dm research ppt final.pptx

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2010…18.8M diagnosed case

7M undiagnosed case

ADA National Diabetes Statistics Report. June 2014



2008: 20% Filipino have diabet

1998: 4% of the population havdiabetes

Ove 7M Filipinos b! 20"0

#hilippine $iabetes tatistics 2012

QCGH?



duard Cesar Marquez, M.D.

Department of Internal Medicine

Prevalence of D

and Prediabete

Quezon City e

!ospital and M

Center mploy



201"&' ove "82 (illion people thoughout the )old ha

Filipino+ ,(eicans 11."% ates ofdiabetes

,$,+ -ational $iabetes statistic epot une 2014/ edit



• F100+12(g3d

• 5 140+199(g3

• 2 hous post pan

glucose test 140+

199(g3dl

• 6b,1c .7+.4%

#ediabete



OM#,;O- OF $,<;<



5eseach =uestion

>hat is the pevalence of diabetes and pediabetes a(ong =?6 e(plo!ees@

>hat isA factos ae the highest pedictothe develop(ent of diabetes and pediabe

>hat is the best sceening pocedue thatgive the highest !ield@

>hat is the i(potance of sceening fo dand pe diabetes@



Objective

General objectives:

;o dete(ine the pevalence of diabetespe diabetes a(ong =?6 e(plo!ees

;o dete(ine the diBeent isA factos )highl! coelates )ith the develop(ent diabetes and pediabetes.



Objective

Specic objectives:

;o stud! the pevalence of diabetes pediabetes using the ,$, Cuestionnsceening tool.

;o veif! those that tested positive insceening Cuestionnaie )ith standalaboato! paa(etes.

;o appl! the sa(e ,$, sceeningCuestionnaie a(ong those diagnosehave diabetes (ellitus.



!et"o#olo$%

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

=ueDon it! ?eneal 6ospital and Mediente.

,pil 2014+ une 2014



Methodolog!

Stu#% population:'nclusion criteria

Filipino

=?6 e(plo!ee

" !eas old and above

igned info(ed consent

$iagnosed diabetic



Methodolog!

()clusion criteria

-ot a egula e(plo!ee of =?6

,ge less than " !eas old

uentl! taAing (edications that can aBblood glucose level



#opulation iDe

;otal =?6 <(plo!ees E71

"E"1 G" E"

a(ple siDe based on lovinHs Fo(ulaE 1*+ 9% conIdence inteval

Fe(ale 8 Ma



“74% sensitivity and 58%

specificity…”

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

> 5 poi

=?6 <M#OK<<



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

Recommend rpt FBS or 2hrs post glucose

negative positive

Repeat FBS

Not included

FBS>126mg/dlRBS >200mg/dl

For rpt FBS or 2 hrspost glucose

FBS100-125mg/dlRBS140-200mg/dl

FBS< 100mg/dlRBS <140mg/dl

FBS (8-10 hrs)or RBS

(+) risk(>5pts ADA questionnaire)

(quAnswer ADA questionnaire: no further

test needed regardless of the result

=?6 <M#OK<<5eseachManeuve



RESULTS AND

DISCUSSION



711 Employees

L"

$iagnosed $M

,$, sceening tool

pts L pts

-E"0-E1

ndiagnosed $M-E1"

-o futhe test

-E187

-E1

-E110 -E2



$istibution 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



5esults and $iscussio

4%

"1%

1%

8%

2 subNect at isA fo $M

,re#iabetes

-o 5isA of $iab

-ot onsented

Ne-l% Dia$noD!12*

4

2

2.1% newly diagnosed d

6.4% pre diabetics



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

ose /+ o5 67…3

CDC. National Diabetes Prevention Program



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)22 ()(26

u((a! of alues sho)ing the esult of igniIcant oelavaiable using Multivaiate ,nal!sis of aiance

Maa



&ge Frequency % Scores $

( : (* 2*)41 10

40 : 44 40 21)(* 12

4 : 4* 16 )

50 – 590 ()4( 41

$istibution of 5espondents ased on ,



u((a!

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

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

". .4% of the stud! population )as found topediabetic.

4. 2.1% )ee ne)l! diagnosed diabetics.

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



u((a!

. ased on the stud!/ age and )eight stongcoelates )ith inceased isA of developindiabetes.

7

. ;he ,$, sceening tool is a epoducible stest )hich can be adapted to the local set

8. ceening fo pe+diabetes and diabetes sh(andato! fo all e(plo!ees aged " and

especiall! if othe isA factos )ee identiI



5eco((endation

1. ased on the esult of the stud!/ )e (a! adoptthe ,$, Cuestionnaie in assessing the isA of pto developed diabetes.

2. <al! intevention )ith lifest!le (odiIcation a(those at isA is suggested.

". , (oe eJtensive stud!/ pehaps aanga!+)idone )hich )ould include the entie e(plo!ees =ueDon it! be undetaAen to ascetain the popat isA.

dm research ppt final.pptx

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