Prevalence, characteristics, and predictors of pre-diabetes in Indonesia
Abstract: Pre-diabetes is a
state where glucose level higher than normal, but not satisfy the criteria for
diabetes. This condition is very critical, so that if subject don’t do
lifestyle modification and pharmacology therapy, they could fall to diabetes.
This research objective is to describe the prevalence and predictors of
pre-diabetes in Indonesia.
Methods: A cross-sectional study was conducted by Metabolic Endocrinology
Division, Department of Internal Medicine FMUI/RSCM and Jakarta Diabetes and
Lipid Center using secondary data from National Health Survey 2007. Total respondents are 24417 subjects from 33
provinces in Indonesia. We analyze characteristics, correlation, predictors,
and attributable risks for some
predictors of pre-diabetes and diabetes.
Results: Prevalence of pre-diabetes (based on impaired glucose tolerance
data) in Indonesia is 10%. Predictors of pre-diabetes are male, old-age, high
socio-economic status, low education level, hypertension, obesity, central
obesity, and smoking. Priority for pre-diabetes and diabetes prevention in
Indonesia directed to decrease blood pressure (Attributable Risk/AR 56.5%), reduce waist circumference (AR
47.3%), and stop smoking (AR 44.4%).
Conclusion: Prevalence of pre-diabetes in Indonesia is high so that we
need a prevention strategy for pre-diabetes and the development from
pre-diabetes to diabetes. The implementation of those strategies is compiled in
the Indonesian Diabetes Prevention Program.
Author: Pradana Soewondo,
Laurentius A. Pramono
Journal Code: jpkedokterangg110215
