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
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. The direct behavior that patient's quantity sharply increases 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. However, third O six hospitals of entire PLAs diabetes of PLA man treats Xu ZhangRong, director of centre, to 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. Senilization and life style whether main reason, actually, disease accuse of work Yang, Deputy Director of centre, shine, it seems in China, it pesters figures in diabetics to be 90 million or how much Wan, " make policy to public health, there is no substantive difference. " She thinks, this main result of research is the severe fact of announcing the diabetic morbidity rises rapidly. Diabetes relate to heredity, change with the intersection of meal and structure too, physical exertion fat led to the fact to reduce relevant, ill to lead to present the trend of increasing and increasing with age. Yang WenYing analyzes, the changes of senilization, urbanization, life style, it is the objective factor causing patient's number to increase. It is the important index of weighing the life style and changing to be fat. Daily physique indexes (BMI) of doctors ,Namely the square of weight divided by height, come to weigh a person's fat intensity. Yang WenYing relatively says, in 1994, diagnosed newly the patient's average BMI was less than 25, this time average 25.9; BMI over 30 one, less than 5% in the past, 8% this time. Several trends have aroused the attention from Yang gentle Great Britain. First of all, the ill rate of middle aged man's diabetes is higher than women. The ill rate male 30 years old to 40 years old and men, 40 years old to 50 years old and men, 50 years old to 60 years old is up to 5.2%, 11.1%, 15.5% separately. This part of man's social burdens on one hand are heavy, job high pressure; On the other hand often treat with courtesy more, discuss the thing while often having a meal, drinking, so the fat rate is high, triglyceride is high. As to this part of men, if does not strengthen the management of diabetes, age of vascular disease and other complication of heart brain takes place in it, it will be earlier than the old patient. Secondly, in the developed area, the ill rate of countryside and city is 12%. This means, diabetes has already not merely been " urban disease " (used after a verb to indicate the completion of an action). Even more noteworthy, calculate according to Yang gentle Great Britain, there are 15.5% of the adults in the whole country, namely 148 million people are in the previous state of diabetes. In what is called diabetes earlier stage, mean the supersession function of blood glucose has already been damaged, but does not reach the severity of diabetes yet. Some crowd these belong to high-risk group very much of diabetes. "If these people do not manage, will turn diabetes at the speed of 8% to 10% every year. " In the previous crowd of diabetes, the difference between city and countryside has not been obvious yet. Yang gentle Great Britain thinks ,This means, though and the countryside is not so rich as the city, only need life to reach certain level, have " had enough and it is few to work " ,Slight hyperglycemia will present. The society bears and raises the price diabetes will not generally cause the death directly, but it may bring a series of complication, for instance vascular disease of the heart brain, nephropathy. Shine, seem in work Yang, it the same as hypertension? Every circle of �� Xiang's arms> It endure let O last department milk Chai " broom �� of cheek 1 Lu coerce � kinds of son Zhang of �� 1 lie Qiong Chu P Bo companion Xing chaste tree �� Quan � Da whetstones withereds silent already "s quiet �� s cold Chen plant �� all of a sudden brain chirp shape last Chen of �� of Guo to plant and raise there aren't core after waking up to arm Ss thin reason Nao of Wu 1 �� Huan after lasting Guo �� nice food to �� hole shapes rounds desolate " is the cheek knocked ��'s worried clod of earth Q Song item support benzyl and permit and owe and stick up quiet Chai? 5 times, 1/3 of the diabetic foot ulcer patients need the amputation. Because diabetes will cause many kinds of complications, need to treat all one's life again, so the patient's financial burden is heavy. The research of tinkling of pieces of jade of institute Tang of the public health of Fudan University,et al. reveals, the city of China in 2002, have complication 2 type annual per person of diabetes the medical cost is about 3700 yuan directly, about 13,800 yuan of medical cost directly of annual per person with complication and 2 type diabetes, this means a large number of expenses are used for treating complication; The total medical cost of urban diabetes of the whole country is about 23,400 million yuan. With the fast increase of patient's number, treat the expenses and soar successively too. According to letting to unite the research of waiting for someone in the camphor tree honour and public health Hu Shan, professor of institute of Fudan University, from 1993 to 2004, the growth rate of the direct hospitalization cost of diabetes was up to 19.9% every year. This brings to patient heavily and bears. Ministry of Public Health disease accuse of LingZhi Kong, Deputy Bureau Director of office, say in Shanghai, diabetes treat expense account for 78% of the per capita income; In Xi'an, it is 178%. A research of Shandong reveals, it is 1720 yuan on average that the rural diabetic treats the expenses in one year, accounts for 37.4% of annual net income of per person. Intervene life style, can prevent, treat cost to be so expensive, all experts say, accord with the intersection of cost-effective and diabetes of principle, it prevents and cures tactics to be to pay attention to being prevented from and interfered in early days from, treated even more: As to the healthy crowd, launch the health education, the dangerous factor far away from diabetes; As to the high-risk group, especially the previous crowd of diabetes, improve the life style, eat few, move more, reduce the weight, measure blood glucose regularly; As to the newly discovered patient, treat, intervene, make complication happen late, happen few as soon as possible, do not even happen. A research of making Chinese medical circle dwell upon with great relish - -Research of Daqing - -Have offered for intervening by life style and drawn lessons from well. This has lasted 20 years in Daqing by late diabetic expert Pan XiaoRen's leading research, it costs 2 million yuan. In 1986, researchers chose 110,000 people in Daqing at random, and sifted finding 577 were in the previous person of diabetes from it. These 577 people are divided into four groups, among them three groups accept respectively diet intervening, sport intervening, diet sports are jointly treated, another group does not accept any intervention. Intervene through the life style in six years, compared with intervening the group, intervene the diabetic incidence of the group to reduce by 51%. Hereafter, the life style was intervened and stopped. In 2006, the researcher tracked these 577 people found: Among 20 years, not 93% of meddlers suffer from the diabetes, 17% have already died from vascular disease of the heart brain, 12% die of other diseases, 44% of the people have gone through myocardium infarction or brain apoplexy at least. Intervene group, 80% take place diabetes, less than, intervene group, and crowd take place 3.6 years such as diabetes night on average than intervene group. Researcher think in the intersection of Chinese and the intersection of diabetes and previous crowd, life style taking diet and movement as content that launch in the form of group intervene, can reduce the emergence of diabetes long-term lastingly. This thesis studied is issued on the internationally famous medical magazine " lancet " of May of 2008 too, it is concerned by international medical circle and wide. However, the prerequisite intervened is to know who needs to accept that intervene. The investigation of Yang WenYing,et al. reveals a troubling conclusion, 60% of the people have not been examined out and has suffered from diabetes before this. Yang GongHuan says, the janitor of standardized health information is very important. "Through the health education, let ordinary people know, when I should go to check blood glucose. The doctor at the basic level should transmit this information in place in the community. " Yang WenYing shows, she thinks too through this research, tells everybody what is the diabetic high-risk group. Make she on one piece while planning also prewarning of high-risk group grade,through it, people know people it is high to endanger last that diabetes after can letting, in endanger more low to endanger. Present research shows, except diabetic family's history, factors such as age, fat, high triglyceride, hypertension, schooling,etc., it is closely related to diabetes.


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