International Union for Circumpolar Health Ministry of Public Health and Social Development of RF Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Sciences Medical Polar Fund “Science” The Northern Forum

Abstracts

Public health

Institute of Internal Medicine has participated at the first Siberian standardized epidemiological surveys of DM and proved his leadership in DM epidemiology and prevention in Russia during the collaboration with Universities of Alaska and Manitoba. Joint investigation has revealed big differences among native populations of the North in the prevalence of already diagnosed DM. The lowest standardized prevalence rates were revealed among native people of Chukotka (1,8 cases/1000 population) in comparison with native population of North-West Territories of Canada and Alaska. The highest rates were revealed among Aleuts in Alaska (22,7 cases/1000 population). Following surveys have proved the lowest point-prevalence of DM among native population of Chukotka in comparison with other native populations.

Institute has created DM registries in Russia under recommendation of WHO experts in 1985, that made possible the creation of Russian DM State registry within the framework of State program “Diabetes Mellitus”. The Institute has highlighted the importance of personalized data monitoring, database creation, and the monitoring of the reasons of patient’s deaths. According this data, cardiovascular diseases were the main reason of death for patients with Type2 DM (69,3%), and Type1 DM(33,3%).

Institute’s surveys in 1980-90s among representative City’s population of 25-64 years old have revealed high rates of Impaired Glucose Tolerance (7,8%) and moderate prevalence rates of DM (2,5%). According to the WHO expert’s conclusion, it has characterized the growing diabetic incidence. The recent (2005 year) population survey has proved this conclusion. The preliminary analysis of DM prevalence among rural population of Novosibirsk region at the age of 45-59 was conducted. Standardized have revealed high prevalence of DM (5,45 %) and Impaired Fasting Glucose (5,6 %).

Most important methods of DM prevention are the Schools for DM patients. Educational programs are in the high priority for the Institute.

The new directions of Institute’s work are the estimation of personalized risk prognosis of DM manifestation, primary prevention of DM and prevention of cardiovascular incidence and mortality among DM patients.

Note. Abstracts are published in author's edition

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Last update: 06-Jul-2012 (11:52:05)