Study On The Prevalence Status Of Type2Diabetes And Related Factors Of Diabetic Chronic Complications

OBJECTIVES:To learn the prevalence status of type2diabetes which hospitalized in the fisthospital endocrine department of Jilin University, and analyze the related factors ofdiabetic chronic complications, we want to provide some valuable informations toprevent and treat diabetic chronic complications.METHODS:A clinical record database for type2diabetes mellitus （T2DM） patients wasestablished with EpiData3.0software and3081cases of complete data wereselected． The content includes general information:age, gender, disease duration,smoking, drinking, family history, systolic blood pressure(SBP), diastolic bloodpressure (DBP) et al. Index of laboratory examination: triglyceride (TG), high densitylipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C),glycosylated hemoglobin(HbAlc), uric acid (UA) et al,The chronic complications ofdiabetes: cardiovascular disease, cerebrovascular disease,diabetic retinopathy, diabeticnephropathy, diabetic neuropathy, diabetic foot et al. Diabetes complications: highblood pressure, high blood lipid, urinary tract infection,hyperthyroidism,hyperuricemia et al. The data was analyzed with SPSS17.0software, Countdata expressed as a percentage, measurement data using the mean and standarddeviation, non conditional Logitic regressionmodel for multivariate analysis toscreening the main influencing factors.RESULTS:1.3081cases of complete data were selected, included1565(50.80%) womenand1516(49.20%) men, The female is higher than male. The patients mainlyconcentrated in40～59years old (51.25%) and≥60years old (35.31%). Thecourse focuses on the prevalence of less than5years (51.54%) and more than10years (32.10%).the abnormal rate of patients with SBP, DBP, TC, TG, HDL-C, LDL-C, HbAlC, UA were48.89%,48.36%,40.02%,56.49%,91.56%,52.65%,89.55%,17.86%.2. The incidence of diabetic chronic complications were: cerebrovasculardisease14.57%(449cases), cardiovascular disease9.16%(283cases), peripheralvascular disease3%(91cases), diabetic retinopathy24.67%(760cases), diabeticnephropathy12.43%(383cases), diabetic neuropathy15.48%(477cases), cataract5.16%(159cases), diabetic foot1.82%(56cases), diabetic ketosis7.76%(239cases), diabetic ketoacidosis3.03%(115cases).3. The incidence of diabetic complications were: hypertension65.60%(2021cases), hyperlipidemia76%(2341cases), hyperuricemia17.86%(550cases), hyperthyroidism2.98%(92cases), urinary tract infection16.33%(503Cases).4. There were significant differences between the number of chroniccomplications and gender, age, disease duration. There were no chroniccomplications of patients accounted for47.61%, one chronic complication accountedfor33.17%, two chronic complications accounted for14.48%, three chroniccomplications accounted for4.09%, four or more chronic complications accountedfor0.65%.5The risk factor for diabetic retinopathy is the long course of disease, The protectfactor for diabetic retinopathy is HDL-C>0.9mmol/L; The risk factors for diabeticcerebrovascular disease are advanced age, long course ofdisease, SBP≥140mmHg,LDL-C≥3.12mmol/L, family history; The risk factors forperipheral vascular disease are advanced age, long course of disease, smoking; Therisk factors for diabetic nephropathy disease are SBP≥140mmHg and long course ofdisease; The risk factors for diabetic neuropathy are advanced age, male, smoking,and long course of disease; The risk factors for cataract are advanced age, and longcourse of disease; The risk factors for diabetic foot are advanced age, male and longcourse of disease.CONCLUSIONS:Advanced age, male, long course of disease, family history,SBP≥140mmHg,dyslipidemia, smoking are risk factors for most diabetic chronic complications. Thatremind us patients with2type diabetic are not simply the pursuit of control of bloodglucose control, but should focus on comprehend treatment of various indicators，urge patients to develop healthy living habits, to strengthen health education on patientswith type2diabetes mellitus, In order to avoid the occurrence and developmentof chronic complications of type2diabetes.