title: Prevention and Care Programs Addressing the Growing Prevalence of Diabetes in China.
abstract: According to a 2010 national survey, 11 % of adults in China have diabetes, affecting 109.6 million individuals. The high prevalence of diabetes has been attributed to the aging of the population, the rapid adoption of energy-dense foods, and a reduction in physical activity. Collectively, these secular changes have created an obesogenic environment that can unmask diabetes in subjects with a genetic predisposition. The growing prevalence of maternal obesity, gestational diabetes, childhood obesity, and early-onset disease can lead to premature morbidity and mortality. Rising to meet these public health challenges, researchers in China have conducted randomized studies to demonstrate the benefits of lifestyle modification in preventing diabetes (the Da Qing Study), as well as that of team-based integrated care, using multiple strategies including peer support and information technology, in order to reduce hospitalizations, cardiovascular-renal complications, and premature deaths. With growing evidence supporting the benefits of these diabetes prevention and management programs, the next challenge is to use policies and systems to scale up the implementation of these programs through raising awareness, building capacity, and providing resources to reduce the human and socioeconomic burden of diabetes.
authors: Department of Clinical Nutrition, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.|Asia Diabetes Foundation, Prince of Wales Hospital, Shatin, Hong Kong.
authors: Junmei
authors: J
authors: Yin
authors: Asia Diabetes Foundation, Prince of Wales Hospital, Shatin, Hong Kong.|Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, 9th floor, Lui Che Woo Clinical Science Building, Shatin, Hong Kong.|Hong Kong Institute of Diabetes and Obesity, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
authors: Alice P S
authors: AP
authors: Kong
authors: Asia Diabetes Foundation, Prince of Wales Hospital, Shatin, Hong Kong. jchan@cuhk.edu.hk.|Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, 9th floor, Lui Che Woo Clinical Science Building, Shatin, Hong Kong. jchan@cuhk.edu.hk.|Hong Kong Institute of Diabetes and Obesity, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong. jchan@cuhk.edu.hk.
authors: Juliana C N
authors: JC
authors: Chan
mesh_terms: D002681:China / Q000453:epidemiology; D019033:Delivery of Health Care, Integrated; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000517:prevention & control* / Q000628:therapy; D006801:Humans; D008019:Life Style; D010358:Patient Participation; D015995:Prevalence
keywords: Diabetes management; Integrated care; Patient empowerment; Peer support