title: Diabetes mellitus and impaired glucose tolerance in urban adult population.
abstract: OBJECTIVE
  Estimating the prevalence of diabetes mellitus (DM) and impaired glucose tolerance (IGT) in the urban population aged between 30 and 69 years in the municipality of Campo Grande, state of Mato Grosso do Sul, Brazil.
  
  
  METHODS
  Population-based cross-sectional study conducted between October/2009 and February/2011. The investigation included the determination of fasting glucose and participants with blood glucose ≥ 200 mg/dL were considered diabetic. Nondiabetic patients, which showed blood glucose ≥ 100 mg/dL and < 200 mg/dL, underwent an oral glucose tolerance test (OGTT) to investigate whether they had DM or IGT.
  
  
  RESULTS
  1.429 individuals participated in this investigation. The general prevalence, adjusted for sex and age, were: 12.3% for DM (95%CI: 10.5 to 13.9%) and 7.1% for IGT (95%CI: 5.7 to 8.4%). There was a higher prevalence of DM with increasing age in people with low educational level, family history of diabetes, overweight, obesity and central obesity. Among diabetic patients (n = 195), 25% were unaware they had the disease and were diagnosed through investigation. Among patients who already knew they had DM (n = 146), 37% were unaware of the potential chronic complications.
  
  
  CONCLUSIONS
  This study confirms the increased prevalence of DM in Brazil and emphasizes the need for early diagnosis, as well as the importance of strict adherence to medical treatment in order to prevent its much feared complications.
authors.affiliation: Anhanguera University - Uniderp, Campo Grande, MS, Brazil.
authors.forename: Walter
authors.initials: W
authors.lastname: Rodrigues Júnior
authors.affiliation: Anhanguera University - Uniderp, Campo Grande, MS, Brazil.
authors.forename: Sandra Cristina Nicodemo
authors.initials: SC
authors.lastname: Gaban
authors.affiliation: Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.
authors.forename: Elenir Rose Jardim Cury
authors.initials: ER
authors.lastname: Pontes
authors.affiliation: Anhanguera University - Uniderp, Campo Grande, MS, Brazil.
authors.forename: Celso Correia
authors.initials: CC
authors.lastname: Souza
authors.affiliation: Anhanguera University - Uniderp, Campo Grande, MS, Brazil.
authors.forename: Lilian Patussi
authors.initials: LP
authors.lastname: Gimenes
authors.affiliation: Anhanguera University - Uniderp, Campo Grande, MS, Brazil.
authors.forename: Paula Ferreira
authors.initials: PF
authors.lastname: Lacerda
authors.affiliation: Hospital Santa Casa de Campo Grande, Campo Grande, MS, Brazil.
authors.forename: Maria Luiza Marques Negrisolli
authors.initials: ML
authors.lastname: Cunha
authors.affiliation: Anhanguera University - Uniderp, Campo Grande, MS, Brazil.
authors.forename: José Valério Librelotto
authors.initials: JV
authors.lastname: Stefanello II
authors.affiliation: Anhanguera University - Uniderp, Campo Grande, MS, Brazil.
authors.forename: Lucas Marques
authors.initials: LM
authors.lastname: Brum
authors.affiliation: Anhanguera University - Uniderp, Campo Grande, MS, Brazil.
authors.forename: Lannelise Achucarro
authors.initials: LA
authors.lastname: Oliveira
authors.affiliation: Anhanguera University - Uniderp, Campo Grande, MS, Brazil.
authors.forename: Clarissa Rocha
authors.initials: CR
authors.lastname: Silva
authors.affiliation: Anhanguera University - Uniderp, Campo Grande, MS, Brazil.
authors.forename: Andrezza Louise Delmondes
authors.initials: AL
authors.lastname: Ribeiro
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D049628:Body Size / Q000502:physiology; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D048909:Diabetes Complications / Q000453:epidemiology*; D003920:Diabetes Mellitus / Q000097:blood / Q000453:epidemiology*; D005260:Female; D018149:Glucose Intolerance / Q000097:blood / Q000453:epidemiology*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D015995:Prevalence; D012307:Risk Factors; D017678:Sex Distribution; D012959:Socioeconomic Factors; D014505:Urban Population / Q000706:statistics & numerical data*; D016903:Drug Monitoring
chemical_list: D001786:Blood Glucose