Epidemiology of Type 1 Diabetes Mellitus in the Republic of Khakasia According to the State Register of Diabetes Mellitus

Background: Clinico-epidemiological monitoring of diabetes in the Russian Federation shall be exercised throughthe State Register of patients with diabetes mellitus (SRDM).Aim: To analyze the epidemiological indicators of type 1 diabetes (DM 1) among the adult population of the KhakasiaRepublic, according the SRDM.Methods: Analysis of the State Register of diabetes in the Republic of Khakasia, Russia. Retrospective analysis dataof prevalence, morbidity, age of onset the type 1 diabetes, life expectancy, diabetic complications for 2015 year wascondacted. Statistical data analysis conducted using the package Statistica 8.0 and 7.0 SAS.Results: In the Republic of Khakasia in 2015 registered 17, 445 diabetics, patients with type 1 diabetes were 772, 198over the age of 18 years. The prevalence of DM 1 among the adult population accounted for 47.84 to 100.000 (male53.70; female-43.04). Among persons over 18 years recorded 15 new cases of type 1 DM in 2015. The prevalenceamong the adult population DM 1 amounted to 3.62 to 100.000 (male-5.91; female-1.76). The average age of theonset of type 1 DM the children amounted to 6.92±0.61 years; in adults-31.36±0.51 years. The life expectancy ofpatients with type 1 DM for men was 49.86 years, for women 61.00 year, which was below statistics on the Republicof Khakasia. The average value of HbA1c was 6.92 %. Diabetic retinopathy was registered at 69.70% patients,neuropathy at 25.76%, and the diabetic foot syndrome at 7.56% patients. Diabetic nephropathy was registered at31.81%, of which three patients was conducted hemodialysis and one peritoneal dialysis.Conclusions: This study shown that in the Republic of Khakasia there is the trend towards an increase of prevalenceand morbility of type 1 diabetes. Among the diabetic complications predominate diabetic retinopathy and diabeticnephropathy.