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. 2009 Nov;86(2):130-3.
doi: 10.1016/j.diabres.2009.07.014. Epub 2009 Sep 19.

The incidence of type 2 diabetes mellitus in the Philippines: a 9-year cohort study

Maria Luz B Soria  1 , Rody G Sy, Bernard S Vega, Tommy Ty-Willing, Angela Abenir-Gallardo, Felicidad Velandria, Felix Eduardo Punzalan
Affiliations

The incidence of type 2 diabetes mellitus in the Philippines: a 9-year cohort study

Maria Luz B Soria et al. Diabetes Res Clin Pract. 2009 Nov.

Abstract

Aims: Currently, there are no available data on the incidence of type 2 diabetes mellitus (T2DM) in the Philippines. A cohort derived from a national study population (FNRI-NNS, 1998) was revisited after 9 years to yield valuable data on glucose homeostasis among Filipinos.

Methods: Six out of 13 national regions were included in the cohort. There were 1749 out of 2122 respondents (82.4%). 1386 (95.9%) consented to a fasting blood glucose (FBG) test, and 1275 (88.2%) completed the 2h post-glucose (2HPG) load determination using whole blood capillary samples.

Results: We observed a significant increase of mean FBGs (91.5mg/dL to 103.3mg/dL) from 1998 to 2007. The 9-year incidence of T2DM was 16.3%. The prevalence of T2DM was 28.0%. The prevalence of pre-diabetes, i.e., combined impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) was 31.3%; IFG was 17.5% and IGT was 23.9%.

Conclusions: The study shows the alarming growth of diabetes, IFG, and IGT in our country that warrants early aggressive intervention for prevention and management. We encourage the use of 2h post-glucose load aside from FBG in screening for true diabetics, IFGs, and IGTs.

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