|摘要: ||根據2015年世界衛生組織(WHO)所發布之全球前十大死因，以及我國衛生福利部所發布之我國前十大死因中，顯示糖尿病分別為列第6與第5，而在2017年國際糖尿病聯盟(IDF)發布的第8版全球糖尿病地圖(IDF Diabetes Atlas)統計中，2017年世界上大約有4.25億成人罹患糖尿病，流行病學家預估到了2045年糖尿病患者可能達到6.29億，至2017年我國目前大約有200多萬名糖尿病患，流行病學家推估我國每年以2萬5千名的速度持續增加，由此可知糖尿病已經成為現階段世界各國主要的公共衛生議題。
According to the top ten causes of death in the world published by the World Health Organization (WHO) in 2015, and the top ten causes of death issued by the Ministry of Health and Welfare in Republic of Taiwan, diabetes is ranked 6th and 5th respectively.According to the IDF Diabetes Atlas released by the Alliance (IDF), there are about 425 million adults in the world have diabetes until 2017. The epidemiologists estimate that in 2045, the diabetes patients may reach 629 million. In Taiwan, there are currently more than 2 million people with diabetes. Epidemiologist’s estimate that diabetes continue to increase at the rate of 25,000 per year. The diabetes has become the main public health issue in the world at this stage.
Diabetes patients who are not well controlled can cause serious complications. The complications of diabetes can be roughly divided into micro vascular diseases and macro vascular diseases. Possible complications include: Eye damage (retina) Lesions cause blindness, kidney function is impaired (resulting in kidney failure or other kidney disease), nerve endings are damaged (neurological lesions lead to diabetic foot, and may cause serious infection of amputation). Macro vascular complications include cardiovascular diseases such as the onset of heart disease, vascular obstruction leading to stroke, and vascular obstruction leading to insufficient blood flow to the legs.
Diabetes is not only a simple health crisis; it is also a global serious social disaster. Because diabetes is a chronic endocrine and metabolic disease, the direct medical cost of diabetes and its related complications also causes the patient to be unable to work. In addition to causing pain to the individual, the family is also impoverished, and the country is huge economic loss to the country.Governments around the world are struggling to pay for diabetes-related medical expenses. The main costs include hospital and outpatient care, as well as insulin drugs. In North America, for example, it costs about $350-400 billion per year.
The effectively reduce the number of diabetic patients and their possible complications in the future is to improve the control of diabetes and reduce the incidence of complications in medical care. It is also necessary to strengthen the public health education knowledge to prevent the occurrence of diabetes, or to screen as early as possible A latent diabetic patient with mild disease is detected to avoid a deterioration in the quality of life of the population and a heavy burden of medical expenses.
This study hopes to compare the different biochemical examination items according to gender, age, work and education level through physiological and biochemical testing programs, to manage the risk of patients with diabetes and possible complications, and to explore whether diabetes is present. It also causes other related diseases and diseases, such as liver-related diseases, kidney-related diseases, and cardiovascular-related diseases, to provide predictive and preventive diseases.