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2. Diabetes Mellitus
3. Increasing mortality from diabetes mellitus J. Olefsky, JAMA 2001:285:628-632 4. Diabetes Epidemiology
5. Type 1 diabetesepidemiology
6. Incidence of type 1 diabetes Age 0-14 years IDF Diabetes Atlas 2003 7. Type 1 diabetes Increase in incidence/year 8. Type 1 diabetesepidemiology
9. 2 minutes 10. Diabetes Epidemiology
11. Type 2 diabetesepidemiology
12. Prevalence of DM and IGT age35-64 years 13. Diabetes in Denmark 1974-96 Drivsholm et al.Diabetic Medicine 201 14. Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1990, 1995 and 2001 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes,and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1).1990 1995 2001 No Data10% 15. World wide epidemic Zimmet, Nature 2001 India: 2000:32 mill 2020: 81 mill 16. 1995 2025 19 million 57 million DIABETES Top Three Countries in the world King et al, Diabetes Care, 1998 17. Type 2 DM - global epidemic -why ?
18. Type 2 DM - global epidemic -why ?
19. Age standardized prevalence ofType 2 DM (native and migrant Asian Indian populations) 20. Urban-Rural ratio 21. 2 minutes 22. Type 2 DM - global epidemic -why ?
23. Non-pharmacological, observational
24. Obesity (BMI>30) in USA 1960-2000 (males) Flegal & al, JAMA 2002, 288, 1723-7 25. Obesity children in USA 1960-2000 BMI >95-centile (boys) Ogden& al, JAMA 2002, 288, 1728-32 26. Obesity* Trends Among U.S. AdultsBRFSS, 1991, 1995 and 2000 (*BMI30, or ~ 30 lbs overweight for 54 person) Source: Mokdad A H, et al.JAMA1999;282:16, 2001;286:10. No Data< 10%10%-14%15-19% 20%1991 1995 2000 27. Obesity Trends* Among U.S. Adults BRFSS, 2001 Source: Mokdad A H, et al.J Am Med Assoc1999;282:16, 2001;286:10. 28. Diabetes and Gestational Diabetes Trends Among Adults in the U.S., BRFSS 1990, 1995 and 2001 Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes,and other obesity-related health risk factors, 2001. JAMA 2003 Jan 1;289(1).1990 1995 2001 No Data10% 29. Type 2 DM - global epidemic -why ?
30. Non-pharmacological, observational
31. 32. 33. 34. Type 2 DM - global epidemic -why ?
35. Prevalence of DM in 60 years old MenDecoda:Nakagami; Diabetologia 2003 36. Prevalence of DM in 60 years old Women Decoda:Nakagami; Diabetologia 2003 37.