To the aspect of diabetes mellitus prevention program among the population of the Novosibirsk Region
Abstract. The prevalence of type 2 diabetes mellitus (T2DM) is growing at a pandemic rate; at this time its precursor, prediabetes, affects up to 10% of adults in Russia, most of whom are unaware of having that condition. Early identification of individuals with high risk for T2DM is a key area of its prevention.Fomicheva M.L., Zakharova M.A., Evdakov V.A.
The aim: to assess the dynamics of T2DM risk factors among adults in the Novosibirsk Region from 2019 to 2023.
Material and methods. As part of the “Let’s take care of health together!” program, health centers organized surveys using international FINDRISC riskometer and rapid analysis of blood glucose and cholesterol levels in apparently healthy visitors (exclusion criteria: age < 18 years, history of diabetes mellitus).
Results. Over 5 years, no significant increase was observed in the proportion of individuals at high or very high risk for T2DM: it remains stable at approximately 17%. A moderate decrease in the prevalence of obesity (from 23 to 21%) and overweight (from 38 to 33%) was fixed. A combined elevated blood glucose and cholesterol level was found in 23% of respondents, which was most common in high-risk groups for T2DM. A combination of three or more significant risk factors (obesity, family history, hyperglycemia) was observed in almost all respondents at high risk for developing this type of diabetes.
Conclusion. Despite the lack of significant increase in the proportion of individuals at high and very high risk for T2DM development, the stagnation of these indexes highlights the need to strengthen preventive measures aimed at modifying lifestyle and raising public awareness about prediabetes.
Keywords
type 2 diabetes mellitus prevention
prediabetes
risk assessment
FINDRISC questionnaire
lifestyle modification
public health enhancement
health centers
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About the Authors
Marina L. Fomicheva, MD, Dr. Sci. (Medicine), director of the Regional Center for Public Health and Medical Prevention of the Novosibirsk Region. Address: 630112, Novosibirsk, 16/1 Koshurnikova St.E-mail: MFomicheva@mznso.ru
ORCID: https://orcid.org/0000-0003-2833-534X. eLibrary SPIN: 5911-4952. AuthorID: 462673
Maria A. Zakharova, MD, Dr. Sci. (Sociology), PhD (Medicine), head of the Bureau of Medical and Sociological Research, Regional Center for Public Health and Medical Prevention of the Novosibirsk Region. Address: 630112, Novosibirsk, 16/1 Koshurnikova St.
E-mail: mazakharova@mznso.ru
ORCID: https://orcid.org/0000-0003-2996-8173. eLibrary SPIN: 4546-8640. AuthorID: 191514
Valeryan A. Evdakov, MD, Dr. Sci. (Medicine), professor of Central Research Institute for Healthcare Organization and Informatization of the Ministry of Healthcare of Russia. Address: 127254, Moscow, 11 Dobrolyubova St.
E-mail: evdakov41@mail.ru
ORCID: https://orcid.org/0000-0002-5836-4427. eLibrary SPIN: 8294-2939. AuthorID: 316766
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