T.P. Sabgayda, D.O. Roshchin
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow

Summary. Diabetes is a serious disease with numerous complications, causing early disability and premature death. Over the past 20 years, the number of diabetic patients in Russia has been on the rise. From the beginning of this century and up to 2011 there was a steady decline in mortality from diabetes followed by an increase.

In order to determine the cause of the changes in diabetic mortality trends we compared age structure of mortality from diabetes mellitus in Russia and in Europe. Beside, we analyzed peculiar features of mortality dynamics across different age groups and compared trends in mortality from specific cardiovascular diseases and diabetes mellitus.

The analysis showed that the change in the downward trend in the Russian mortality from diabetes mellitus was due to more correct registration of death causes. In particular, the proportion of cases that could have been considered as death from stroke and coronary heart disease under the old coding practice were registered as death from diabetes in 2012. However, a smaller part of diabetes deaths among the elderly are currently been recorded with the bigger one remaining undetected.

A true increase in mortality is observed among the elderly population due to increased life expectancy of people with diabetes. The Russian mortality from diabetes mellitus is expected to grow in future due to a more correct registration of the underlying death causes

Keywords: mortality from diabetes mellitus; relationship of mortality from diabetes and cardiovascular disease; correct choice of underlying death cause; age structure of mortality from diabetes mellitus; change in mortality trend.

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