The incidence of type 2 diabetes mellitus in the Philippines: A 9-year cohort study

Soria, Maria Luz B.; Sy, Rody G.; Vega, Bernard S.; Ty-Willing, Tommy; Abenir-Gallardo, Angela; Velandria, Felicidad V.; Punzalan, Felix Eduardo R.

doi:10.1016/j.diabres.2009.07.014

Cited by 33 publications

(25 citation statements)

References 5 publications

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“…Although one study from Spain by Suarez-Garcia et al [21] found that DM was not a risk factor for MDR TB, another study by Fisher-Hoch et al [22] actually demonstrated that patients from the border region of the United States and Mexico with DM had a higher risk of acquiring MDR TB during the course of treatment than those without DM. Likewise, in the Philippines, a country of high MDR TB burden, where the incidence and prevalence of DM among the general population has increased dramatically in recent years, the prevalence of DM among MDR TB patients is higher than among the general population, as well as drugsusceptible TB [23,24].…”

Section: Risk Factors For Mdr Tbmentioning

confidence: 99%

Global Impact of Multidrug-Resistant Pulmonary Tuberculosis Among HIV-Infected and Other Immunocompromised Hosts: Epidemiology, Diagnosis, and Strategies for Management

Wells

2010

Curr Infect Dis Rep

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Multidrug-resistant (MDR) tuberculosis (TB), or TB caused by strains of Mycobacterium tuberculosis resistant to at least isoniazid and rifampicin, represents a major threat to global TB control. Comprising more than 5% of all TB cases annually worldwide, these cases require treatment duration of 2 years on average with expensive and toxic second-line anti-TB drugs. Cure rates are far lower and mortality far higher than for drug-susceptible TB, particularly if patients are coinfected with HIV. Use of rapid diagnostic tools and assessment of risk factors for MDR TB, as well as rapid initiation of MDR TB treatment as recommended by the World Health Organization, including use of appropriate empiric regimens as necessary, is essential to achieving good outcomes from treatment. Rapid initiation of antiretroviral therapy (ART) for those with HIV coinfection, as well as strategic management of overlapping side effects from ART and first and second-line drugs for treating MDR TB to maintain patients on treatment are critical to patient survival and achieving good treatment outcomes. Employing sensible infection control practices in the context of diagnosis and treatment is essential to reducing transmission of MDR TB strains among patient populations and healthcare personnel.

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Section: Risk Factors For Mdr Tbmentioning

confidence: 99%

Global Impact of Multidrug-Resistant Pulmonary Tuberculosis Among HIV-Infected and Other Immunocompromised Hosts: Epidemiology, Diagnosis, and Strategies for Management

Wells

2010

Curr Infect Dis Rep

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“…24 A similar pattern is emerging in the Philippines where the prevalence of pre-diabetes (i.e., combined IFG and IGT) was 31.3%, while it was 17.5% for IFG and 23.9% for IGT. 26 Of note, the high prevalence of IGT throughout the region indicates that the incidence of diabetes is likely to increase over the coming decade. The alarming prevalence of prediabetes (IFG and/or IGT) and diabetes in the Asian region warrants urgent strategies aimed at preventing the conversion from pre-diabetes to diabetes.…”

Section: Burden Attributable To Pre-diabetes In Asiamentioning

confidence: 99%

A Consensus of Key Opinion Leaders on the Management of Pre-diabetes in the Asia-Pacific Region

Mirasol

Thai

Salahuddin

et al. 2017

JAFES

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The Asia-Pacific region carries a high disease burden, with over half of the global diabetic population residing in this region. Increasing evidence shows that without targeted intervention, the progression from impaired glucose tolerance (IGT) to type 2 diabetes occurs more frequently in Asians compared with Caucasians. Furthermore, IGT is independently associated with an increased risk of cardiovascular disease, and should be managed as early as possible. Because diabetes is now a major public health issue, strategies aimed at prevention and treatment are urgently required. Lifestyle modification, including weight loss, dietary changes and increased physical activity, play a major role in controlling the disease. Significant evidence also supports the effectiveness of a combination of lifestyle modification and pharmacologic therapy, such as metformin, in delaying the onset of diabetes. Although the importance of lifestyle interventions is well recognized throughout Asia, many countries do not have formal recommendations to guide the diagnosis and management of individuals at risk of progression to diabetes. At a recent regional meeting, experts from the Asian region convened to develop consensus recommendations to guide clinicians in the management of Asian patients with pre-diabetes. These consensus recommendations provide a clear and concise approach to the management of individuals with IGT based on the available evidence and current best clinical practice.

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“…2–4 These immigrant populations, who originate from countries where diabetes is prevalent, provide a unique opportunity to study the development of diabetes. They are a “high event” population because of possible genetic predisposition, 5–8 and they experience rapid change in exposures; thus, they provide an efficient way to study the impact of environmental change on the progression of diabetes.…”

mentioning

confidence: 99%

Immigrant Generation and Diabetes Risk Among Mexican Americans: The Sacramento Area Latino Study on Aging

et al. 2014

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Objectives We examined whether acculturation and immigrant generation, a marker for assimilation, are associated with diabetes risk in an aging Mexican-origin population. Methods We analyzed data on 1789 adults aged 60 to 101 years from the Sacramento Area Latino Study on Aging. We ascertained type 2 diabetes on the basis of diabetic medication use, self-report of physician diagnosis, or a fasting glucose 126 milligrams/deciliter or greater. Logistic regression modeled prevalent diabetes. Results Adjusting for age and gender, we observed significant but divergent associations between immigrant generation, acculturation, and diabetes risk. Relative to first-generation adults, second-generation adults had an odds ratio OR) of 1.8 (95% confidence interval [CI] = 1.4, 2.4) and third-generation adults had an OR of 2.1 (95% CI = 1.4, 3.1) of having diabetes. Greater US acculturation, however, was associated with a slightly decreased diabetes rate. In the full model adjusting for socioeconomic and lifestyle factors, the association between generation (but not acculturation) and diabetes remained significant. Conclusions Our study lends support to the previously contested notion that assimilation is associated with an increased diabetes risk in Mexican immigrants. Researchers should examine the presence of a causal link between assimilation and health more closely.

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The incidence of type 2 diabetes mellitus in the Philippines: A 9-year cohort study

Cited by 33 publications

References 5 publications

Global Impact of Multidrug-Resistant Pulmonary Tuberculosis Among HIV-Infected and Other Immunocompromised Hosts: Epidemiology, Diagnosis, and Strategies for Management

Global Impact of Multidrug-Resistant Pulmonary Tuberculosis Among HIV-Infected and Other Immunocompromised Hosts: Epidemiology, Diagnosis, and Strategies for Management

A Consensus of Key Opinion Leaders on the Management of Pre-diabetes in the Asia-Pacific Region

Immigrant Generation and Diabetes Risk Among Mexican Americans: The Sacramento Area Latino Study on Aging

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