Glycosylated Hemoglobin and Fasting Blood Glucose Levels Predict the Occurrence of Diabetes: Diabetes High Risk Group as an Example in Taiwan

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题名:	Glycosylated Hemoglobin and Fasting Blood Glucose Levels Predict the Occurrence of Diabetes: Diabetes High Risk Group as an Example in Taiwan
作者:	LIN, YA-LING
贡献者:	健康產業管理學系健康管理組
关键词:	diabetes;fasting blood sugar;glycosylated hemoglobin;pre-diabetes;medical expenses
日期:	2016
上传时间:	2016-08-16 07:46:51 (UTC+0)
出版者:	亞洲大學
摘要:	Objectives: diabetes not only personal health, medical costs also caused a heavy burden on the whole society, therefore, diabetes is now Taiwan faces an important public health problem. Especially in the past 30 years, the prevalence of diabetes mellitus and its rank in the top ten causes of death are rising fast. This study by analyzing the Taiwan representative of older persons important pointers to understanding diabetes blood sugar high risk chances of diabetes and its related factors, six years later, to put them on diabetes prevention and treatment policies. Methods: the data source for the "Taiwan health social and biological study on the pointer (Social Environment and Biomarkers of Aging Study referred to as SEBAS)." The investigation is "Taiwan long-term follow-up survey of the elderly in Taiwan Longitudinal Survey on Aging (TLSA)" extension, selecting a portion of the 1999 TLSA fourth wave sample involved in further health checks and blood and urine tests. Finished in 2000, visit 1023 bits over 54 years of age, and in 2006 a tracking survey. After you link data, and excluded from the 2000 is confirmed following analysis sample total number of 558 cases of diabetes mellitus. This research for research sample of mashing hemoglobin (HbA1C) and the fasting blood sugar (Fasting Plasma Glucose, FPG) two of pointer for high dangerous Group (that so-called of diabetes early), analysis two a pointer are up early standard (FPG>100 and HbA1C > 5.7%), and which a pointer reached early (FPG>100 or HbA1C > 5.7%), relative Yu two pointer are normal who (FPG<100 and HbA1C < 5.7 %), Six years later, the risk of diabetes. Results: In 2000, 558 people did not suffer from diabetes, 91 people with diabetes (16.3%) occurred after six years, and logistic regression showed that age greater than 70, BMI greater than 24, and the two have a history of kidney blood sugar level standards of pre-diabetes, their risk of diabetes significantly higher than their counterparts. The fasting plasma glucose and glycated hemoglobin reached the standard pre-diabetes who, after six years in which the odds ratio of diabetes (Odds Ratio) of both normal 42.7-fold (p <0.001), only glycated hemoglobin up to standard by the early, after six years of suffering from diabetes has become an odds ratio (odds ratio) of 14.1 times for both normal (p <0.001), but only up to the pre-fasting glucose criteria who, after six years of suffering from diabetes has become an odds ratio (odds ratio) both the normal 7.6 times (p <0.001). Conclusion: fasting blood glucose value (100-125mg/DL) and glycated hemoglobin values (5.7-6.4%) up to standard for pre-diabetes their risk of diabetes was significantly higher than that of the blood sugar normal pointer, diabetes prevention should encourage the elderly regularly reviews monitoring their blood sugar pointer, pointer exceptions and blood glucose of diabetes mellitus high-risk groups should be listed as an important target for diabetes prevention and control program population.
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