Noninsulin-dependent diabetes mellitus in black and white Americans.

摘要: This report presents an overview of the prevalence, characteristics, morbidity, mortality, and risk factors for noninsulin-dependent diabetes (NIDDM) in Blacks Whites United States. Data are drawn primarily from national surveys, but also includes few clinical studies that have differentiated two races. NIDDM constitutes 90-95% all States is more prevalent Black Americans than Whites. Diabetes prevalence increases with age both races reaches 26% among aged 65-74 years compared 18% Rates persons 20-74 30% higher White women, 70% men, 100% men. Approximately half undiagnosed diabetics similar regard to age, duration diabetes, therapies, although sexes obese their counterparts. vision loss, amputations, renal disease 1.5-4 times Whites, hypertension about equal see same physician specialists approximately 40% visits office-based physicians each year. Diabetes-specific mortality has declined significantly past decade may now be lower diabetics. Risk including sex, obesity, family history operate within race groups probably interact other. The effect gender on rates at obesity level, indicating alone cannot explain differential between Impaired glucose tolerance (IGT), a strong factor development race/sex except women older 54 whom IGT, decline, possibly because conversion IGT diabetes.