Diabetes Fact Sheets in Korea, 2018: An Appraisal of Current Status

다국어 초록 (Multilingual Abstract)

Background The objective of this study was to investigate the prevalence, management, and comorbidities of diabetes among Korean adults aged 30 years and older.
Methods This study used 2013 to 2016 data from the Korea National Health and Nutrition Examination Survey, a nationally-representative survey of the Korean population. Diabetes was defined as fasting glucose ≥126 mg/dL, current use of antidiabetic medication, a previous history of diabetes, or glycosylated hemoglobin (HbA1c) ≥6.5%.
Results In 2016, 14.4% (approximately 5.02 million) of Korean adults had diabetes. The prevalence of impaired fasting glucose was 25.3% (8.71 million). From 2013 to 2016, the awareness, control, and treatment rates for diabetes were 62.6%, 56.7%, and 25.1%, respectively. People with diabetes had the following comorbidities: obesity (50.4%), abdominal obesity (47.8%), hypertension (55.3%), and hypercholesterolemia (34.9%). The 25.1%, 68.4%, and 44.2% of people with diabetes achieved HbA1c <6.5%, blood pressure <140/85 mm Hg, and low density lipoprotein cholesterol <100 mg/dL. Only 8.4% of people with diabetes had good control of all three targets.
Conclusion This study confirms that diabetes is as an important public health problem. Efforts should be made to increase awareness, detection, and comprehensive management of diabetes to reduce diabetes-related morbidity and mortality.

참고문헌 (Reference)

1 하경화, "Trends in the Diabetes Epidemic in Korea" 대한내분비학회 30 (30): 142-146, 2015

2 Diabetes Control and Complications Trial Research Group, "The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus" 329 : 977-986, 1993

3 Roglic G, "The burden of mortality attributable to diabetes : realistic estimates for the year 2000" 28 : 2130-2135, 2005

4 Lee TC, "Socioeconomic status and incident type 2 diabetes mellitus : data from the Women’s Health Study" 6 : e27670-, 2011

5 Mokdad AH, "Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001" 289 : 76-79, 2003

6 전자영, "Prevalence of Diabetes and Prediabetes according to Fasting Plasma Glucose and HbA1c" 대한당뇨병학회 37 (37): 349-357, 2013

7 Choi YJ, "Prevalence and management of diabetes in Korean adults : Korea National Health and Nutrition Examination Surveys 1998-2005" 32 : 2016-2020, 2009

8 Morrish NJ, "Mortality and causes of death in the WHO multinational study of vascular disease in diabetes" 44 (44): S14-S21, 2001

9 Sesti G, "Management of diabetes in older adults" 28 : 206-218, 2018

10 Nathan DM, "Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes" 353 : 2643-2653, 2005

11 UK Prospective Diabetes Study (UKPDS) Group, "Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33)" 352 : 837-853, 1998

12 김소헌, "Impact of Socioeconomic Status on Health Behaviors, Metabolic Control, and Chronic Complications in Type 2 Diabetes Mellitus" 대한당뇨병학회 42 (42): 380-393, 2018

13 Go AS, "Heart disease and stroke statistics: 2014 update: a report from the American Heart Association" 129 : e28-e92, 2014

14 Friedewald WT, "Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge" 18 : 499-502, 1972

15 Davies MJ, "Effects of moderate alcohol intake on fasting insulin and glucose concentrations and insulin sensitivity in postmenopausal women : a randomized controlled trial" 287 : 2559-2562, 2002

16 Hu FB, "Diet, lifestyle, and the risk of type 2 diabetes mellitus in women" 345 : 790-797, 2001

17 American Diabetes Association, "Diagnosis and classification of diabetes mellitus" 37 (37): S81-S90, 2014

18 Korean Diabetes Association, "Diabetes fact sheet in Korea 2018"

19 Oh SW, "Cut-off point of BMI and obesity-related comorbidities and mortality in middle-aged Koreans" 12 : 2031-2040, 2004

20 Kyoung Hwa Ha, "Current status of managing diabetes mellitus in Korea" 대한내과학회 31 (31): 845-850, 2016

21 전자영, "Current Status of Glycemic Control of Patients with Diabetes in Korea: The Fifth Korea National Health and Nutrition Examination Survey" 대한당뇨병학회 38 (38): 197-203, 2014

22 Shin WY, "Combined effects of diabetes and low household income on mortality : a 12-year follow-up study of 505 677 Korean adults" 35 : 1345-1354, 2018

23 Kim JY, "Chronic alcohol consumption potentiates the development of diabetes through pancreatic β-cell dysfunction" 6 : 1-15, 2015

24 통계청 인구동향과, "Cause-of-death statistics in 2016 in the Republic of Korea" 대한의사협회 61 (61): 573-584, 2018

25 Lee DY, "Association between alcohol consumption pattern and the incidence risk of type 2 diabetes in Korean men: a 12-years follow-up study" 7 : 7322-, 2017

26 Seike N, "Alcohol consumption and risk of type 2 diabetes mellitus in Japanese : a systematic review" 17 : 545-551, 2008

27 Ajani UA, "Alcohol consumption and risk of type 2 diabetes mellitus among US male physicians" 160 : 1025-1030, 2000

28 민성호, "Alcohol Dependence, Mortality, and Chronic Health Conditions in a Rural Population in Korea" 대한의학회 23 (23): 1-9, 2008

29 Korean Diabetes Association, "2015 Treatment guidelines for diabetes"

30 Ross NA, "14-Year diabetes incidence : the role of socio-economic status" 21 : 19-28, 2010