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
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.
Sujets

Humans

Female

Male

Blood Glucose/analysi...

Prevalence

Switzerland/epidemiol...

Cross-Sectional Studi...

Diabetes Mellitus/dru...

Diabetes Mellitus/epi...

Hypoglycemic Agents/t...

Diabetes Mellitus, Ty...

Antidiabetic treatmen...

Diabetes

Glycaemic control

Switzerland

PID Serval
serval:BIB_A6638DACA762
DOI
PMID
WOS
Permalien
Open Access
Oui
Date de création
2024-03-01T12:35:22.617Z
Date de création dans IRIS
2025-05-20T23:40:28Z
Fichier(s)
En cours de chargement...
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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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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