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8/15/2019 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 havdiabetes
Ove 7M Filipinos b! 20"0
#hilippine $iabetes tatistics 2012
QCGH?
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duard Cesar Marquez, M.D.
Department of Internal Medicine
Prevalence of D
and Prediabete
Quezon City e
!ospital and M
Center mploy
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201"&' ove "82 (illion people thoughout the )old ha
Filipino+ ,(eicans 11."% ates ofdiabetes
,$,+ -ational $iabetes statistic epot une 2014/ edit
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• F100+12(g3d
• 5 140+199(g3
• 2 hous post pan
glucose test 140+
199(g3dl
• 6b,1c .7+.4%
#ediabete
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OM#,;O- OF $,<;<
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5eseach =uestion
>hat is the pevalence of diabetes and pediabetes a(ong =?6 e(plo!ees@
>hat isA factos ae the highest pedictothe develop(ent of diabetes and pediabe
>hat is the best sceening pocedue thatgive the highest !ield@
>hat is the i(potance of sceening fo dand pe diabetes@
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Objective
General objectives:
;o dete(ine the pevalence of diabetespe diabetes a(ong =?6 e(plo!ees
;o dete(ine the diBeent isA factos )highl! coelates )ith the develop(ent diabetes and pediabetes.
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Objective
Specic objectives:
;o stud! the pevalence of diabetes pediabetes using the ,$, Cuestionnsceening tool.
;o veif! those that tested positive insceening Cuestionnaie )ith standalaboato! paa(etes.
;o appl! the sa(e ,$, sceeningCuestionnaie a(ong those diagnosehave diabetes (ellitus.
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!et"o#olo$%
A. Settin$ an# ti&e perio#:
=ueDon it! ?eneal 6ospital and Mediente.
,pil 2014+ une 2014
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Methodolog!
Stu#% population:'nclusion criteria
Filipino
=?6 e(plo!ee
" !eas old and above
igned info(ed consent
$iagnosed diabetic
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Methodolog!
()clusion criteria
-ot a egula e(plo!ee of =?6
,ge less than " !eas old
uentl! taAing (edications that can aBblood glucose level
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#opulation iDe
;otal =?6 <(plo!ees E71
"E"1 G" E"
a(ple siDe based on lovinHs Fo(ulaE 1*+ 9% conIdence inteval
Fe(ale 8 Ma
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“74% sensitivity and 58%
specificity…”
• ,ge• ?ende• 6J of ?$M• 6J 6!petensi• #h!sical ,ctivi• >eight
> 5 poi
=?6 <M#OK<<
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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
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RESULTS AND
DISCUSSION
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711 Employees
L"
$iagnosed $M
,$, sceening tool
pts L pts
-E"0-E1
ndiagnosed $M-E1"
-o futhe test
-E187
-E1
-E110 -E2
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$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
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5esults and $iscussio
4%
"1%
1%
8%
2 subNect at isA fo $M
,re#iabetes
-o 5isA of $iab
-ot onsented
Ne-l% Dia$noD!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)22 ()(26
u((a! of alues sho)ing the esult of igniIcant oelavaiable using Multivaiate ,nal!sis of aiance
Maa
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&ge Frequency % Scores $
( : (* 2*)41 10
40 : 44 40 21)(* 12
4 : 4* 16 )
50 – 590 ()4( 41
$istibution of 5espondents ased on ,
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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 $ia
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u((a!
. ased on the stud!/ age and )eight stongcoelates )ith inceased isA of developindiabetes.
7
. ;he ,$, 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
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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.
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