Aims

According to a recent national diabetes screening performed by our group in 2018, 18.4% of the Brazilians were found to have high blood glucose. The objective of the present study was to estimate the risk of developing type 2 DM (T2DM) in the next ten years in Brazilian population.

Methods

A cross-sectional study was carried out in community pharmacies across Brazil, in 2018, where pharmacists applied the FINDRISC questionnaire to estimate the population's risk of developing T2DM within a ten-year period.

Results

The study included 977 pharmacists from 345 municipalities distributed across the five geographical regions of Brazil. Of the 17,580 people evaluated, the South region was found to have the highest frequency (59.6%) among people at very low and/or low risk of developing T2DM, while the North region, the most underserved, presented the highest and/or very highest T2DM risk (24.1%). The factors that mostly and importantly impacted these regional differences were body mass index; the highest daily consumption of vegetables and fruits; history of high blood glucose and family history of T1DM/T2DM.

Conclusion

These results showed an impressive change of direction concerning diabetes numbers between the most underserved region in public health care and one of the most developed and best organized regions concerning health assistance, the North and the South, respectively.

中文翻译：

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巴西未来十年 2 型糖尿病风险的新区域情景

目标

根据我们小组最近在 2018 年进行的一项全国糖尿病筛查，发现 18.4% 的巴西人患有高血糖。本研究的目的是估计巴西人口在未来十年内发生 2 型糖尿病 (T2DM) 的风险。

方法

2018 年，在巴西各地的社区药房进行了一项横断面研究，药剂师应用 FINDRISC 问卷来估计十年内人群患 T2DM 的风险。

结果

该研究包括来自巴西五个地理区域的 345 个城市的 977 名药剂师。在评估的 17,580 人中，发现南部地区患 T2DM 的风险非常低和/或低的人群中发生率最高（59.6%），而服务最匮乏的北部地区则呈现最高和/或非常低的风险T2DM 风险最高 (24.1%)。影响这些地区差异的主要因素是体重指数；蔬菜和水果的每日最高消费量；高血糖史和T1DM/T2DM家族史。

结论

这些结果表明，在公共医疗服务最欠缺的地区与卫生援助最发达和组织最完善的地区之一——北方和南方——之间，糖尿病人数的方向发生了令人印象深刻的变化。