title: [Diabetes mellitus in the Russian Federation: Arguments and facts].
abstract: Diabetes mellitus (DM) is a fast-spreading non-communicable disease epidemic of the 21st century. According to the Russian State Register, in 2015 a total of 4.3 million patients were registered for seeking medical advice for DM. were registered in 2015. However, the first NATION epidemiological survey aimed to actively screen type 2 DM (T2DM) in the population of Russia has shown that the true prevalence of T2DM is twice as high as the registered one, accounting for 5.4%. The proportion of previously undiagnosed T2DM was 54%. The highest prevalence of T2DM was seen in individuals older than 45 years and in those with obesity or cardiovascular diseases. The prevalence of prediabetes was 19.3%. The main cause of death in DM patients is cardiovascular diseases. Nonmedical and indirect costs are more than a quarter of the economic burden. The medical costs of treatment for patients with DM and complications are thrice higher than those in uncomplicated DM subjects.
authors: Endocrinology Research Center, Ministry of Health of Russia, Moscow, Russia; I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
authors: M V
authors: MV
authors: Shestakova
authors: Endocrinology Research Center, Ministry of Health of Russia, Moscow, Russia.
authors: I I
authors: II
authors: Dedov
mesh_terms: D002318:Cardiovascular Diseases / Q000453:epidemiology; D015897:Comorbidity; D003365:Costs and Cost Analysis; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000191:economics / Q000453:epidemiology; D006801:Humans; D009765:Obesity / Q000453:epidemiology; D015995:Prevalence; D011314:Preventive Health Services / Q000458:organization & administration*; D012426:Russia / Q000453:epidemiology