Type 2 diabetes mellitus in residents of a rural town | DMSO – Dove Medical Press
Type 2 diabetes mellitus (T2DM) is a major global health problem causing significant morbidity and mortality, and the International Diabetes Federation (IDF) estimates that there will be 578 million adults with diabetes by 2030, and 700 million by 2045.1 The worldwide prevalence of diabetes mell…….
Type 2 diabetes mellitus (T2DM) is a major global health problem causing significant morbidity and mortality, and the International Diabetes Federation (IDF) estimates that there will be 578 million adults with diabetes by 2030, and 700 million by 2045.1 The worldwide prevalence of diabetes mellitus has been increasing over the past few decades, particularly in developing countries. There has been a rapid escalation of T2DM in developing countries, with varied prevalence according to rural vs urban habitat and degree of urbanization.2 Real-world evidence of patient profiles and diabetes care practices in developing countries results showed that glycemic control in individuals with T2DM remained suboptimal over a 12-year period.3 In China, the number of T2DM patients is expected to increase from 20.8 million (in 2000) to 42.3 million by 2030.4 Since “the outline of healthy China in 2030“ plan issued on October 25, 2016,5 the Chinese government had put great efforts to ensure the realization of the aims and the improvements of health conditions for residents in the new era.
Among the government efforts, fighting against chronic diseases, especially T2DM, was put into the first place because of its fast spreading. China listed at the top of developing countries and the trend remained unchanged from 1980 to 2014, and the global share of adults with diabetes who live in China increased, by contrast with the USA, where the share decreased.6 The living standard of the population has also been rising in accordance with the development of Chinese economy. Companied with the improvement of living standards was the rapid increase of T2DM.4 Data showed that the prevalence of T2DM in people aged 18 and above was 11.2% during 2015 to 2017 which increased more than 15 times compared with data of 1980. There was also a trend of narrowing the T2DM prevalence gap between the urban and the rural. So, in order to solve health problems in China, the rural residents and T2DM must be focused on in the first place.
According to the results of large-scale epidemiological investigations, the awareness rate, the treatment rate and the control rate of T2DM in China have improved in recent years, but they are still at a low level, especially in rural areas. With the development of national basic public health services, the primary medical institutions had conducted the services, and a large number of data related to residents’ health condition were collected. In this paper, the area where the population lived in is a rural town in Shandong province, and this town is experiencing transforming of living conditions from the countryside towards the city. Therefore, making full use of these data would further clarify the epidemic status of T2DM and assess the effect of disease prevention and control in rural areas, which will also provide guidance for further developing …….