RESUMO
OBJECTICE: To determine the occurrence of pre-diabetes inpatients in a primary care setting in Trinidad and to identifythe risk factors associated with its development. DESIGN AND METHODS: Using a prospective cross-sectionalstudy, 44 patients who met the eligibility criteria where randomlyselected to enter the study. After a 12 hour fast, HbA1c, fastingplasma glucose, HDL and LDL cholesterol were measured, aswell as BMI and waist circumference. RESULTS: Of the 44 sampled participants, 77.3 % (n=34) werefemales and 22.7% (n=10) were males. 23 of the sampledfemales were over the normal weight for their height, and ofthe 8 pre-diabetic females, 75% had a waist circumference of>102cm, signifying abdominal obesity.A higher mean value was obtained for the lipid profile (excludingthe HLDL values) and HbA1c in the pre-diabetic population. CONCLUSION: The proportion of patients with prediabetes was25%. (95% CI 14.6-39.4) BMI, Triglycerides and LDL werefound to have a significant association with pre-diabetes(p=0.014, p=0.004 respectively). There needs to be a higherindex of suspicion for concomitant cardiovascular disease inpre-diabetics. Future interventions for monitoring this high riskgroup should include assessment of cardiometabolic risk factors.
Assuntos
Estado Pré-Diabético/diagnóstico , Trinidad e TobagoRESUMO
A pilot survey of 1,346 persons was undertaken to determine factors related to hyperglycaemia and its prevalence in the Jamaican population aged 15 years and over. Overweight and increasing age (over 35 years) were found to be associated with higher blood sugar levels. The diagnostic criterion for hyperglycaemia was a 2-hr + post-prandial blood glucose in excess of 169.4 mg/100 ml which value was one standard deviation higher than the mean blood sugar value in the 2-hr + post-prandial group of respondents. The prevalence rate was 6.1 (AU)
Assuntos
Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Hiperglicemia/epidemiologia , Fatores Etários , Glicemia/análise , Peso Corporal , Diabetes Mellitus/diagnóstico , Estado Pré-Diabético , JamaicaRESUMO
The only conclusion which can be drawn from this study is that at the present time the criteria listed by Wilkerson (1959) are less common in Jamaica than Boston and are not useful in the Jamaican female in selecting the patients who will be prone to develop abnormality during a pregnancy or to have an abnormal outcome of the type associated with a disturbed carbohydrate tolerance (AU)
