Prevalence of diabetes mellitus in Croatia.
The aim of this study was to obtain an accurate estimate of diabetes prevalence in Croatia and additional estimates of impaired fasting glucose (IFG), undiagnosed diabetes, and insulin resistance. The study was part of the First Croatian Health Project. Field work included a questionnaire, anthropological measurements, and blood sampling. A nationally representative sample of 1653 subjects aged 18-65 years was analyzed. A total of 100 participants with diabetes were detected, among them 42 with previously unknown diabetes. The prevalence was 6.1% (95% CI: 4.59-7.64), with a significant difference by age. IFG prevalence (WHO-criteria) was 11.3%. The ratio of undiagnosed/diagnosed diabetes was 72/100, unevenly distributed by the regions. HOMA-IR was >1 in 40.4% of the subjects. This survey revealed a higher prevalence of diabetes than previously estimated, whereas that of IFG was as expected. A significant difference in the proportion of undiagnosed diabetes among the regions warrants attention.
Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, University of Zagreb, Dugi dol 4a, 10000 Zagreb, Croatia.
Zeljko
Z
Metelko
Ivana
I
Pavlić-Renar
Tamara
T
Poljicanin
Lajos
L
Szirovitza
Stjepan
S
Turek
D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D017523:Croatia / Q000453:epidemiology; D003920:Diabetes Mellitus / Q000097:blood / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007328:Insulin / Q000097:blood; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011634:Public Health; D014944:World Health Organization
D001786:Blood Glucose; D007328:Insulin