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The number of diabetes patients treated in class A. hospitals has increased 70 fold in the period 1964-1985. Several surveys in the community have found a diabetes prevalence in the adult population (20 years and over) of 1.5% in urban areas and 1.2% in rural areas. In the 6-20 year age group the prevalence is around 0.25%. It is estimated that there are 1.5 to 2 million people suffering from diabetes in 1986, women and men in equal numbers. Based on data from 14 outpatient departments the most important chronic complications of DM are impotence (43.9%), neuropathy (34.5%), arthritis (25.5%), retinopathy (18.6%), coronary heart disease (18.2%), hypertension (17.9%), pulmonary tb (15.1%), cataract (13.8%), nephropathy (9.6%), gangrenelceUulitis (3.5%). It is estimated that 70% or DM patients need oral anti diabetics, 15% need insuline and 15% need dietary management. The costs of those treatments amount to Rp. 1.5 billion a day or Rp. 500 billion a year (if 50% of the patients are treated). In the USA there are 5.8 million diabetes patients spending $ 13.5 billion a year for treatment. Multidisciplinary Diabetes Centres have to be established in the mayor cities to implement curative as well as preventive programmes.

PENDUDUK INDONESIA MENJELANG TAHUN 2000 PENINGKATAN HARAPAN HIDUP DAN KELOMPOK USIA TUA