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Asia-Pacific Journal of Public Health
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Prevalence of Diabetes Mellitus, Glycemic Control, and Associated Factors in a Malay Population in Singapore

Charumathi Sabanayagam, MD, MMed

Department of Community, Occupational, and Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore

Anoop Shankar, MD, PhD

Division of Epidemiology, Department of Community Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, ashankar{at}hsc.wvu.edu

Seang Mei Saw, MPH, PhD

Department of Community, Occupational, and Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore National Eye Centre and Singapore Eye Research Institute

E. Shyong Tai, MBChB, MRCP

Singapore General Hospital

Su Chi Lim, MRCP, FAMS

Alexandra Hospital Singapore

Jeanette Jen-Mai Lee, MD

Department of Community, Occupational, and Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore

Tien Yin Wong, MD, PhD

Centre for Eye Research Australia, University of Melbourne, Melbourne, Australia, Singapore National Eye Centre and Singapore Eye Research Institute

There is substantial heterogeneity regarding diabetes mellitus prevalence and glycemic control in Asian populations. The authors examined a population-based sample of 3000 adults (52% women) of Malay ethnicity (40-80 years) in Singapore. The age-standardized prevalence of diabetes mellitus was 18.4% (95% confidence interval = 17.0% to 19.8%). Being overweight, presence of hypertension, presence of cardiovascular disease, and family history of diabetes were found to be positively associated with diabetes mellitus. Higher education, employment status, and current smoking were found to be inversely associated with diabetes mellitus. Among those treated for diabetes, 29% achieved the optimal glycemic goal (glycosylated hemoglobin <7%). Lower levels of low-density lipoprotein cholesterol, total cholesterol, and systolic and diastolic blood pressure were associated with good glycemic control. Nearly 1 in 5 middle-aged Malay adults living in a developed Asian society had diabetes mellitus and a substantial proportion had suboptimal glycemic control.

Key Words: Singapore • prevalence • diabetes mellitus • control • socioeconomic factors

This version was published on October 1, 2009

Asia-Pacific Journal of Public Health, Vol. 21, No. 4, 385-398 (2009)
DOI: 10.1177/1010539509343958


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Diversity in Public Health Issues
Asia Pac J Public Health, October 1, 2009; 21(4): 357 - 358.
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