to 59,300,000 in 2025.
However, the result of study released of " medical magazine of New England ", has far exceeded the above-mentioned conclusion. An expert insisting on anonymity says, this is considerably above official investigation result of 2002, some officers in Ministry of Public Health " A little difficult to accept " .
Some experts think, the area polled Chinese Medical Association's diabetic credit knows the site of the standing committee, mostly the developed area, but does not sample at random. This causes while expanding ill rate of 14 provinces and cities to the whole country, it is possible to over-evaluate.
As to the above-mentioned query, Yang WenYing admits frankly, because of the limitations of fund, researchers can not carry on the investigation in all provinces and cities of the whole country according to the epidemiology random sampling method. However, they make every effort to accomplish " try hard to be accurate " . For example, while expanding the investigation result to the whole country, they use the software to carry on the treatment on statistics, the ones that to remedy sample source are unbalanced.
In addition, she also reveals, the diagnostic method of this investigation, adopts the able to bearing amount of oral glucose to test (OGTT) at the same time Measure with blood glucose of the empty stomach, it is lower to leak the examining rate more than the method that the traditional form examines blood glucose of the empty stomach. Often the upper limit of age exists in the past investigation, such as 70 years old, but this investigation does not have the upper limit of age. Yang WenYing emphasizes, the ill rate of age group over 70 exceeds 20%, this influences investigation result.

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