Another diabetes day (November 14), 20 years have changed. What is the current situation of diabetes in Qingdao ?
In 2002, Qingdao Endocrinology Diabetes Hospital was established. As the initiator, participant and witness of Island City diabetes prevention, from World Diabetes Day to United Nations Diabetes Day , the hospital has experienced 20 diabetes days. From Fuzhou Road Campus to Hefei Road New Campus, the hospital has innovated and developed, established many disciplines, summarized many rules, and was delighted to find that Qingdao diabetes prevention and control has made very good progress with the efforts of the whole society. Based on the diabetes daily screening data accumulated in the Medmap medical data platform of Qingdao Endocrinology Diabetes Hospital in the past 20 years, the hospital reviewed and analyzed it, and found the entire Qingdao city from the perspective of health economics , interpreting the prevalence, epidemic situation and trends of Qingdao diabetes, etc., and jointly witnessed the 20-year life and health trends of the people in the island city.
1. Adults in Qingdao are more likely to get diabetes
World 10.5%: International Diabetes Alliance (IDF) latest data shows that in 2021, there are 537 million diabetic patients with diabetes, and the prevalence of diabetes is 10.5%, that is, 1 in every 10 people has diabetes. The global incidence of diabetes is on the rise.
China 12.8%: According to the latest published epidemiological survey , the prevalence of diabetes in adults in my country is 12.8%.
Qingdao 16.7%: Qingdao regional diabetes epidemiological survey data shows that the prevalence of diabetes among adults aged 35 to 74 in Qingdao is as high as 16.7%, and 1 in every 6 people suffer from diabetes. In other words, the prevalence of diabetes among people in Qingdao is higher than the world average and higher than the national level.
2. First-degree relatives of diabetes have a higher risk of disease
In the screening of high-risk groups in diabetes, the hospital found that 60% of first-degree relatives of diabetes patients in Qingdao have diabetes. Diabetic patients generally have obvious genetic background, so first-degree relatives of diabetic patients {parents, children, and siblings (same parents)} should pay more attention to prevention.
3, daily screening of diabetes, the diagnosis rate is decreasing
· The hospital has pioneered the establishment of many large-scale diabetes epidemiological surveys in Qingdao
· He has successively completed the research on risk factors for diabetes, metabolic syndrome, hyperuricemia, diabetes prevention, and diabetes risk evaluation system development in Qingdao
· Established the largest and most complete database in the field of endocrine and metabolic diseases in China
· The formation of diabetes, hypertension , obesity comprehensive prevention and control system and network
· In 2005, the hospital began to undertake the major project of the World Diabetes Foundation Qingdao Diabetes Prevention Project (WDF05-108, WDF07-308), and carried out the first large-scale (1.97 million people) community residents' diabetes prevention research for the first time in the world, and carried out a 10-year follow-up study in Zhanshan Community.
Medmap data platform shows that the diagnosis rate among the people participating in the Diabetes Day screening activities has dropped from 46% in 2009 to 25% in 2020. With the development and changes of media, people have gone from listening to newspapers, radio to participating in activities to choosing self-media and live broadcasts to actively learn health knowledge. Looking at the 20 years of diabetes screening data, from the beginning to the active screening; from the high diagnosis rate to the decrease in the positive rate, more people choose to seek medical treatment instead of passive screening, which shows that our health education and continuous work are playing a subtle role in people, and the people in the island city pay more and more attention to diabetes prevention and control.
4. The pressure is too great, men are earlier and more prone to illness
Medmap Medical Big Data Platform shows that from 2005 to 2021, male hospitalized patients accounted for 54.94%, and female hospitalized patients accounted for 45.06%; the average age and average age of admission for men for the first time and the average age of admission for women are far smaller than those of women, perhaps because men’s lifestyle is relatively unhealthy, or perhaps because men face more social engagements and greater life and social pressure.
5. Tobacco and alcohol, you must quit
Medmap Medical Big Data Platform shows that from 2006 to 2022, the proportion of male hospitalized patients with a history of smoking and drinking is comparable, floating around 30%. The number of people with a history of smoking or drinking has increased from 45% in 2006 to 71% in 2016, and has gradually decreased since 2016, but there is still a high proportion, indicating that smoking and drinking are important risk factors for diabetes; it is also reminded that male patients with diabetes who have bad living habits such as smoking or drinking should pay more attention to monitoring their own health status. Friends who love beer + seafood in Qingdao have paid attention. You can have a drink occasionally, but don’t drink it. We should still stick to a healthier lifestyle.
6. Weight loss is not only for beauty, but also for health
Medmap Medical Big Data Platform shows that from 2006 to 2022, the proportion of obese and overweight patients in hospitalized with endocrine diabetes hospitals in Qingdao was as high as more than 70% before 2015, with html type 12 diabetes being the majority. It has gradually declined since 2017, but it is still at a high of 65% on average, indicating that although people's health awareness is improving, after 20 years, obesity is still a risk factor for type 2 diabetes. Therefore, weight loss is not only for beauty, but also for health. We must strengthen physical exercise and pay attention to a healthy diet.
7. Knowledge and action are incompatible, and the general high blood lipids
Medmap medical big data platform shows: From 2005 to 2022, the average proportion of hyperlipids in patients hospitalized with diabetes in Qingdao endocrine and diabetes hospitals is as high as more than half, and the annual share trend has not changed much. Although there has been progress and people's health awareness has been strengthened, the intervention in diet is still far from enough. Knowing but not being able to do it, knowledge and action are incompatible. Diabetes combined with hyperlipidemia are prone to induce a variety of diseases, often accompanied by complications such as fatty liver, hypertension, cerebrovascular diseases, coronary heart disease, , and metabolic diseases such as hyperuricemia. They are all enemies we need to face. The whole people must adhere to a healthy lifestyle and not overeat.
8, regional distribution of hospitalized diabetic patients, Shibei District is high
Medmap medical big data platform shows: From 2005 to 2022, the top three regional distributions of hospitalized patients are Shibei District, Shinan District, and Licang District . Laoshan District surpassed Licang District in 2017 and ranked third, which may be due to the relocation of the hospital from Fuzhou Road Campus to Hefei Road Campus in 2017, causing regional impact. In 2012, Shibei District merged with Sifang District to become the largest district, and many old residents of Qingdao live. Excluding geopolitical factors, Shibei District has always remained high, indicating that Shibei District, as a population area, has gathered many high-risk groups and patients with diabetes.
9. Many complications for diabetes patients
Medmap Medical Big Data Platform shows that in 2002, 51% of patients were diagnosed with 3 or more diabetes complications . This value continued to rise in the following four years, reaching 93% in 2006, and has remained high since then. The data is shocking, and there is still a long way to go to prevent and control diabetes and its complications. High blood lipids, obesity, and many complications are all shown that people have not really put their health management into action and are still in a state where people know more than they do.
Diabetes prevention starts with the fetus, especially early intervention in obese people with a family history of diabetes and obese people. The early screening and early diagnosis of gestational diabetes , and management during pregnancy, prenatal and postpartum management is more important.
The prevention and treatment of diabetes requires five pillars to go hand in hand, and education is one of them. The hospital attaches great importance to the prevention and education of diabetes. More than a thousand large-scale diabetes education activities were organized, and more than 160 community medical and health units in Qingdao were trained for diagnosis and treatment of diabetes by community doctors. Form a professional diabetes education team to formulate a patient health management system around the integration of medicine and conduct patient education. It has also been named one of the "Top Ten National Diagnostic Diabetes Education Bases".
The theme of this year's Diabetes Day is education and protection tomorrow. It is about the importance of educating not only patients, but also endocrine and diabetes professional medical personnel. This is what Qingdao Endocrine and Diabetes Hospital has been doing every day for 20 years.From November 13 to November 26, 2022, during the 16th World Diabetes Day, the official Qingdao Endocrinology Diabetes Hospital Video Account will conduct a two-week video popularization live broadcast for the people of the island city to conduct popularization of diabetes-related knowledge.
Pay tribute to the forerunners, leaders and educators in the field of endocrine
We hope that education not only protects tomorrow, but also changes to tomorrow. Looking at the 20 years of data, the changes from yesterday to today have made remarkable contributions to the whole society; now, Qingdao Endocrinology Diabetes Hospital has begun to change tomorrow again, and the hospital has always firmly believed that this change will be of great significance to the healthy life in the future.
After 20 years of change, through the analysis and changes of data accumulated in the endocrine field, we have increasingly discovered that the level of blood sugar is not the core of diabetes. More importantly, we focus on endocrine metabolic diseases, multi-system and multi-organ-related diseases, solve all problems on a bed, and treat diseases with integrated medical thinking and vision is the most effective at present. There are also a large number of academic research, papers, and related data in the world that have verified this point.
In the future, Qingdao Endocrinology and Diabetes Hospital will form a full-life cycle management plan that integrates consultation, follow-up, popular science, prevention, treatment, and chronic disease management around patients; provide better and more personalized services to reduce unnecessary risks and medical expenses. Continuous data is very valuable. We should join forces with more resources, through the efforts of the whole society, and use a higher pattern to face chronic disease prevention and control, so that the happy life index of Qingdao citizens can soar.
