Changes in the Prevalence of Diabetes Mellitus in Bulgaria (2006–2012)

Abstract

AIMThe aim of this study was to compare two nationwide cross-sectional studies of diabetes prevalence in Bulgaria (2006 and 2012) and to assess its dynamics.MATERIAL AND METHODSThe two studies included 2396 and 2033 subjects, respectively. The International Diabetes Federation (IDF) diagnostic criteria were applied, and the data were weighed for type of settlement and age.RESULTSDiabetes prevalence was found to be 7.9% in 2006 and 9.55% in 2012, P = 0.06, showing an increase of 20.9%. The absolute increase was 0.9% in the females and 2.3% in the males (P < 0.09). The increase was the largest in those aged 50–59: [9.4%, 2006 vs. 15.7%, 2012, P < 0.01]. Diabetes prevalence increased in the 20–60-year olds by 6.8% and decreased in the elderly by 6.1%. Obesity increased from 26.7 to 32.7%, P < 0.02.CONCLUSIONSA significant increase in diabetes prevalence was found that necessitates healthcare measures and resources for community-based awareness and prevention programs.

Assessment of the impact of type 2 diabetes on the quality of life by Audit of Diabetes-Dependent Quality-of-Life (ADDQoL-19)

“…The prevalence of DM increased from 1.6% in 1990 to 9.6% in 2015 (population !20 years of age) and another 3.7% had prediabetes. About 90.4% of all patients had type 2 diabetes mellitus (T2DM) [4,5].…”

Bulgarian version of the Audit of Diabetes-Dependent Quality of Life (ADDQoL-19)

“…Diabetes prevalence is increasing among all age groups in Bulgaria, mainly due to the rise in overweight and obesity, because of unhealthy diet and low physical activity. The rates of DM increased from 8.36% in 2006 up to 9.6% in 2014 (population >20 years of age) as patients with T2DM were 90.4% of all [3][4][5].…”

Quality of Life in Patients with Type 2 Diabetes Mellitus in Bulgaria: A Cross - Sectional Study

“…The prevalence of diagnosed diabetes among Bulgarians of all ages increased from 0.19% [5] to 9.55% in 2012 [6,7]. About a quarter of person with diabetes are unaware that they have the disease.…”