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Welcome Introduction
Type 2 diabetes and the status of  management of diabetes in Vietnam <ul><li>Hoang Kim Uoc, MD. PhD. </li></ul><ul><li>Hos...
I. The status of type 2 diabetes in viet nam <ul><li>The summary of the study design  </li></ul><ul><li>(2002 national sur...
the prevalence of type 2 dM by areas and over the whole country
the prevalence of IFG and IGT by area and over the whole country
P < 0.001 Diabetes and IGT distributed by age
P = 0,156 P < 0,0005 diabetes and IGT distributed by gender
the distribution of some main risk factors
The subjects distributed by risk factor frequency
P = 0,002 P < 0,0005 P < 0,0005 P = 0,0005 P < 0,0005 P < 0,0005 diabetes risk for an individual risk factor
II. The status of dM management in viet nam The prevalence of undiagnosed diabetes
Condition to detect diabetes
The concentrations of BG,  HbA1C in new cases of diabetes  (n = 238)
Diabetes retinopathy distributed by duration of the disease
* Kidney Failure from 1 to 4 Diabetes nephropathy in new cases of diabetes
Diabetes Regimen applied in community
Quality management of diabetes in community 54.3% . . Blood Pressure 56.6% 5.7% 37.7% PMBG 60.2% 10.7% 29.1% FBG Poor Fair...
Quality management of diabetes in provinces
<ul><li>Objectives </li></ul><ul><li>The general objective of the national project is to reduce incidence, complications, ...
<ul><li>Solutions </li></ul><ul><li>Solution group in order to reduce incidence of diabetes </li></ul><ul><ul><ul><ul><li>...
<ul><li>Solutions  (next) </li></ul><ul><li>Solution on policy, net-work in order to manage diabetes  efficiently and equa...
Discussion What is the clinical need in the early type 2 diabetes paradigm in Vietnam?
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1. Báo cáo của TS. Hoàng Kim Ước - Bệnh viện Nội tiết

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Transcript of "1. Báo cáo của TS. Hoàng Kim Ước - Bệnh viện Nội tiết"

  1. 2. Welcome Introduction
  2. 3. Type 2 diabetes and the status of management of diabetes in Vietnam <ul><li>Hoang Kim Uoc, MD. PhD. </li></ul><ul><li>Hospital of Endocrinology </li></ul>
  3. 4. I. The status of type 2 diabetes in viet nam <ul><li>The summary of the study design </li></ul><ul><li>(2002 national survey): </li></ul><ul><ul><li>The study was carried out in 9022 subjects aged 30 - 64 in four areas including mountain, costal and middle land, and city areas over the whole country; </li></ul></ul><ul><ul><li>The subjects were random selected; </li></ul></ul><ul><ul><li>Case defined as FBG >= 7 mmol/L or/and 2HBG >= 11.1 mmol/L or/and diagnosed and treated by doctor before; </li></ul></ul><ul><ul><li>Diabetes, IFG, and IGT rates are adjusted by age and population structure and distribution. </li></ul></ul>
  4. 5. the prevalence of type 2 dM by areas and over the whole country
  5. 6. the prevalence of IFG and IGT by area and over the whole country
  6. 7. P < 0.001 Diabetes and IGT distributed by age
  7. 8. P = 0,156 P < 0,0005 diabetes and IGT distributed by gender
  8. 9. the distribution of some main risk factors
  9. 10. The subjects distributed by risk factor frequency
  10. 11. P = 0,002 P < 0,0005 P < 0,0005 P = 0,0005 P < 0,0005 P < 0,0005 diabetes risk for an individual risk factor
  11. 12. II. The status of dM management in viet nam The prevalence of undiagnosed diabetes
  12. 13. Condition to detect diabetes
  13. 14. The concentrations of BG, HbA1C in new cases of diabetes (n = 238)
  14. 15. Diabetes retinopathy distributed by duration of the disease
  15. 16. * Kidney Failure from 1 to 4 Diabetes nephropathy in new cases of diabetes
  16. 17. Diabetes Regimen applied in community
  17. 18. Quality management of diabetes in community 54.3% . . Blood Pressure 56.6% 5.7% 37.7% PMBG 60.2% 10.7% 29.1% FBG Poor Fair Optimal Parameter
  18. 19. Quality management of diabetes in provinces
  19. 20. <ul><li>Objectives </li></ul><ul><li>The general objective of the national project is to reduce incidence, complications, and mortality caused by diabetes, specific objectives by 2010 as following: </li></ul><ul><li>Raising awareness of community on diabetes risk factors up to 70% </li></ul><ul><li>Reducing the rate of un-known diabetes in community down to 60% </li></ul><ul><li>Managing 50% of known diabetics, in which 50% of them are managed optimally (blood glucose and risk factor of complications). </li></ul>The project for prevention and control of diabetes mellitus in viet nam
  20. 21. <ul><li>Solutions </li></ul><ul><li>Solution group in order to reduce incidence of diabetes </li></ul><ul><ul><ul><ul><li>Communication and Education on risk factors </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Active prevention for high risk group at diabetes; </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Setting up a healthy lifestyle to prevent diabetes. </li></ul></ul></ul></ul><ul><li>Solution group in order to prevent or delay diabetic complications: </li></ul><ul><ul><ul><ul><li>Early detection of diabetes among high-risk people at diabetes in hospital and community </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Early and comprehensive management of diabetes </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Education of self-management for diabetic patients. </li></ul></ul></ul></ul>The project for prevention and control of diabetes mellitus in viet nam
  21. 22. <ul><li>Solutions (next) </li></ul><ul><li>Solution on policy, net-work in order to manage diabetes efficiently and equally with reasonable cost in the world country: </li></ul><ul><li>Endocrinology Centre net-work: </li></ul><ul><ul><ul><li>Prevention </li></ul></ul></ul><ul><ul><ul><li>Early detection </li></ul></ul></ul><ul><ul><ul><li>Management of diabetics with mild complication or without complications </li></ul></ul></ul><ul><li>End. Department net-work in provincial general hospital: </li></ul><ul><ul><ul><li>Endocrinology emergency </li></ul></ul></ul><ul><ul><ul><li>Management of diabetes. </li></ul></ul></ul>The project for prevention and control of diabetes mellitus in viet nam
  22. 23. Discussion What is the clinical need in the early type 2 diabetes paradigm in Vietnam?
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