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Diabetes National Diabetes Control Programme National Diabetes Control Committee with members from MOH and outside National Policy for the control of diabetes Regional diabetologists - focal points. Diabetes in primary care Mini diabetes clinics Standard guidelines

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Presentation Transcript
slide1

Diabetes

  • National Diabetes Control Programme
  • National Diabetes Control Committee
  • with members from MOH and outside
  • National Policy for the control of
  • diabetes
  • Regional diabetologists - focal
  • points
slide2

Diabetes in primary care

  • Mini diabetes clinics
  • Standard guidelines
  • Diabetes care team
  • • Diabetes registry:The total number of cases
  • reported till 2005 were 48,972 with 4,862
  • new cases diagnosed in the year 2005.
  • World Diabetes Day
  • Other health education
slide3

Diabetes

  • Various surveys over the last decade have shown that ten percent of Omani adults suffer from diabetes and a similar proportion has impaired glucose tolerance.
  • A survey conducted in 1991 showed a diabetes prevalence of 8.3% based on fasting blood glucose. A more recent National Health Survey (2000), has shown diabetes to have increased significantly to 11.6%.
slide4

National Health Survey, 2000

Total: 5856

IFG: 6.1%

IFG+diabetes: 17.8%

slide5

Prevalence of Diabetes and IGT in Oman using 1999 WHO diagnostic criteria

DM: diabetes mellitus, IGT: Impaired glucose tolerance, IFG: Impaired fasting glucose

slide8

Body Mass Index, overweight and obesity

Dhofar: 71%, Muscat and Dahirah: 50%

slide9

Metabolic syndrome (IDF criteria)

  • Central obesity (waist circumference 94 cm for men and 80 cm for women),
  • plus any 2 of the following 4 factors:
  • Raised triglyceride (TG) levels 1.7 mmol/L, or specific treatment for this lipid abnormality
  • Reduced high density lipoproteins (HDL) cholesterol: <1.03 mmol/L in men and <1.29 mmol/L in women, or specific treatment for these lipid abnormalities
  • Raised systolic BP 130 or diastolic BP 85 mmHg, or treatment of previously diagnosed hypertension
  • Raised fasting plasma glucose: FPG 5.6 mmol/L, or previously diagnosed type 2 diabetes
slide10

Prevalence of metabolic syndrome in Oman

Females: 40.0% (95% CI 35.6% to 44.3%)

Males: 18.4% (95% CI 14.5% to 22.3%)

(p-value for the gender difference <0.001).

slide12

Diabetes Prevalence in GCC

Ages 20+ years

MOH, UAE, 2000

Abedlla et al, 1998

Al-Nuaim, 1997

Asfour et al, 1991

slide13

Diabetes Mellitus, GCC Estimates, 1995-2025

Source: The World Health Report, 1997, WHO

age diabetes
Age & Diabetes

National Health Survey, Oman, 2000

slide16

Fasting Blood Glucose for Diabetes

Do you have Diabetes

+

-

Total

Yes

192

75

267

No

5139

5519

Total

572

5214

5786

Undiagnosed Diabetes in Oman

380

National Health Survey, Oman, 2000

slide21

Insulin Resistance Syndrome (Metabolic Syndrome)

Central/abdominal obesity

High TG

Microalbuminuria

Low HDL

Metabolic Syndrome

or

INSULIN

RESISTANCE

HBP

Endothelial dysfunction

High FPG

Atherosclerosis, cardiovascular disease

slide22

Al-Lawati JA, Prevalence of the metabolic syndrome among Omani adults.

Diabetes Care 2003;26(6):1781-5.

Central/abdominal obesity 24.6%

High TG 20.7%

Microalbuminuria

Low HDL 75.4%

Oman

21%

HBP 23.1%

Endothelial dysfunction

High FPG 18.1%

Atherosclerosis, cardiovascular disease

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