Objective: To investigate the pattern of dyslipidemia in patients with diabetes mellitus in Jilin province communities, and to provide a theoretical basis for the management of dyslipidemia among patients with diabetes.
Method: Based on the prevalence and risk factors of chronic diseases survey among adults in Jilin Province 2012 used multistage stratified random sampling design, a total of 1825 community residents aged 18 -79 years-old with diabetes mellitus in 9 districts of Jilin Province undergo the survey with questionnaire(age, gender, history of chronic disease in the past one year), blood index detection (blood glucose, total cholesterol high density lipoprotein cholesterol, low density lipoprotein cholesterol and triglycerides), and anthropometric (height and weight).
Result: Among 1825 patients with diabetes, 883 males (48.4%), 942 females (51. 6%); the mean age was (55.73 + 10. 27) years old. The mean values of TG,TC,LDL-C and HDL-C were 2. 17,5.17,3.10 and 1.20 mmol/L,the mean values of TC,LDL-C and HDL-C of female were higher than male(P <0. 001). The prevalence of dyslipidenmia. was 66.9% (69.0% in, male and 65.0% in female). The prevalence of dyslipidemia in male was decreased with increasing age(P <0. 001) , the prevalence of dyslipidemia in female was increased with age (P <0. 001). In age groups of 18- , 35 - and 45 - years, the prevalence of dyslipidemia in male was higher than female (P <0. 05,P <0. 001 ,P <0. 001)', however, it was lower than female in 55 - and 65 - 79 years old grouips (P < 0.: 05). The prevalence of dyslipidemia of overweight '(71. 8%) and obesity (75. 8%) was higher than normal subjects. Among patients with diabetes, 19. 2% had high total cholesterol, 47. 8% had high triglyceride, 14. 5% had high levels of low-density lipoprotein cholesterol, 29. 2% had low high-density lipoprotein cholesterol. The proportion of diabetic patients two serum lipid values outside of clinical target were 27. 1% , the most prevalent dyslipidemia pattern among diabetic patients was a combination of TG above goal with HDL-C below target, which was observed in 17. 4 % of the patients. The second most common pattern of dyslipidemia was isolated TG increase, which was observed in 15, 9% of the patients.
Conclusion: The mean values of TG,TC, LDL-C and HDL-C among community residents with diabetes mellitus in Jilin province were higher than the general population. The prevalence of dyslipidemia in male aged 18 -54 years, female aged 55 years and above and overweight or obesity was high; the most prevalent dyslipidemia pattern among diabetic patients was a combination of TG above goal with HDL_C below target.