학술논문

The Lancet Commission on diabetes: using data to transform diabetes care and patient lives.
Document Type
Journal Article
Source
Lancet. 12/19/2020, Vol. 396 Issue 10267, p2019-2082. 64p.
Subject
*DIABETIC retinopathy
*PEOPLE with diabetes
*PATIENT care
*TYPE 2 diabetes
*TYPE 1 diabetes
*MEDICAL personnel
Language
ISSN
0140-6736
Abstract
In the Pima Indian population, the risk of developing diabetes was highest in the offspring of women with diabetes at conception (45-0% prevalence of diabetes in offspring), followed by the offspring of women who developed diabetes after pregnancy (8-6% prevalence), then by the offspring of women who did not have diabetes (1-4% prevalence). After adjustment for other risk factors, the 2 times higher risk for diabetes among non-white populations remained in all BMI categories.[112] The marked increase in diabetes prevalence in migrants living in societies characterised by lifestyle and environmental factors that increase diabetes risk and who originate from LMICs, as well as the exponential rise in diabetes prevalence in LMICs with socioeconomic development, highlight the importance of environment-host interactions.[113] On an individual level, diabetes risk can be further influenced by age, sex, ethnicity, genetics, and educational level. Individuals with diabetes in LMICs tend to die at a younger and more productive age than do people with diabetes in HICs.[164] The global economic burden of diabetes is expected to increase due to the growing population of people with diabetes and the increase in medical expenditure for diabetes per capita. Graph: Figure 5 Cumulative incidence of diabetes-related complications and death from the Pittsburgh Epidemiology of Diabetes Complications cohortPatients in this cohort had childhood-onset type 1 diabetes. p values were calculated via independent 2 tests at each diabetes duration across all of the diagnosis cohorts, and they highlight how there has been no improvement over time at any diabetes duration. [Extracted from the article]