Izvorni znanstveni članak
Occurrence of type 2 diabetes in people with risk factors
Sanja Čanadi
Marija Vrca Botica
; Katedra za obiteljsku medicinu, Medicinski fakultet Sveučilišta u ZagrebuDom zdravlja Zagrebačke županije, Ispostava Samobor
Gordana Čanadi-Šimek
; Specijalistička ordinacija obiteljske medicine
Vesna Turk-Štrajtenberger
; Ordinacija opće medicine
Sažetak
Introduction. According to the recommendations of the International Diabetes Federation (IDF), patients with risk of diabetes mellitus (DM) should undergo opportunistic screening every 3-5 years in order to detect the disease in the early asymptomatic phase.
Aim. It is necessary to determine the proportion of patients in care of family doctors (FDs) aged 45-70 years with risk factors (RFs) for DM, who develop DM in the monitoring period of three years.
Methods. Retrospective study for the period January 1, 2014 - January 1, 2017 included 840 patients who had normoglycemia by parameters at the beginning of the study : plasma glucose level (PGL), glycated hemoglobin (HbA1c) and/or oral glucose tolerance test (OGTT) and at least one RF for the development of DM: ITM≥ 25 kg / m², hypertension or dyslipidemia. By monitoring PGL, HbA1c, and/or OGTT values over a three-year period, patients were classified according to the IDF
criteria in the following groups: normoglycemia, pre-diabetes or DM. Electronic medical record (EMR) was used as a data source.
Results. Total prevalance of DM at the end of research period for age group 45-70 years was 14.5% (4.5% newly diagnosed). From 840 observed patients 9.1% developed DM, 11.4% had pre-diabetes, and 79.5% were normoglycemic. Eight patients without documented RFs developed DM in the monitoring period.
Conclusion. Using EMR for follow up of patients with RFs for DM, FD can perform active screeninig and initaite early treatment for patients with
asymptomatic DM.
Ključne riječi
oportunistic screening; diabetes mellitus; risk factors; plasma glucose level; electronic medical record
Hrčak ID:
188071
URI
Datum izdavanja:
23.10.2017.
Posjeta: 1.580 *