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KMID : 1200020210450010001
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Diabetes & Metabolism Journal
2021 Volume.45 No. 1 p.1 ~ p.10
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Diabetes Fact Sheets in Korea, 2020: An Appraisal of Current Status
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Jung Chan-Hee
Son Jang-Won
Kang Shin-Ae
Kim Won-Jun
Kim Hun-Sung
Kim Hae-Soon
Seo Mi-Hae
Shin Hye-Jung
Lee Seong-Su
Jeong Su-Jin
Cho Yong-In
Han Seung-Jin
Jang Hyang-Mi
Rho Mi-Ra
Lee Shin-Bi
Koo Mi-Hyun
Yoo Been
Moon Jung-Wha
Lee Hye-Young
Yun Jae-Seung
Kim Sun-Young
Kim Sung-Rae
Jeong In-Kyung
Mok Ji-Oh
Yoon Kun-Ho
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Abstract
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Background: This study aimed to investigate the recent prevalence, management, and comorbidities of diabetes among Korean adults aged ≥30 years by analyzing nationally representative data.
Methods: This study used data from the Korea National Health and Nutrition Examination Survey from 2016 to 2018, and the percentage and total number of people ≥30 years of age with diabetes and impaired fasting glucose (IFG) were estimated.
Results: In 2018, 13.8% of Korean adults aged ≥30 years had diabetes, and adults aged ≥65 years showed a prevalence rate of 28%. The prevalence of IFG was 26.9% in adults aged ≥30 years. From 2016 to 2018, 35% of the subjects with diabetes were not aware of their condition. Regarding comorbidities, 53.2% and 61.3% were obese and hypertensive, respectively, and 72% had hypercholesterolemia as defined by low-density lipoprotein cholesterol (LDL-C) ≥100 mg/dL in people with diabetes. Of the subjects with diabetes, 43.7% had both hypertension and hypercholesterolemia. With regard to glycemic control, only 28.3% reached the target level of <6.5%. Moreover, only 11.5% of subjects with diabetes met all three targets of glycosylated hemoglobin, blood pressure, and LDL-C. The percentage of energy intake from carbohydrates was higher in diabetes patients than in those without diabetes, while that from protein and fat was lower in subjects with diabetes.
Conclusion: The high prevalence and low control rate of diabetes and its comorbidities in Korean adults were confirmed. More stringent efforts are needed to improve the comprehensive management of diabetes to reduce diabetes-related morbidity and mortality.
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KEYWORD
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Comorbidity, Diabetes mellitus, Hypercholesterolemia, Hypertension, Prediabetic state, Prevalence
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