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Epidemiology of Diabetes and Prediabetes in Uzbekistan: Screening Results

Alieva AV, Ismailov SI and Rahimova GN

Background: Actual prevalence of type 2 diabetes mellitus (DM) and prediabetes is essential for health care organization, but it significantly differs from data obtained through the registration by endocrinologists. Therefore, active screening for DM and prediabetes at least every 5 years will obtain data on prevalence of these disorders and will help in planning of Diabetes management in the country. Materials and methods: 711 men and 1464 women (2521 persons) aged 35 years or older living in Tashkent, Qashqadarja and Khorezm regions were screened for diabetes according to the two-stage strategy: filling in the FINDRISK-based questionnaire and oral glucose tolerance test. Results: Prevalence of type 2 diabetes was 7.9%, prevalence of IGT was 4.4% and prevalence of IFG was 1.4%. Actual prevalence of type 2 DM 10 times exceeds the data obtained through registration at endocrinological dispensaries. In 74% of patients with diabetes, disease was diagnosed during the screening. There is a tendency to increase in prevalence of all revealed carbohydrate metabolism disorders with age. Over 35% of the Republic population has obesity of various degree and about 35% are overweight. Among persons without any carbohydrate metabolism disorders only 31% had normal weight. Conclusion: So, in our study we obtained data on actual prevalence of type 2 DM, IGT and IFG in Uzbekistan depending on age, sex and urbanization. Data on prevalence of overweight and obesity are deplorable and testify the necessity of preventive work with population concerning healthy lifestyle starting at the early childhood.