Prevalence of prediabetes and undiagnosed type 2 diabetes in France : Results from the national survey ESTEBAN, 2014-2016

Copyright © 2020. Published by Elsevier B.V..

AIM: To assess the prevalence of prediabetes, undiagnosed diabetes and diagnosed diabetes in France, among adults between 2014 and 2016 using data from the nationwide Esteban survey.

METHODS: National cross-sectional study conducted between 2014 and 2016 in metropolitan France. Individuals aged 18 to 74 were recruited with a 3-stage geographic sampling. They completed two face-to-face interviews, filled in a self-administered questionnaire and underwent a medical examination with the collection of biological samples. Their data were linked to the National Health Data System to identify anti-diabetic drugs reimbursement. Prediabetes and undiagnosed diabetes were defined as no diagnosis of diabetes and 6.1 mmol/l ≤ Fasting Plasma Glucose (FPG) < 7.0 mmol/l for prediabetes and FPG ≥ 7.0 mmol/l for undiagnosed diabetes. Non-pharmacologically treated diabetes and pharmacologically treated diabetes were defined as self-reported diabetes without or with self-reported or reimbursed antidiabetic medication, respectively. Estimated prevalence were weighted to take into account survey design and non-response.

RESULTS: The ESTEBAN survey recruited 3476 adults, 2270 were included in this analysis. The weighted prevalence was 1.7% [1.1 - 2.4] for undiagnosed diabetes (men: 2.7%, women; 0.9%), 9.9% [8.3 - 11.5] for prediabetes (men: 13.2%, women: 7.0%), 5.7% [4.3 - 7.1] for diagnosed diabetes. Among the diagnosed cases, 79% were pharmacologically treated. Among all diabetes cases, 23% were undiagnosed.

CONCLUSION: The prevalence of undiagnosed diabetes and prediabetes is increasing in France. Our results highlight the need to increase primary prevention and reinforce secondary prevention of diabetes.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:165

Enthalten in:

Diabetes research and clinical practice - 165(2020) vom: 20. Juli, Seite 108252

Sprache:

Englisch

Beteiligte Personen:

Lailler, Grégory [VerfasserIn]
Piffaretti, Clara [VerfasserIn]
Fuentes, Sonsoles [VerfasserIn]
Nabe, Hadja Djessira [VerfasserIn]
Oleko, Amivi [VerfasserIn]
Cosson, Emmanuel [VerfasserIn]
Fosse-Edorh, Sandrine [VerfasserIn]

Links:

Volltext

Themen:

Historical Article
Journal Article

Anmerkungen:

Date Completed 17.09.2020

Date Revised 17.09.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.diabres.2020.108252

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM311054854