DM Research ppt final.pptx

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    2010… 18.8M diagnosed case

    7M undiagnosed case

    ADA National Diabetes Statistics Report. June 2014

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     2008: 20% Filipino have diabet

     1998: 4% of the population hav diabetes

     Ove 7M Filipinos b! 20"0

    #hilippine $iabetes tatistics 2012

    QCGH?

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      duard Cesar Marquez, M.D.

    Department of Internal Medicine

    Prevalence of D

    and Prediabete

    Quezon City e

    !ospital and M

    Center mploy

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    201" &' ove "82 (illion people thoughout the )old ha

    Filipino+ ,(eicans 11."% ates of diabetes

    ,$,+ -ational $iabetes statistic epot une 2014/ edit

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    • F100+12(g3d

    •  5 140+199(g3

    •  2 hous post pan

    glucose test 140+

    199(g3dl

    • 6b,1c .7+.4%

    #ediabete

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    OM#,;O- OF $,

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    5eseach =uestion

     >hat is the pevalence of diabetes and pe diabetes a(ong =?6 e(plo!ees@

     >hat isA factos ae the highest pedicto the develop(ent of diabetes and pediabe

     >hat is the best sceening pocedue that give the highest !ield@

     >hat is the i(potance of sceening fo d and pe diabetes@

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    Objective

    General objectives:

      ;o dete(ine the pevalence of diabetes pe diabetes a(ong =?6 e(plo!ees

      ;o dete(ine the diBeent isA factos ) highl! coelates )ith the develop(ent diabetes and pediabetes.

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    Objective

    Specic objectives:

      ;o stud! the pevalence of diabetes pediabetes using the ,$, Cuestionn sceening tool.

      ;o veif! those that tested positive in sceening Cuestionnaie )ith standa laboato! paa(etes.

      ;o appl! the sa(e ,$, sceening Cuestionnaie a(ong those diagnose have diabetes (ellitus.

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    !et"o#olo$%

    A. Settin$ an# ti&e perio#:

     =ueDon it! ?eneal 6ospital and Medi ente.

     ,pil 2014+ une 2014

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    Methodolog!

    Stu#% population: 'nclusion criteria

     Filipino

     =?6 e(plo!ee

     " !eas old and above

     igned info(ed consent

     $iagnosed diabetic

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    Methodolog!

     ()clusion criteria

     -ot a egula e(plo!ee of =?6

     ,ge less than " !eas old

     uentl! taAing (edications that can aB blood glucose level

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     #opulation iDe

     ;otal =?6

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    “74% sensitivity and 58%

    specificity…”

    • ,ge • ?ende • 6J of ?$M • 6J 6!petensi • #h!sical ,ctivi • >eight

    > 5 poi

    =?6

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    Diagnosed DM >35 y/o< 35 y/o

    Recommend rpt FBS or 2 hrs post glucose

    negative positive

    Repeat FBS

    Not included

    FBS>126mg/dl RBS >200mg/dl

    For rpt FBS or 2 hrs post glucose

    FBS100-125mg/dl RBS140-200mg/dl

    FBS< 100mg/dl RBS 5pts ADA questionnaire)

    ( quAnswer ADA questionnaire: no further

    test needed regardless of the result

    =?6

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    RESULTS AND

    DISCUSSION

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    711 Employees

    L"

    $iagnosed $M

    ,$, sceening tool

     pts L pts

    -E"0 -E1

    ndiagnosed $M -E1"

    -o futhe test

    -E187

    -E1

    -E110 -E2

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    $istibution of 5espondents ased on the 5isA of hav

    Item Frequency

    Risk of pre i!"etes or i!"etes #$pts &&' 26

     +o risk of i!"etes !t !ll #, pts &&' 110

    i!gnosed to .!e di!"etes 1

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    5esults and $iscussio

    4%

    "1%

    1%

    8%

    2 subNect at isA fo $M

    ,re#iabetes

    -o 5isA of $iab

    -ot onsented

    Ne-l% Dia$no D!12*

    4

    2

    2.1% newly diagnosed d

    6.4% pre diabetics

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    …1/0 -it" pre #iabetes - #evelop t%pe 2 D! -it" / %ear

    ose /+ o5 67…3

    CDC. National Diabetes Prevention Program

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    S&R3

    roups 5ount Sum &er!ge 5orrel!tion

    &ge 1 1 4)* 2)002(2

    ender 1 1 2) )02((2

    est!tion!l i!"etes 1 1 4)66 6)02(

    edic!l 7istory 1 1 (()02( 2)022(1

    7ypertension 1 1 20)22 ()(26

     u((a! of alues sho)ing the esult of igniIcant oela vaiable using Multivaiate ,nal!sis of aiance

    Ma a

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    &ge Frequency % Scores $

    ( : (*  2*)41 10

    40 : 44 40 21)(* 12

    4 : 4* 16 ) 

    50 – 59 0 ()4( 41

    $istibution of 5espondents ased on ,

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    u((a!

    1. Out of 711 e(plo!ees/ 187 )ee included stud!.

    2. Out of this sa(ple siDe/ 2 subNects )ee be at isA to develop diabetes based on th

    ". .4% of the stud! population )as found topediabetic.

    4. 2.1% )ee ne)l! diagnosed diabetics.

    . =?6 have a 29% #evalence ate of $ia

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    u((a!

    . ased on the stud!/ age and )eight stong coelates )ith inceased isA of developin diabetes.

    7

    . ;he ,$, sceening tool is a epoducible stest )hich can be adapted to the local set

    8. ceening fo pe+diabetes and diabetes sh (andato! fo all e(plo!ees aged " and

    especiall! if othe isA factos )ee identiI

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    5eco((endation

    1. ased on the esult of the stud!/ )e (a! adopt the ,$, Cuestionnaie in assessing the isA of p to developed diabetes.

    2.

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