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Diabetes Mellitus Introduction to Diabetes Epidemiology Dr. Hamid Baradaran EDC, IUMS
Diabetes Mellitus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Increasing mortality from diabetes mellitus J. Olefsky, JAMA 2001:285:628-632
Diabetes Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Type 1 diabetes  epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Incidence of type 1 diabetes Age 0-14 years IDF Diabetes Atlas 2003
Type 1 diabetes Increase in incidence/year
Type 1 diabetes  epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
2 minutes
Diabetes Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Type 2 diabetes  epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevalence of DM and IGT age  35-64 years
Diabetes in Denmark 1974-96 Drivsholm et al.Diabetic Medicine 201
Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1990, 1995 and 2001 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes,  and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1).  1990 1995 2001 No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
World wide epidemic Zimmet, Nature 2001 India: 2000:32 mill 2020: 81 mill
1995 2025 19 million 57 million DIABETES   Top Three Countries in the world King et al, Diabetes Care, 1998
Type 2 DM - global epidemic -  why ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Type 2 DM - global epidemic -  why ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Age standardized prevalence of  Type 2 DM (native and migrant Asian Indian populations)
Urban-Rural ratio
2 minutes
Type 2 DM - global epidemic -  why ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non-pharmacological, observational ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Obesity (BMI>30) in USA 1960-2000 (males) Flegal & al, JAMA 2002, 288, 1723-7
Obesity children in USA 1960-2000 BMI >95-centile (boys) Ogden  & al, JAMA 2002, 288, 1728-32
Obesity* Trends Among U.S. Adults  BRFSS, 1991, 1995 and 2000 (*BMI    30, or ~ 30 lbs overweight for 5’4” person) Source: Mokdad A H, et al.  JAMA  1999;282:16, 2001;286:10.   No Data  < 10%  10%-14%  15-19%   20%  1991 1995 2000
Obesity Trends* Among U.S. Adults BRFSS, 2001 Source: Mokdad A H, et al.  J Am Med Assoc  1999;282:16, 2001;286:10.
Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1990, 1995 and 2001 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes,  and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1).  1990 1995 2001 No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Type 2 DM - global epidemic -  why ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Non-pharmacological, observational ,[object Object],[object Object],[object Object],[object Object]
 
 
 
Type 2 DM - global epidemic -  why ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevalence of DM in 60 years old Men  Decoda:Nakagami; Diabetologia 2003
Prevalence of DM in 60 years old Women Decoda:Nakagami; Diabetologia 2003
 

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epidemilogy of diabetes

  • 1. Diabetes Mellitus Introduction to Diabetes Epidemiology Dr. Hamid Baradaran EDC, IUMS
  • 2.
  • 3. Increasing mortality from diabetes mellitus J. Olefsky, JAMA 2001:285:628-632
  • 4.
  • 5.
  • 6. Incidence of type 1 diabetes Age 0-14 years IDF Diabetes Atlas 2003
  • 7. Type 1 diabetes Increase in incidence/year
  • 8.
  • 10.
  • 11.
  • 12. Prevalence of DM and IGT age 35-64 years
  • 13. Diabetes in Denmark 1974-96 Drivsholm et al.Diabetic Medicine 201
  • 14. Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1990, 1995 and 2001 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1). 1990 1995 2001 No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 15. World wide epidemic Zimmet, Nature 2001 India: 2000:32 mill 2020: 81 mill
  • 16. 1995 2025 19 million 57 million DIABETES Top Three Countries in the world King et al, Diabetes Care, 1998
  • 17.
  • 18.
  • 19. Age standardized prevalence of Type 2 DM (native and migrant Asian Indian populations)
  • 22.
  • 23.
  • 24. Obesity (BMI>30) in USA 1960-2000 (males) Flegal & al, JAMA 2002, 288, 1723-7
  • 25. Obesity children in USA 1960-2000 BMI >95-centile (boys) Ogden & al, JAMA 2002, 288, 1728-32
  • 26. Obesity* Trends Among U.S. Adults BRFSS, 1991, 1995 and 2000 (*BMI  30, or ~ 30 lbs overweight for 5’4” person) Source: Mokdad A H, et al. JAMA 1999;282:16, 2001;286:10. No Data < 10% 10%-14% 15-19%  20% 1991 1995 2000
  • 27. Obesity Trends* Among U.S. Adults BRFSS, 2001 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 28. Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1990, 1995 and 2001 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1). 1990 1995 2001 No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 29.
  • 30.
  • 31.  
  • 32.  
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  • 35. Prevalence of DM in 60 years old Men Decoda:Nakagami; Diabetologia 2003
  • 36. Prevalence of DM in 60 years old Women Decoda:Nakagami; Diabetologia 2003
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