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

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

  •  
  • Welcome Introduction
  • Type 2 diabetes and the status of management of diabetes in Vietnam
    • Hoang Kim Uoc, MD. PhD.
    • Hospital of Endocrinology
  • I. The status of type 2 diabetes in viet nam
    • The summary of the study design
    • (2002 national survey):
      • 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;
      • The subjects were random selected;
      • Case defined as FBG >= 7 mmol/L or/and 2HBG >= 11.1 mmol/L or/and diagnosed and treated by doctor before;
      • Diabetes, IFG, and IGT rates are adjusted by age and population structure and distribution.
  • 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 Optimal Parameter
  • Quality management of diabetes in provinces
    • Objectives
    • The general objective of the national project is to reduce incidence, complications, and mortality caused by diabetes, specific objectives by 2010 as following:
    • Raising awareness of community on diabetes risk factors up to 70%
    • Reducing the rate of un-known diabetes in community down to 60%
    • Managing 50% of known diabetics, in which 50% of them are managed optimally (blood glucose and risk factor of complications).
    The project for prevention and control of diabetes mellitus in viet nam
    • Solutions
    • Solution group in order to reduce incidence of diabetes
          • Communication and Education on risk factors
          • Active prevention for high risk group at diabetes;
          • Setting up a healthy lifestyle to prevent diabetes.
    • Solution group in order to prevent or delay diabetic complications:
          • Early detection of diabetes among high-risk people at diabetes in hospital and community
          • Early and comprehensive management of diabetes
          • Education of self-management for diabetic patients.
    The project for prevention and control of diabetes mellitus in viet nam
    • Solutions (next)
    • Solution on policy, net-work in order to manage diabetes efficiently and equally with reasonable cost in the world country:
    • Endocrinology Centre net-work:
        • Prevention
        • Early detection
        • Management of diabetics with mild complication or without complications
    • End. Department net-work in provincial general hospital:
        • Endocrinology emergency
        • Management of diabetes.
    The project for prevention and control of diabetes mellitus in viet nam
  • Discussion What is the clinical need in the early type 2 diabetes paradigm in Vietnam?