Titre
Trends in diabetes prevalence, awareness, treatment, and control in French-speaking Switzerland.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Pauli, A.
Auteure/Auteur
de Mestral, C.
Auteure/Auteur
Marques-Vidal, P.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
2045-2322
Statut éditorial
Publié
Date de publication
2024-02-28
Volume
14
Numéro
1
Première page
4839
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Publication Status: epublish
Résumé
Diabetes is increasing in Switzerland, but whether its management has improved is unknown. We aimed to assess diabetes prevalence, diagnosis, treatment, and control in French-speaking Switzerland. Our study used cross-sectional data for years 2005-2019 from a population-based study in Geneva, Switzerland. Overall prevalence (self-reported diagnosis and/or fasting plasma glucose level ≥ 7 mmol/L), diagnosed, treated (among diagnosed participants) and controlled diabetes (defined as a fasting plasma glucose FPG < 6.7 mmol/L among treated participants) were calculated for periods 2005-9, 2010-4 and 2015-9. Data from 12,348 participants (mean age ± standard deviation: 48.6 ± 13.5 years, 51.7% women) was used. Between 2005-9 and 2015-9, overall prevalence and frequency of diagnosed diabetes decreased (from 8.7 to 6.2% and from 7.0 to 5.2%, respectively). Among participants diagnosed with diabetes, treatment and control rates did not change from 44.1 to 51.9%, p = 0.251 and from 30.2 to 34.0%, p = 0.830, respectively. A trend towards higher treatment of participants with diabetes was found after multivariable adjustment, while no changes were found for overall prevalence, diagnosis, nor control. Among antidiabetic drugs, percentage of combinations increased from 12 to 23%; percentage of sulfonylureas and biguanides decreased from 15 to 6% and from 63 to 54%, respectively, while no trend was found for insulin. After multivariable analysis, women with diabetes were less likely to be treated but more likely to be controlled, the opposite association being found for obesity. In conclusion, in Canton Geneva, antidiabetic combination therapy is gaining importance, but only half of participants diagnosed with diabetes are treated, and glycaemic control remains poor.
PID Serval
serval:BIB_A6638DACA762
PMID
Open Access
Oui
Date de création
2024-03-01T12:35:22.617Z
Date de création dans IRIS
2025-05-20T23:40:28Z
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Nom
Pauli_et_al-2024-Scientific_Reports.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
1.31 MB
Format
Adobe PDF
PID Serval
serval:BIB_A6638DACA762.P001
URN
urn:nbn:ch:serval-BIB_A6638DACA7623
Somme de contrôle
(MD5):2203683fe7bc0da5a908c2a1261edc53
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Nom
Pauli - supplemental files.docx
Version du manuscrit
supplementary
Taille
41.18 KB
Format
Microsoft Word XML
PID Serval
serval:BIB_A6638DACA762.S001
Somme de contrôle
(MD5):e1c49a037c83ffda24fa537935e6251f