Trends in prevalence and incidence of diabetes mellitus from 2005 to 2014 in Taiwan
Journal
Journal of the Formosan Medical Association
Journal Volume
118
Pages
S66-S73
Date Issued
2019
Author(s)
Abstract
Background/Purpose: Diabetes mellitus (DM) and DM-related complications place a high socioeconomic burden on individuals and society. Updating nationwide information periodically is thus pivotal to preventing DM and improving its management in Taiwan. Methods: We used the National Health Insurance Research Database; disease diagnosis codes were assigned according to the International Classification of Diseases, 9th Revision, Clinical Modification. DM was defined as ?3 outpatient visits or 1 hospitalization within a year. We excluded individuals with gestational DM, those with missing data, and those aged >100 years. Type 1 DM (T1DM) was defined based on information from the catastrophic illness registry. Results: From 2005 to 2014, total population with DM increased by 66% and age-standardized prevalence in patients aged 20–79 years increased by 41%. The DM prevalence was generally higher in men; however, the prevalence was higher in women aged ?65 years. The prevalence of DM was approximately 50% in those aged >80 years. DM incidence increased by 19%; the increase was most obvious in patients aged 20–39 years (p < 0.001). The standardized incidence of T1DM slightly decreased by 11% (p = 0.118) and standardized prevalence of T1DM increased from 0.04% to 0.05%. Number of T1DM accounted for 0.51–0.59% of the entire diabetic population during the observation period. Conclusion: DM prevalence is continually increasing, but the incidence only marginally increased from 2005 to 2014. Moreover, DM is a major problem in elderly people. The higher incidence of DM in men is consistent with the pandemic of overweight and obesity in men in Taiwan. ? 2019
SDGs
Other Subjects
adult; aged; Article; data base; female; hospitalization; human; ICD-9-CM; incidence; insulin dependent diabetes mellitus; major clinical study; male; national health insurance; prevalence; Taiwan; terminal disease; adolescent; age distribution; child; diabetes mellitus; factual database; infant; insulin dependent diabetes mellitus; middle aged; newborn; preschool child; public health; risk factor; sex ratio; statistical model; survival rate; very elderly; young adult; Adolescent; Adult; Age Distribution; Aged; Aged, 80 and over; Child; Child, Preschool; Databases, Factual; Diabetes Mellitus; Diabetes Mellitus, Type 1; Female; Humans; Incidence; Infant; Infant, Newborn; Linear Models; Male; Middle Aged; National Health Programs; Prevalence; Risk Factors; Sex Distribution; Survival Rate; Taiwan; Young Adult
Publisher
Elsevier B.V.
Type
journal article