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국내 3차 의료기관의 당뇨병 조절 상태 및 합병증 보고 - 2006~2007 대한당뇨병학회 역학소위원회 -

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Affiliated Author(s)
박근규
Alternative Author(s)
Park, Keun Gyu
Journal Title
Korean Diabetes Journal
ISSN
1976-9180
Issued Date
2009
Keyword
Diabetes complicationsDiabetes mellitusHuman hemoglobin A1c protein
Abstract
Background: The Committee of the Korean Diabetes Association on the Epidemiology of Diabetes Mellitus performed a nationwide survey about the current status of glycemic control and diabetic complications in 2006. Methods: The current study included 5,652 diabetic patients recruited from the rosters of endocrinology clinics of 13 tertiary hospitals in Korea. Age, gender, height, weight, waist circumference and blood pressure were investigated by standard method. Fasting and postprandial 2 hour glucose, glycosylated hemoglobin (HbA1c), lipid profiles, fasting insulin and c-peptide levels were measured. Microvascular (microalbuminuria, retinopathy and neuropathy) and macrovascular (coronary artery disease [CAD], cerebrovascular disease [CVD] and peripheral artery disease [PAD]) complications were reviewed in their medical records.
Results: Mean age of total subjects was 58.7 (± 11.6) years and duration of diabetes was 8.8 (0~50) years. Mean fasting and postprandial 2 hour glucose levels were 145.9 ± 55.0 and 208.0 ± 84.4 mg/dL, respectively. Their mean HbA1c was 7.9 ± 1.9%: the percentage of patients within target goal of glycemic control (< 7% of HbA1c) was 36.7%. In this study, 30.3%, 38.3% and 44.6% of patients was found to have microalbuminuria, retinopathy and nephropathy, respectively. Prevalence of CAD, CVD and PAD was 8.7%, 6.7% and 3.0%, respectively. Diabetic complications were closely related with age, duration of diabetes and glycemic control, and this relationship was stronger in microvascular complications than macrovascular ones. Conclusion: Only about one third of patients with diabetes was found to reach target glycemic control in tertiary hospitals of Korea. More tight control is needed to reduce deleterious complications of diabetes in Korea.
연구배경: 당뇨병학회 역학소위원회에서는 위원회 연구 과제의 일환으로 국내 당뇨병환자의 합병증 유병률에 대해서 조사하였다. 방법: 2006년 국내 3차 기관급 13개 병원의 내분비내과를 방문한 당뇨병환자 5,652명을 대상으로 당뇨병 조절 상태와 당뇨병 합병증의 유병률에 대해서 조사하였다. 결과: 대상군의 평균 연령은 58.7 (± 11.6)세이었고, 당뇨병 유병 기간은 8.8 (0~50)년이었다. 평균 공복 혈당은 145.9 (± 55.0) mg/dL, 식후 2시간 혈당은 208.0 (± 84.4) mg/dL, 당화혈색소는 7.9 (± 1.9)%이었다. 당화혈색소 7%미만에 해당하는 환자는 36.7%이었다. 미세알부민뇨를 보이는 환자는 30.4%로 나타났으며, 망막병증은 38.3%, 신경병증은 44.6%의 유병률을 보였다. 이러한 합병증은 당뇨조절 상태가 좋지 않을수록 그리고 당뇨병 유병 기간이 길수록 증가하였다. 대혈관 합병증의 유병률은 관상동맥질환은 8.7%, 뇌혈관질환은 6.7%, 말초혈관질환은 3.0%로 나타났다. 결론: 본 연구 결과를 통하여 2006년 현재 국내 3차 기관급 13개 병원의 내분비내과를 방문한 당뇨병환자의 혈당 조절이 적절하지 않은 것을 알 수 있었다. 당뇨병 유병 기간이 길수록 또한 혈당 조절 상태가 좋지 않을수록 합병증의 유병률이 증가함으로, 이러한 합병증을 막기 위해서는 조기에 보다 적극적인 혈당 조절이 필요할 것으로 판단된다.
Alternative Title
A Nationwide Survey about the Current Status of Glycemic Control and Complications in Diabetic Patients in 2006 - The Committee of the Korean Diabetes Association on the Epidemiology of Diabetes Mellitus -
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
임수 et al. (2009). 국내 3차 의료기관의 당뇨병 조절 상태 및 합병증 보고 - 2006~2007 대한당뇨병학회 역학소위원회 -. Korean Diabetes Journal, 33(1), 48–57. doi: 10.4093/kdj.2009.33.1.48
Type
Article
ISSN
1976-9180
DOI
10.4093/kdj.2009.33.1.48
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36075
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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