O.V. Sazonova ¹, M.A. Sadovoy^1,2, E.M. Trofimovich³, E.A. Finchenko², L.S. Shalygina^{1, 2
1}Novosibirsk State Medical University, Ministry of Health of the Russian Federation
²Novosibirsk Research Institute of Trauma and Orthopedics named after Ya.L. Tsivyan, Ministry of Health of the Russian Federation
³ Novosibirsk Research Institute of Hygiene, Federal Service on Customers' Rights Protection and Human Well-being Surveillance (Rospotrebnadzor, Ministry of Health of the Russian Federation

Abstract. Diabetes mellitus is a major medical and social problem. Incidence of diabetes mellitus accelerates evolving into an epidemic. According to the Russian State registry data growth rates of morbidity are high with prevalence varying across regions.

The aim was to study peculiarities of incidence of diabetes mellitus in the city of Novosibirsk to develop measures aimed at improved organization of prevention of diabetes mellitus and provision of diabetic care.

Methods. Database of the Novosibirsk registry was analyzed for 2000-2008. Incidence was calculated per 100,000 population of corresponding age, 95% confidence interval was determined. For standardization we used standard of the urban population of Russia. Rates of reference and catenary growth, reference and catenary increments, sustainability of dynamic rows and morbidity trends were determined (Shigan EN, 1986). T-test was used to evaluate statistical significance; critical level of significance was accepted as equal to 0.05. MSExcel and SPSS were used for statistical data processing.

Conclusions. High prevalence of type 1 diabetes mellitus was registered in children 5-9 and adolescents 10-14 years old; trend towards increased type 1 diabetes mellitus morbidity is observed in men of working ages; and two-fold increase in type 2 diabetes mellitus morbidity is reported since 2000 with the pathology shift to younger age groups. The detected seasonality of diabetic manifestations in children suggests external factors’ impact and requires a further research.

High prevalence of obesity and excessive body weight in patients with type 2 diabetes mellitus indicates a need for active implementation of programs aimed at primary prevention.

Keywords: Diabetes mellitus; diabetes registry; incidence of diabetes mellitus.

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