Yi-Jing Sheen1, Chih-Cheng Hsu2, Yi-Der Jiang3, Chien-Ning Huang4, Jia-Sin Liu5, Wayne Huey-Herng Sheu6. 1. Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taiwan. Electronic address: docmedjean@gmail.com. 2. Institute of Population Health Sciences, National Health Research Institutes, Zhunan, Taiwan. Electronic address: cch@nhri.org.tw. 3. Department of Internal Medicine, National Taiwan University Hospital, Taipei City, Taiwan. Electronic address: yiderj@gmail.com. 4. Institute of Medicine, Chung Shang Medical University Hospital, Taichung, Taiwan. Electronic address: cshy049@gmail.com. 5. Institute of Population Health Sciences, National Health Research Institutes, Zhunan, Taiwan. Electronic address: sgazn.tw@gmail.com. 6. Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, Taiwan; Department of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan; Institute of Medical Technology, College of Life Science, National Chung-Hsing University, Taichung, Taiwan; School of Medicine, National Defense Medical Center, Taipei, Taiwan. Electronic address: whhsheu@vghtc.gov.tw.
Abstract
BACKGROUND/ PURPOSE: Diabetes mellitus (DM) and DM-related complications place a high socioeconomic burden on individuals and society. Updating nationwide information periodically is thus pivotal to preventing DM and improving its management in Taiwan. METHODS: We used the National Health Insurance Research Database; disease diagnosis codes were assigned according to the International Classification of Diseases, 9th Revision, Clinical Modification. DM was defined as ≥3 outpatient visits or 1 hospitalization within a year. We excluded individuals with gestational DM, those with missing data, and those aged >100 years. Type 1 DM (T1DM) was defined based on information from the catastrophic illness registry. RESULTS: From 2005 to 2014, total population with DM increased by 66% and age-standardized prevalence in patients aged 20-79 years increased by 41%. The DM prevalence was generally higher in men; however, the prevalence was higher in women aged ≥65 years. The prevalence of DM was approximately 50% in those aged >80 years. DM incidence increased by 19%; the increase was most obvious in patients aged 20-39 years (p < 0.001). The standardized incidence of T1DM slightly decreased by 11% (p = 0.118) and standardized prevalence of T1DM increased from 0.04% to 0.05%. Number of T1DM accounted for 0.51-0.59% of the entire diabetic population during the observation period. CONCLUSION: DM prevalence is continually increasing, but the incidence only marginally increased from 2005 to 2014. Moreover, DM is a major problem in elderly people. The higher incidence of DM in men is consistent with the pandemic of overweight and obesity in men in Taiwan.
BACKGROUND/ PURPOSE:Diabetes mellitus (DM) and DM-related complications place a high socioeconomic burden on individuals and society. Updating nationwide information periodically is thus pivotal to preventing DM and improving its management in Taiwan. METHODS: We used the National Health Insurance Research Database; disease diagnosis codes were assigned according to the International Classification of Diseases, 9th Revision, Clinical Modification. DM was defined as ≥3 outpatient visits or 1 hospitalization within a year. We excluded individuals with gestational DM, those with missing data, and those aged >100 years. Type 1 DM (T1DM) was defined based on information from the catastrophic illness registry. RESULTS: From 2005 to 2014, total population with DM increased by 66% and age-standardized prevalence in patients aged 20-79 years increased by 41%. The DM prevalence was generally higher in men; however, the prevalence was higher in women aged ≥65 years. The prevalence of DM was approximately 50% in those aged >80 years. DM incidence increased by 19%; the increase was most obvious in patients aged 20-39 years (p < 0.001). The standardized incidence of T1DM slightly decreased by 11% (p = 0.118) and standardized prevalence of T1DM increased from 0.04% to 0.05%. Number of T1DM accounted for 0.51-0.59% of the entire diabetic population during the observation period. CONCLUSION:DM prevalence is continually increasing, but the incidence only marginally increased from 2005 to 2014. Moreover, DM is a major problem in elderly people. The higher incidence of DM in men is consistent with the pandemic of overweight and obesity in men in Taiwan.
Authors: Chung-Yi Li; Yung-Chung Chuang; Pei-Chun Chen; Michael S Chen; Miaw-Chwen Lee; Li-Jung Elizabeth Ku; Chiachi Bonnie Lee Journal: Int J Environ Res Public Health Date: 2021-02-22 Impact factor: 3.390
Authors: Yuehtao Chiang; Peikwei Tsay; Chiwen Chen; Chienlung Hsu; Hsingyi Yu; Chiwen Chang; Fusung Lo; Philip Moons Journal: Int J Environ Res Public Health Date: 2021-07-04 Impact factor: 3.390