Epidemiological examination of the population of patients with non-insulin-dependent diabetes mellitus in the regions of the Moscow region (based on a computer registry)

Abstract

Diabetes mellitus register in the Moscow region is created within the framework of the National Register of Russia in 1994. Two districts of the Moscow region served as the model for the register: the Mytischi district and the town of Roshal. The register of insulin-dependent diabetes mellitus (IDDM) includes 1542 patients. The prevalence of IDDM in the Mytischi district is 622.8, in Roshal 1828/100,000. IDDM of obesity is responsible for 33.1%) cases in Roshal and 44.6%) in the Mytischi district. A high percentage of IDDM patients have excessive body weight. The prevalence of late complications of diabetes is much higher in Roshal, where the percentage of patients with retinopathy is very high (89%). High incidence of retinopathy among patients with newly detected diabetes may be regarded as an evidence of late diagnosis of the disease. Collection of reliable information requires special training of endocrinologists, therapists, and other specialists involved in work with diabetes mellitus registers; they should be trained to fill in the information charts and use strictly determined classification of diabetes mellitus and its complications.