Type 2 diabetes mellitus and multiple chronic diseases

Autor: Nailya S. Asfandiyarova, Olga V. Dashkevich, Natalya V. Doroshina, Ekaterina I. Suchkova
Jazyk: English<br />Russian
Rok vydání: 2018
Předmět:
Zdroj: Сахарный диабет, Vol 21, Iss 6, Pp 455-461 (2018)
Druh dokumentu: article
ISSN: 2072-0351
2072-0378
DOI: 10.14341/DM9605
Popis: Background: Recently, there has been an increase in the number of patients with multiple chronic diseases (MCD), particularly due to obesity and ageing. The role of type 2 diabetes mellitus (T2DM) in the development of MCD, however, is still unclear. Aims: This study aimed to determine the incidence of T2DM in the structure of polymorbidity considering sex and age-related characteristics. Materials and methods: Patients with MCD (n = 2,254; 769 men/1,485 women; aged, 18–99 years) were examined. The incidence of type 2 diabetes among patients with MCD considering age and sex was determined. Results: Type 2 DM was detected in 407 patients with MCD (18.1%; male:female, 1:2.53). The polymorbidity index in male patients with type 2 diabetes was 1.5–2.0 times higher than that in male patients without diabetes. The rate of polymorbidity index increase was similar in both groups; however, its high initial value in patients with diabetes at a young age determined the burden of the comorbidity at a later age. In type 2 diabetes, hypertension was the predominant comorbidity at 18–59 years of age (p
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