[Epidemiology of diabetes in the INTERREG III Province of Luxembourg, the Grand Duchy of Luxembourg, Lorraine].
Incidence and prevalence of Type 2 Diabetes, together with its long term complications is explosively rising. The trans-border project "INTERREG III" tries to explore the epidemiology in the 3 concerned countries and to tie a network between the health providers. Estimation of prevalence is around 3% of the adult population but rising for example in the Grand Duchy by 4.5% per year, meaning the number of affected patients will double in 16 years, mainly due to the increase in obesity. Chronic renal insufficiency will rise and the number of patients will double in 8 years. Cardiovascular diseases and peripheral necrosis explain the high rate of hospitalisations and the loss of Life-expectancy that seems to be reduced by 5 to 10 years. A cost analysis in this article reveals the necessity of primary and secondary prevention programs of "diabesity" in this region, together with better multidisciplinary approaches of treatment and follow-up. This article emphasizes the need of a collaboration of all actors in the field, medical and para-medical.
Böhme
Ph
P
Service de Diabétologie - Nutrition, CHU Nancy, Hôpital Jeanne d'Arc - BP 303, F - 54201 Toul. p.bohme@chu.nancy.fr
Chamagne
L
L
D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D017281:Cost of Illness; D003922:Diabetes Mellitus, Type 1 / Q000191:economics / Q000453:epidemiology*; D003924:Diabetes Mellitus, Type 2 / Q000191:economics / Q000453:epidemiology*; D003928:Diabetic Nephropathies / Q000191:economics / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D008189:Luxembourg / Q000453:epidemiology; D008297:Male; D015995:Prevalence
D001786:Blood Glucose