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Global trends in diabetes complications: a review of current evidence

Diabetologia, 2019, Vol.62 (1), p.3-16 [Peer Reviewed Journal]

This is a U.S. government work and its text is not subject to copyright protection in the United States; however, its text may be subject to foreign copyright protection 2018 ;Diabetologia is a copyright of Springer, (2018). All Rights Reserved. ;ISSN: 0012-186X ;EISSN: 1432-0428 ;DOI: 10.1007/s00125-018-4711-2 ;PMID: 30171279

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Title:
Global trends in diabetes complications: a review of current evidence
Author: Harding, Jessica L. ; Pavkov, Meda E. ; Magliano, Dianna J. ; Shaw, Jonathan E. ; Gregg, Edward W.
Subjects: Amputation ; Cancer ; Cardiovascular diseases ; Cerebral infarction ; Diabetes ; Diabetes Complications - epidemiology ; Diabetes mellitus ; Diabetes Mellitus - epidemiology ; End-stage renal disease ; Epidemiology ; Health risk assessment ; Human Physiology ; Humans ; Incidence ; Internal Medicine ; Kidney diseases ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Myocardial infarction ; Population studies ; Prevalence ; Quality of Life ; Renal failure ; Retinopathy ; Review ; Stroke ; Trends
Is Part Of: Diabetologia, 2019, Vol.62 (1), p.3-16
Description: In recent decades, large increases in diabetes prevalence have been demonstrated in virtually all regions of the world. The increase in the number of people with diabetes or with a longer duration of diabetes is likely to alter the disease profile in many populations around the globe, particularly due to a higher incidence of diabetes-specific complications, such as kidney failure and peripheral arterial disease. The epidemiology of other conditions frequently associated with diabetes, including infections and cardiovascular disease, may also change, with direct effects on quality of life, demands on health services and economic costs. The current understanding of the international burden of and variation in diabetes-related complications is poor. The available data suggest that rates of myocardial infarction, stroke and amputation are decreasing among people with diabetes, in parallel with declining mortality. However, these data predominantly come from studies in only a few high-income countries. Trends in other complications of diabetes, such as end-stage renal disease, retinopathy and cancer, are less well explored. In this review, we synthesise data from population-based studies on trends in diabetes complications, with the objectives of: (1) characterising recent and long-term trends in diabetes-related complications; (2) describing regional variation in the excess risk of complications, where possible; and (3) identifying and prioritising gaps for future surveillance and study.
Publisher: Berlin/Heidelberg: Springer Berlin Heidelberg
Language: English
Identifier: ISSN: 0012-186X
EISSN: 1432-0428
DOI: 10.1007/s00125-018-4711-2
PMID: 30171279
Source: MEDLINE
ProQuest Central

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Global trends in diabetes complications: a review of current evidence

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