Analysis of diabetes screening in high-risk population in different communities in Shanghai from 2016 to 2017 / 中华疾病控制杂志

ABSTRACT

Objective To describe the results of screening for high-risk population of diabetes mellitus among community residents in Shanghai from 2016 to 2017 and analyze the characteristics of subjects with impaired glucose regulation or diabetes patients. Methods After the diabetes risk assessment for the residents aged 35 and older in Changning and Songjiang district of Shanghai, physical examination and blood glucose test were conducted for high-risk groups. Results A total number of 33 469 people in the two communities were screened, 4 555 patients with impaired glucose regulation and 3 412 patients with diabetes were detected. The detection rates were 13.6% and 10.2%, respectively. In high-risk population, aging was significantly correlated with the risk of diabetes(males：P<0.001；females：P<0.001) and impaired glucose regulation(males：P<0.001；females：P<0.001). The risk of diabetes in rural males was lower than that in urban males (OR=0.873，95% CI：0.771-0.988), while rural females had a higher risk of impaired glucose regulation than urban females (OR=1.249, 95% CI 1.131-1.379). Self-reported history of impaired glucose regulation(males：P<0.001；females：P<0.001), family history of type 2 diabetes(males：P<0.001；females：P<0.001), hypertension(males：P<0.001；females：P<0.001), dyslipidemia(males：P<0.001；females：P=0.015), overweight/obesity(males：P<0.001；females：P<0.001), long-term sedentary lifestyle in males (P=0.002) and a history of polycystic ovary syndrome in females (P=0.011) were related to the risk of dysglycemia. The more of the number of high-risk factors for residents, the higher the risk of impaired glucose regulation and diabetes (P<0.001). Conclusions The situation of community diabetes detection and prevention in Shanghai is very serious. Therefore, it is necessary to strengthen the monitoring of high-risk groups of diabetes and take targeted intervention measures to reduce the occurrence of diabetes in high-risk population.