Chirwere cheshuga chinoratidza zviratidzo zvehunhu hwehupenyu mu1 muvashanu varwere
NhauChirwere cheshuga mellitus ndechimwe chezvirwere zvakajairika muAmerica, maererano neCenters for Disease Control and Prevention ( CDC ), uye kuwanda kwechirwere cheshuga kuri kuwedzera. Mu2018, 34.2 mamirioni vanhu vane chirwere cheshuga. Ndiyo 10.5% yehuwandu hweU.S. Mari yechirwere cheshuga iri kuwedzerawo. Mari inofungidzirwa yekurapa pamunhu wese ane chirwere cheshuga yakawedzera kubva pamadhora zviuru mazana masere nemakumi mana nemana muna2012 kusvika pamadhora mapfumbamwe nemakumi masere nemakumi masere muna2017
SingleCare yakaongorora vanhu mazana mashanu vane chirwere cheshuga kuti vadzidze zvakawanda pamusoro pemamiriro acho, nzira dzayo dzekurapa, nemhedzisiro yayo pahupenyu hweAmerica nezvikwama.
RELATED: Chirwere cheshuga
Pfupiso yezvakawanikwa:
- 1 mu5 vakapindura vakataura kuti zviratidzo zvavo zvinoderedza hupenyu hwavo hwese.
- Vechidiki vakapindura vanonzi vanonyanya kukanganiswa nechirwere cheshuga pane vakura vakapindura.
- Vanoda kusvika zvikamu zviviri kubva muzvitatu zvevakabvunzwa vanonzi vanonetsekana kuti mamiriro avo ingangova njodzi yekubatira COVID-19.
- Rudzi rwakakurumbira rwechirwere cheshuga pakati pevanotora ongororo ndeyeguruuanides senge metformin.
- Yakareba-inoshanda insulin ndiyo yakajairika mhando ye insulin pakati pevanoongorora vatora.
- Kakawanda kuita weti, kuneta, uye zviratidzo zveGI zvinonzi ndizvo zvinowanzoitika mhedzisiro yeshuga mishonga kana insulin.
- 54% yevakabvunzwa vanobhadhara muhomwe yekurapa chirwere cheshuga.
1 mu5 vakapindura vakataura kuti zviratidzo zvavo zvinoderedza hupenyu hwavo hwese
Sechirwere chisingaperi, hazvishamise kuti chirwere cheshuga chinokanganisa hupenyu hwezuva nezuva kune vazhinji varwere cheshuga. Chirwere cheshuga zvinowanzoda shanduko yemararamiro ane hutano nemushonga wezuva nezuva, uye 74% yevanotora ongororo vakataura kuva nehumwe hutano hwepfungwa uye / kana hutano hutano (comorbidity).
- 48% vanonzi vanodya zvine hutano.
- 25% yeavo vanonzi vanodya vane hutano zvakare vakashuma vasina kana chirwere cheshuga kana mamiriro echomarara.
- 30% inonzi inorovedza muviri zvakanyanya.
- 24% yeavo vanonzi vanoita maekisesaizi zvakare vakashuma vasina kana chirwere cheshuga kana mamiriro echomarara.
- 30% vanonzi vane simba shoma rekuita mabasa ezuva nezuva.
- 29% vanonzi vanonetseka nezvemamiriro avo uye / kana zvingangoita dambudziko rechirwere cheshuga.
- 34% yeava vakapindura vanoonawo maGI mhedzisiro (kushungurudzika mudumbu, gasi, manyoka, kuda kurutsa, kurutsa), uye 57% vanonzi vane hosha yeropa.
- 19% yakashuma zviratidzo zvavo zvichideredza hupenyu hwavo.
- Pakati pevaya vakapindura, 13% yakashumawo kurasikirwa kwekurema, 21% yakashuma mbiriso hutachiona, 20% yakashuma yakaderera BP, uye 32% yakashuma kupfupika kwemweya semhedzisiro yemishonga yeshuga.
- Pakati pevaya vakapindura, 16% vakataurawo kuti vane chirwere cheitsvo uye 15% vakataurawo kuti vane isina-doro doro mafuta chiropa chirwere.
- 18% inonzi yakaora mwoyo nezve mamiriro avo.
- 17% yakashuma mamiriro avo haakoshese hupenyu hwavo hwezuva nezuva.
- Vanopfuura hafu (55%) yeava vakapindura vakashumawo kusatora mishonga yeshuga kana insulin.
- Hafu (51%) yeava vakapindura zvakare vakashuma kuti havana kusangana nechero chirwere cheshuga kana mamiriro echomarara.
- 16% vakashuma mamiriro avo anotadzisa kuzvivimba kwavo.
- Pakati pevaya vakapindura, 45% vakataurawo kuti vane hypertension, 17% vakataurawo kuti vane hyperlipidemia kana dyslipidemia, 18% vakataurawo kuti vane chirwere cheitsvo, 20% inonzi ine nonalcoholic fatty chiropa chirwere, 16% yakashumawo kuva neronda retsoka, 15% yakashumawo. kuve nenhoroondo yeshuga ketoacidosis.
- 15% yakashuma yavo chirwere cheshuga regimen yakavatendera kuti vararame hupenyu hwakazara hune hutano.
- Vanenge kota (21%) yeavo vanonzi vanorarama hupenyu hune hutano hwakashumawo vasina kana chirwere cheshuga kana mamiriro ehukama.
- 13% vanonzi vanonetseka kuti vanozobhadhara sei chirwere cheshuga nemishonga.
- 8% yakashuma mamiriro avo akakanganisa kushanda kwavo kuchikoro kana kubasa.
- 8% yakashuma mamiriro avo akakanganisa hukama hwavo.
- Vaya vakapindura vakataurawo kuti vane chirwere cheshuga chakanyanya kana mamiriro echomarara. Pakati pevaya vakapindura, 19% vakataurawo kuti vane chirwere chemwoyo, 60% vakataurawo kuti vane hypertension, 60% vakataurawo kuti vakafutisa kana kuti vakafutisa, 24% vakataurawo kuti vane chirwere chemwoyo, 24% vakataurawo kuti vane chirwere cheitsvo, 52% vakataurawo kuti vane chirwere cheitsvo. kurasikirwa kurasikirwa, uye 29% yakashumawo kuve neronda retsoka.
- 1% vakataura dzimwe nzira maratidziro anoita hupenyu hwavo hwezuva nezuva.
RELATED: Kazhinji mashuga eropa
Vechidiki vakapindura vanonzi vanonyanya kukanganiswa nechirwere cheshuga pane vakura vakapindura
Makumi maviri neshanu kusvika makumi matatu nemana evanopindura vakapindura kazhinji vanowanzo taura zvakashata nezve prediabetes / chirwere cheshuga pahupenyu hwezuva nezuva.
- 31% yezera rezera iri vakataura kuti zviratidzo zvavo zvadzikisa hupenyu hwavo.
- 28% yeiri zera boka rakashuma mamiriro avo anotadzisa kuzvivimba kwavo.
- 28% yezera iri vanonzi vakaora mwoyo nezve mamiriro avo.
- 27% yezera rezera iri vanonzi vanonetseka nezvemamiriro avo uye / kana zvingangonetsa.
- 21% yezera iri boka rakazivisa mamiriro avo akakanganisa hukama hwavo.
- 15% yezera rezera iri vakataura mamiriro avo akakanganisa mashandiro avo echikoro / ebasa.
Kune rimwe divi, vakapindura vane makore makumi mashanu nemashanu zvichikwira vanonzi ndivo vasina kunyanya kubatwa nemamiriro avo.
- 52% yevakabvunzwa vane makore 55 kusvika 64 uye 51% vane makore 65 zvichikwira vakataura kuti vanodya vakagwinya.
- 26% yevakabvunzwa vane makore 55 kusvika 64 uye 23% vane makore 65 zvichikwira vakataura kuti mamiriro avo haakoshese hupenyu hwavo hwezuva nezuva.
- 19% yevakabvunzwa vane makore makumi matanhatu nemashanu zvichikwira vakataura kuti chirwere chavo cheshuga chakavatendera kurarama hupenyu hwakagwinya.
Vanenge zvikamu zviviri kubva muzvitatu zvevakabvunzwa vanonzi vanonetsekana kuti vari panjodzi huru yekubata COVID-19 nekuda kwechirwere cheshuga
Pakati pevakabvunzwa vanonzi vane hanya, 76% yavo vaive neType 1 chirwere cheshuga. Izvi zvinonakidza nekuti vanhu vane Type 2 chirwere cheshuga vanoratidzika kunge vari panjodzi huru yekurwara zvakanyanya kubva kune coronavirus kupfuura avo vane Type 1, sekureva kwe CDC .
- 62% vane hanya
- 38% havana hanya
Rudzi rwakakurumbira rwechirwere cheshuga pakati pevanotora ongororo ndeyeguruuanides senge metformin
| Peresenti yevanoongorora | Kirasi yemishonga | Mienzaniso yemishonga mukati mekirasi yezvinodhaka |
| 36% | Biguanides | Riomet , Fortamet , Joke , Glucophage ( metformin ) |
| 19% | Insulin | |
| 10% | Sulfonylureas | Amaryl , DiaBeta, Diabinese, Glucotrol ( glipizide , Glycron, Glynase , Micronase, Tol-Tab, Tolinase |
| 9% | Incretin mimetics (GLP-1 agonists) | Adlyxin, Bydureon, Byetta ,, Trulicity , Victoza , Ozempic |
| 7% | Gliptins (DPP-4 inhibitors) | Januvia , Galvus, Onglyza, Tradjenta, Nesina |
| 6% | Gliflozins (SGLT-2 inhibitors) | Steglatro, Mufaro , Invokana, Jardiance |
| 5% | Thiazolidinediones (TZDs) | Avandia , Mabasa |
| 4% | Musanganiswa wemishonga | Invokamet, Janumet , Synjardy |
| 3% | Alpha-glucosidase inhibitors (AGIs) | Glyset , Precose |
| 3% | Amylin zvakafanana | Symlin |
| 3% | Meglitinides | Prandin, Starlix |
Pamusoro pezvo, 5% yevakabvunzwa vari kutora mimwe mishonga isina kunyorwa pamusoro, uye 31% havatore mishonga yeshuga zvachose.
Yakareba-inoshanda insulin ndiyo yakajairika mhando ye insulin pakati pevanoongorora vatora
| Peresenti yevanoongorora | Rudzi rwe insulin | Mienzaniso yezita-zita insulins |
| 14% | Yakareba-inoshanda insulin | Toujeo , Lantus , Levemir , Tresiba , Basaglar |
| 8% | Ipfupi-inoshanda insulin | Humulin R, Humulin R U-500 , Novolin R , Novolin ReliOn R |
| 8% | Inokurumidza-kuita insulin | Novolog , Fiasp , Apidra, Humalog U-100, Humalog U-200, Admelog |
| 7% | Yakasanganiswa insulin | Humalog 50/50, Humalog 75/25, Novolog 70/30 , Humulin 70/30, Novolin 70/30 |
| 6% | Pakati-inoshanda insulin | Humulin N, Novolin N , Novolin ReliOn N |
| 4% | Kukurumidza-kuita inhalation poda | Afrezz |
| 4% | Kusanganiswa insulin | Xultophy , Soliqua |
Pamusoro pezvo, 2% yevaongorori vakapindura vari kutora imwe insulin isina kunyorwa pamusoro.
RELATED: Metformin mhedzisiro
Kakawanda kuita weti, kuneta, uye zviratidzo zveGI zvinonzi ndizvo zvinowanzoitika mhedzisiro yeshuga mishonga kana insulin
- 24% yakashuma kuita weti kakawanda.
- Kakawanda kuita weti kunokanganisa vazhinji vanopindura varume (30%) kupfuura vakadzi (18%).
- Kakawanda kuita weti kunokanganisa vazhinji vanopindura vane makore makumi matanhatu nemashanu zvichikwira (31%) kupfuura mamwe mazera emakore.
- 24% yakashuma kuneta.
- 21% yakashuma GI mhedzisiro (kushungurudza mudumbu, gasi, manyoka, kuda kurutsa, kurutsa).
- GI mhedzisiro inokanganisa vazhinji vakapindura vakadzi (26%) kupfuura vanhurume (17%).
- GI mhedzisiro inokanganisa vazhinji vakapindura vane makore makumi mashanu kusvika makumi mashanu nemapfumbamwe (30%) kupfuura mamwe mazera emakore.
- 11% yakashuma kurasikirwa kwechido.
- Kupererwa kwechido kunokanganisa vazhinji vanopindura varume (14%) kupfuura vakadzi (8%).
- Kurasikirwa kwechido kunokanganisa vazhinji vakapindura vane makore makumi maviri nemashanu kusvika makumi matatu nemana (19%) uye makumi matatu neshanu kusvika makumi matatu nemana (15%) kupfuura mamwe mazera emakore.
- 11% yakashuma kuonda.
- Kurera huremu kunokanganisa vazhinji vanopindura varume (14%) kupfuura vakadzi (8%).
- Kurera huremu kunokanganisa vazhinji vakapindura vane makore makumi maviri nemashanu kusvika makumi matatu nemana (19%) uye makumi matatu neshanu kusvika makumi mana nemana (15%) kupfuura mamwe mazera emakore.
- 24% yevakabvunzwa avo vakataura nezvechirwere cheshuga chekutarisira chakavatendera kuti vararame hupenyu hwakagwinya uye 18% vakataura kuti vanorovedza muviri zvakare vakarondedzera kuonda semhedzisiro.
- 11% yakashuma kupfupika kwekufema.
- Kufema kwekufema kunokanganisa vazhinji vakapindura vane makore makumi matanhatu nemashanu nekure (12%) kupfuura mamwe mazera emakore.
- 10% yakashuma weti yakasviba.
- 8% yakashuma mbiriso hutachiona.
- Hutachiona hwembiriso hunokanganisa vazhinji vanopindura vakadzi (10%) kupfuura vanhurume (6%).
- Hutachiona hwembiriso hunokanganisa vazhinji vakapindura vane makore makumi maviri neshanu kusvika makumi matatu nemana (15%) kupfuura mamwe mazera emakore.
- 8% yakashuma yakaderera BP.
- Kuderera kweropa kunokanganisa vazhinji vakapindura vane makore makumi maviri nemashanu kusvika makumi matatu nemana (15%) uye makumi matatu neshanu kusvika makumi matatu nemana (15%) kupfuura mamwe mazera emakore.
- 8% yakashuma mimwe mhedzisiro (kurema uye kubatana uye kurwadziwa kwepfupa) kana pasina mhedzisiro zvachose.
- 6% yakashuma kuzvimba kwakanyanya.
- Kuzvimba kwakanyanya kunokanganisa vazhinji vakapindura vane makore makumi mashanu kusvika makumi matanhatu nemana (3%) kupfuura mamwe mazera emakore.
- 1% yakashuma lactic acidosis.
- 31% vakataura kuti havamwi mushonga weshuga kana insulin.
Yakataurwa mhedzisiro mhedzisiro yeshuga mishonga maringe ne insulin inosiyana
Kune avo vanotora mishonga:
- 34% yakashuma GI mhedzisiro
- 35% yakashuma kuita weti kakawanda
- 32% yakashuma kuneta
- 15% yakashuma kupfupika kwekufema
- 8% yakashuma mbiriso hutachiona
- 5% yakashuma yakaderera BP
Kune avo vanotora insulin:
- 41% yakashuma GI mhedzisiro
- 27% yakashuma kurasikirwa kwechido
- 18% yakashuma weti yakasviba
54% yevakabvunzwa vanobhadhara muhomwe yekurapa chirwere cheshuga
Zvinoenderana ne American Chirwere cheshuga Association (ADA) , 67.3% yezvehutano zvine chekuita nechirwere cheshuga (bvunzo yeglucose muropa, mishonga, zvekushandisa, kushanya kune vanoona nezvehutano, nezvimwewo) zvakafukidzwa neMedicare, Medicaid, kana mauto; 30.7% inovharwa neinishuwarenzi yakazvimiririra; uye chete 2% yemitengo inobhadharwa nevasina inishuwarenzi. Mhedzisiro yedu yekuongorora yakataura nyaya yakafanana.
- 26% yakashuma kuti inishuwarenzi inovhara zvese zvavanotarisirwa kuita cheshuga
- 20% yakashuma kuti Medicare kana Medicaid inovhara zvese zvetarisiro yavo yeshuga
- 16% vakataura kuti inishuwarenzi inovhara avo vane chirwere cheshuga
- 10% yakashuma kuti Medicare kana Medicaid inovhara zvavo chirwere cheshuga
- 4% yakashuma kuti ivo vanobhadhara muhomwe neyekunyorerwa kadhi kadhi (SingleCare, GoodRx, RxSaver, nezvimwewo) nekuda kwechirwere cheshuga
- 3% yakashuma kuti ivo vanobhadhara muhomwe kune kwavo kwese kurapwa kwavo chirwere cheshuga
- 21% yakashuma kuti havana chero chirwere cheshuga
RELATED: Yakawanda sei insulini?
Maitiro edu:
SingleCare yakaitisa iyi ongororo yeshuga online kuburikidza neATM musi waGumiguru 3, 2020. Iyi dhata yekuongorora inosanganisira mazana mashanu evakuru vekuUS vane makore 18+ avo vanonzi vane chirwere cheshuga Gender rakakamurwa 50/50.
