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本文报告了贵州省凯里县部分以苗族为主的聚居地区5523人糖尿病患病率,结果为O.36‰,该地区农民体力劳动为主,长期高醣、高纤维、低脂、低旦白饮食致使糖耐量与高患病率地区有所差异值得进一步研究;我组40岁以上(除外耐量异常者)餐后2小时血糖值为107.3±18.6mg％(M±S.D.),以均值加2倍标准差为正常值上限,对餐后2小时血糖≥140mg％者进一步做口服卜萄糖耐量试验检出患者以早期诊治是合适的,但<140mg％者是否卜萄糖耐量试验均属正常尚不能定论,餐后2小时血糖值与耐量试验异常完全符合率应进一步观察。我组资料说明:仅凭餐后2小时血糖值进行诊断应在200mg％以上,是否合适值得商榷。糖尿病并发症不仅见于已确诊糖尿病者,而且在糖耐量异常用患者已见到典型微血管病变,因此在不同职业人群中;特别是10岁以上人群中普查,力争早期发现糖尿病, 予早期防治是很必要的。
This paper reports on the prevalence of diabetes in 5523 people in Moli minority areas in Kaili County, Guizhou province. The result is O.36 ‰. The main labor force in this region is farmer’s long-term high-sugar, high-fiber, low-fat, White diet caused by differences in glucose tolerance and high prevalence areas deserve further study; my group over the age of 40 (except for patients with abnormal tolerance) 2 hours postprandial blood glucose was 107.3 ± 18.6mg% (M ± SD) 2 times the standard deviation of the upper limit of normal, 2 hour postprandial blood glucose ≥ 140mg% were further oral glucose tolerance test detected in patients with early diagnosis and treatment is appropriate, but <140mg% were whether the test of glucose tolerance Normal yet to be conclusive, 2 hours postprandial blood glucose levels and tolerance test abnormal full compliance rate should be further observed. My group information shows: only 2 hours after meal blood glucose value should be diagnosed at 200mg% or more, is appropriate to question. Diabetic complications not only found in those with diabetes have been diagnosed, but also in patients with impaired glucose tolerance have seen typical microvascular disease, so in different occupational populations; especially in people over the age of 10 census, and strive to early detection of diabetes, early prevention and treatment is very necessary.