title: Trends in diabetes incidence from 1992 to 2015 and projections for 2024: A Portuguese General Practitioner's Network study.
abstract: Diabetes is known as a major cause of morbidity and mortality worldwide. Portugal is known as the European country with the highest prevalence of this disease. While diabetes prevalence data is updated annually in Portugal, the General Practitioner's (GP) Sentinel Network represents the only data source on diabetes incidence. This study describes the trends in Diabetes incidence, between 1992 and 2015, and estimate projections for the future incidence rates in Portugal until 2024.
  
  
  
  An ecological time-series study was conducted using data from GP Sentinel Network between 1992 and 2015. Family doctors reported all new cases of Diabetes in their patients' lists. Annual trends were estimated through Poisson regression models as well as the future incidence rates (until 2024), sex and age group stratified. Incidence rate projections were adjusted to the distribution of the resident Portuguese population given Statistics Portugal projections.
  
  
  
  The average increase in Diabetes incidence rate was in total 4.29% (CI95% 3.80-4.80) per year under study. Until 1998-2000, the annual incidence rate was higher in women, and from 1998-2000 to 2013-2015 turn out to be higher in men. The incidence rate projected for 2022-2024 was 972.77/10(5) inhabitants in total, and 846.74/10(5) and 1114.42/10(5), respectively, in women and men.
  
  
  
  This is the first study in Portugal to estimate diabetes incidence rate projections. The disturbing reported projections seem realistic if things continue as in the past. Actually, effective public health policies will need to be undertaken to minimize this alarming future scenario.
authors.affiliation: National Health Institute Doutor Ricardo Jorge, Lisbon, Portugal. Electronic address: mafalda.uva@insa.min-saude.pt.
authors.forename: Mafalda
authors.initials: M
authors.lastname: de Sousa-Uva
authors.affiliation: National Health Institute Doutor Ricardo Jorge, Lisbon, Portugal.
authors.forename: L
authors.initials: L
authors.lastname: Antunes
authors.affiliation: National Health Institute Doutor Ricardo Jorge, Lisbon, Portugal; National School of Public Health, New University of Lisbon, Lisbon, Portugal.
authors.forename: B
authors.initials: B
authors.lastname: Nunes
authors.affiliation: National Health Institute Doutor Ricardo Jorge, Lisbon, Portugal.
authors.forename: A P
authors.initials: AP
authors.lastname: Rodrigues
authors.affiliation: Unidade de Saúde Familiar Marquês de Marialva, Cantanhede, Portugal; Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal.
authors.forename: J A
authors.initials: JA
authors.lastname: Simões
authors.affiliation: APDP Diabetes Portugal, Education and Research Center (APDP-ERC), Lisbon, Portugal; CEDOC, Chronic Diseases Research Center, NOVA Medical School, Lisbon, Portugal.
authors.forename: R T
authors.initials: RT
authors.lastname: Ribeiro
authors.affiliation: Portuguese Diabetes Programme, Directorate General of Health, Lisbon, Portugal.
authors.forename: J M
authors.initials: JM
authors.lastname: Boavida
authors.affiliation: National Health Institute Doutor Ricardo Jorge, Lisbon, Portugal; National School of Public Health, New University of Lisbon, Lisbon, Portugal.
authors.forename: C
authors.initials: C
authors.lastname: Matias-Dias
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D002648:Child; D002675:Child, Preschool; D016208:Databases, Factual; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D005544:Forecasting; D058006:General Practice / Q000639:trends*; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D011174:Portugal / Q000453:epidemiology; D017678:Sex Distribution; D013997:Time Factors; D055815:Young Adult
keywords: Diabetes; Epidemiology; Incidence; Portugal; Projections