title: [Type II diabetes (NIDDM): overview of the preclinical and clinical status exemplified by the patient sample of a general hospital in a rural district].
abstract: From unselected patients of a general hospital 198 patients with diabetes mellitus type II (NIDDM) were registrated between May and December 1990 by means of a standardized questionnaire and with the help of standardized clinical diagnostics epidemiological as well as anamnestic and clinical data were collected. In the great majority of the cases, the only therapeutical approach consisted in medical treatment, most commonly lacking dietary advices. The patients knowledge concerning diabetes and dietary treatment strongly correlated with the participation in specific education courses in the past. There was a high incidence of relevant concomitant diseases and pathological appearances succeeded to the diabetes mellitus. In view of the actually pronounced risk factors and concomitant diseases the importance of a "metabolic syndrome" becomes evident alluding to consequences in diagnosis and treatment. With regard to public health aspects and financial implications extensive education and training programs, especially in the field of ambulant care, seem to be necessary. Rising prevalence- and incidence rates of the diabetic disease claim, besides preventive means, for initiative in this subject.
authors.affiliation: Universitätskinderklinik Köln.
authors.forename: P
authors.initials: P
authors.lastname: Wingenfeld
authors.forename: T
authors.initials: T
authors.lastname: Minor
authors.forename: C
authors.initials: C
authors.lastname: Solbach
authors.forename: U
authors.initials: U
authors.lastname: Käsgen
authors.forename: B
authors.initials: B
authors.lastname: Muhl
authors.forename: E
authors.initials: E
authors.lastname: Göpel
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D003927:Diet, Diabetic; D005260:Female; D005858:Germany / Q000453:epidemiology; D006769:Hospitals, General; D006780:Hospitals, Rural; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage; D015994:Incidence; D007328:Insulin / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin
vernacular_title: Diabetes Typ II (NIDDM): Ubersicht über die präklinische und klinische Situation am Beispiel des Krankengutes eines Krankenhauses der Regelversorgung im ländlichen Bereich.