The Prevalence,Awareness, Treatment, Control and Self-management of Diabetes among the Elderly in Midu County / 昆明医科大学学报

ABSTRACT

Objective To analyze the prevalence, awareness, treatment, control and self-management of diabetes among the elderly in Midu County of Yunnan province. Methods A stratified random sampling method was used to carry out on-site questionnaire survey and blood glucose measurement among 1,603 older people aged≥60 in Midu County of Yunnan province. Results The overall prevalence, awareness, treatment and control rate of diabetes among the elderly were 10.11％, 56.17％, 75.82％and 37.36％respectively. The rates of self-monitoring of blood glucose, taking medicine prescribed by doctors and hypoglycemic measures in the last two weeks were 43.96％, 80.22％ and 98.90％ respectively. People with higher average annual income had higher prevalence of diabetes ( <0.05) . The awareness rate of diabetes in women (67.42％) was significantly higher than that in males (42.47％, <0.01). Self monitoring of blood glucose in patients with house toilet (46.99％) in house was higher than those without toilet (12.50％, <0.05). The higher the level of education, the higher the rate of taking medicine prescribed by doctors ( <0.05) . Patients who do not live alone and have toilet in house have a higher rate of weight control (67.07％and 66.27％) than those living alone and without toilet (22.22％and 25％,<0.05).Conclusions The findings indicate a relatively high prevalence of diabetes and low level of self-management of diabetes among older people in Midu County. It should adopt targeted diabetes health education and intervention according to different characteristics of the population so as to improve their level of diabetes self-management.