Kafukufuku wa matenda ashuga akuwonetsa zizindikiritso za odwala m'modzi mwa odwala asanu

Nkhani

Matenda a shuga ndi amodzi mwa matenda ofala kwambiri ku America, malinga ndi Centers for Disease Control and Prevention ( CDC ), ndipo kuchuluka kwa matenda ashuga kukukulira. Mu 2018, anthu 34.2 miliyoni anali ndi matenda ashuga. Ndiwo 10.5% ya anthu aku U.S. Mtengo wa matenda a shuga ukuwonjezeka. Ndalama zoyerekeza zamankhwala zomwe munthu aliyense ali ndi matenda a shuga adakwera kuchoka pa $ 8,417 mu 2012 mpaka $ 9,601 mu 2017.

SingleCare idafufuza anthu 500 omwe ali ndi matenda ashuga kuti adziwe zambiri za vutoli, njira zake zamankhwala, ndi zomwe zimakhudza miyoyo ndi zikwama zaku America.

ZOKHUDZA: Ziwerengero za matenda ashuga

Chidule cha zomwe zapezedwa:

• 1 m'modzi mwa omwe anafunsidwa adanena kuti zizindikilo zawo zimachepetsa moyo wawo wonse.
• Achinyamata omwe amafunsidwa amakhudzidwa kwambiri ndi matenda ashuga kuposa omwe adayankha kale.
• Pafupifupi magawo awiri mwa atatu mwa omwe amafunsidwa akuti akuda nkhawa kuti vuto lawo lingayambitse kutenga COVID-19.
• Mtundu wodziwika bwino wa mankhwala ashuga pakati pa omwe amafufuza ndi ma biguanides monga metformin.
• Insulini yogwira ntchito nthawi zambiri ndiyo mtundu wofala kwambiri wa insulini pakati pa omwe amafufuza.
• Kukodza pafupipafupi, kutopa, ndi zizindikilo za GI akuti ndi omwe amadza chifukwa cha mankhwala ashuga kapena insulin.
• 54% ya omwe adayankha amalipira m'thumba kuti asamalire matenda ashuga.

1 m'modzi mwa omwe anafunsidwa adanena kuti zizindikilo zawo zimachepetsa moyo wawo wonse

Monga matenda osadwaladwala, sizosadabwitsa kuti matenda ashuga amakhudza moyo watsiku ndi tsiku kwa odwala ambiri ashuga. Chithandizo cha matenda ashuga amafunikira kusintha kwa moyo wathanzi komanso mankhwala a tsiku ndi tsiku, ndipo 74% ya omwe adafufuza adanenanso kuti ali ndi vuto lina la m'maganizo ndi / kapena thanzi (comorbidity).

• 48% akuti amadya athanzi.
  • 25% ya omwe akuti amadya athanzi nawonso akuti alibe matenda ashuga kapena zovuta zina.
• 30% akuti akuchita masewera olimbitsa thupi kwambiri.
  • 24% ya omwe akuti amachita masewera olimbitsa thupi amanenanso kuti alibe matenda ashuga kapena zovuta zina.
• 30% akuti alibe mphamvu zochepa zogwirira ntchito za tsiku ndi tsiku.
• 29% akuti amadandaula za momwe alili komanso / kapena zovuta za matenda ashuga.
  • 34% mwa omwe adayankhidwayi amakumananso ndi zovuta za GI (kukwiya m'mimba, mpweya, kutsegula m'mimba, nseru, kusanza), ndipo 57% adatinso ali ndi matenda oopsa.
• 19% adanenanso kuti zizindikilo zawo zimachepetsa moyo wawo.
  • Mwa omwe adayankha, 13% adanenanso kuti achepetse kunenepa, 21% adanenanso matenda opatsirana yisiti, 20% adatinso kuthamanga kwa magazi, ndipo 32% adatinso kupuma movutikira ngati zoyipa zamankhwala ashuga.
  • Mwa omwe adayankha, 16% adatinso ali ndi matenda a impso ndipo 15% adanenanso kuti ali ndi matenda a chiwindi osakhala mowa.
• 18% akuti ali ndi nkhawa chifukwa cha matenda awo.
• 17% adanenanso kuti zikhalidwe zawo sizikhudza moyo wawo watsiku ndi tsiku.
  • Oposa theka (55%) mwa omwe anafunsidwayo ananenanso kuti samamwa mankhwala a shuga kapena insulini.
  • Theka (51%) mwa omwe anafunsidwayo akuti sanakumanenso ndi matenda ashuga kapena zovuta zina.
• 16% adanenanso kuti zikhalidwe zawo zimasokoneza kudzidalira kwawo.
  • Mwa omwe adayankha, 45% adanenanso kuti ali ndi matenda oopsa, 17% adanenanso kuti ali ndi hyperlipidemia kapena dyslipidemia, 18% adanenanso kuti ali ndi matenda a impso, 20% akuti ali ndi matenda a chiwindi osakhala mowa, 16% adatinso ali ndi zilonda za kumapazi, 15% adanenanso kukhala ndi mbiri ya matenda ashuga ketoacidosis.
• 15% adanenanso kuti njira zawo zosamalira matenda ashuga zawalola kuti akhale ndi moyo wathanzi.
  • Pafupifupi kotala (21%) ya omwe akuti amakhala ndi moyo wathanzi nawonso akuti alibe matenda ashuga kapena zovuta zina.
• 13% akuti amadandaula za momwe angakwaniritsire mankhwala ndi matenda awo a shuga.
• 8% adanenanso kuti matenda awo asokoneza sukulu kapena magwiridwe antchito.
• 8% yawonetsa kuti mkhalidwe wawo udasokoneza ubale wawo.
  • Omwe adafunsidwayo adanenanso kuti ali ndi vuto la matenda ashuga kwambiri kapena zovuta za comorbid. Mwa omwe adayankha, 19% adanenanso kuti ali ndi vuto la mtima, 60% adanenanso kuti ali ndi matenda oopsa, 60% adanenanso kuti ali onenepa kwambiri kapena onenepa kwambiri, 24% adanenanso kuti ali ndi matenda amtima, 24% adanenanso kuti ali ndi matenda a impso, 52% adanenanso kuti ali ndi matenda a impso. kutayika kwa masomphenya, ndipo 29% adatinso ali ndi chilonda chakumapazi.
• 1% adanenanso njira zina zomwe chikhalidwe chawo chimakhudzira moyo wawo watsiku ndi tsiku.

ZOKHUDZA: Mlingo wabwinobwino wamagazi

Achinyamata omwe amafunsidwa amakhudzidwa kwambiri ndi matenda ashuga kuposa omwe adayankha kale

Omwe amafunsidwa azaka makumi awiri ndi zisanu mpaka makumi anayi ndi makumi anayi mphambu zisanu amafotokoza zoyipa za matenda ashuga / matenda a shuga m'moyo watsiku ndi tsiku.

• 31% am'badwo uno anena kuti zisonyezo zawo zachepetsa moyo wawo.
• 28% am'badwo uno anena kuti zikhalidwe zawo zikulepheretsa kudzidalira.
• 28% am'badwo uno akuti akuvutika mtima chifukwa cha matenda awo.
• 27% amsinkhu uno akuti amadandaula za momwe aliri komanso / kapena zovuta zake.
• 21% amsinkhu uno akuti malipoti awo asokoneza ubale wawo.
• 15% am'badwo uno anena kuti vuto lawo lasokoneza magwiridwe antchito kusukulu / kuntchito.

Kumbali inayi, omwe amafunsidwa azaka 55 kapena kupitilira pano sakhudzidwa kwambiri ndi matenda awo.

• 52% ya omwe anafunsidwa azaka 55 mpaka 64 ndipo 51% azaka 65 kapena kupitilira apo adanena kuti amadya athanzi.
• 26% ya omwe anafunsidwa azaka zapakati pa 55 mpaka 64 ndi 23% azaka 65 kapena kupitilira apo adanena kuti zikhalidwe zawo sizikhudza moyo wawo watsiku ndi tsiku.
• 19% ya omwe adayankha omwe ali ndi zaka 65 kapena kupitilira apo akuti njira yawo yosamalira matenda ashuga yawalola kuti akhale ndi moyo wathanzi.

Pafupifupi magawo awiri mwa atatu mwa omwe amafunsidwa akuti akuda nkhawa kuti ali pachiwopsezo chachikulu chotenga COVID-19 chifukwa cha matenda ashuga

Mwa omwe anafunsidwa omwe akuti ali ndi nkhawa, 76% mwa iwo anali ndi matenda a shuga amtundu woyamba. Izi ndizosangalatsa chifukwa anthu omwe ali ndi matenda a shuga amtundu wa 2 amawoneka kuti ali pachiwopsezo chachikulu chodwala kwambiri kuchokera ku coronavirus kuposa omwe ali ndi Type 1, malinga ndi CDC .

• 62% ikukhudzidwa
• 38% alibe nkhawa

Mtundu wodziwika bwino wa mankhwala ashuga pakati pa omwe amafufuza ndi ma biguanides monga metformin

Peresenti ya omwe amafufuza	Gulu la mankhwala osokoneza bongo	Zitsanzo zamankhwala m'kalasi la mankhwala
36%	Zambiri	Riomet , Fortamet , Nthabwala , Glucophage ( metformin )
19%	Insulini
10%	Sulfonylureas	Amaryl , DiaBeta, Diabinese, Glucotrol ( glipizide ), Chilombo, Glynase , Micronase, Tol-Tab, Tolinase
9%	Incretin mimetics (agonists a GLP-1)	Adlyxin, Bydureon, Byetta ,, Kutuluka , Victoza , Ozempic
7%	Gliptins (DPP-4 zoletsa)	Januvia , Galvus, Onglyza, Tradjenta, Nesina
6%	Gliflozins (SGLT-2 zoletsa)	Steglatro, Chimwemwe , Invokana, Makhalidwe
5%	Thiazolidinediones (TZDs)	Avandia , Machitidwe
4%	Mankhwala osakaniza	Kuyimilira, Janumet , Kusinkhasinkha
3%	Alpha-glucosidase inhibitors (AGIs)	Glyset , Onetsetsani
3%	Zofanana za Amylin	Zamgululi
3%	Meglitinides	Prandin, Starlix

Kuphatikiza apo, 5% ya omwe anafunsidwa akutenga mankhwala ena omwe sanatchulidwe pamwambapa, ndipo 31% samamwa mankhwala a shuga konse.

Insulini yogwira ntchito nthawi zambiri ndiyo mtundu wofala kwambiri wa insulini pakati pa omwe amafufuza

Peresenti ya omwe amafufuza	Mtundu wa insulini	Zitsanzo za ma insulins odziwika
14%	Insulini yotenga nthawi yayitali	Toujeo , Lantus , Levemir , Tresiba , Basaglar
8%	Insulini yochepa	Humulin R, Humulin R U-500 , Novolin R , Novolin KudaliraOn R.
8%	Insulini yogwira ntchito mwachangu	Novolog , Zolemba , Apidra, Humalog U-100, Humalog U-200, Admelog
7%	Mankhwala osakaniza insulini	Humalog 50/50, Humalog 75/25, Novologi 70/30 , Humulin 70/30, Novolin 70/30
6%	Insulin wapakatikati	Humulin N, [Adasankhidwa] Novolin N. , Novolin KudaliraOn N.
4%	Kutulutsa mpweya wofulumira	Afrezz
4%	Kuphatikiza insulini	Kulimbana , Soliqua

Kuphatikiza apo, 2% ya omwe anafunsidwa amafufuza ma insulin ena omwe sanatchulidwe pamwambapa.

ZOKHUDZA: Zotsatira za Metformin

Kukodza pafupipafupi, kutopa, ndi zizindikilo za GI akuti ndi omwe amadza chifukwa cha mankhwala ashuga kapena insulin

• 24% amafotokoza kukodza pafupipafupi.
  • Kukodza pafupipafupi kumakhudza amuna ambiri omwe amafunsidwa (30%) kuposa akazi (18%).
  • Kukodza pafupipafupi kumakhudza omwe amafunsidwa omwe ali ndi zaka 65 kapena kupitirira (31%) kuposa mibadwo ina.
• 24% akuti atopa.
• 21% adanenanso zoyipa za GI (kukwiya m'mimba, mpweya, kutsegula m'mimba, nseru, kusanza).
  • Zotsatira zoyipa za GI zimakhudza azimayi ambiri omwe amafunsidwa (26%) kuposa amuna (17%).
  • Zotsatira zoyipa za GI zimakhudza omwe anafunsidwa azaka zapakati pa 45 mpaka 54 (30%) kuposa mibadwo ina.
• 11% adanenanso kuti ataya njala.
  • Kutaya njala kumakhudza amuna ambiri omwe anafunsidwa (14%) kuposa akazi (8%).
  • Kutaya njala kumakhudza omwe anafunsidwa azaka zapakati pa 25 mpaka 34 (19%) ndi 35 mpaka 44 (15%) kuposa mibadwo ina.
• 11% adanenanso kuti achepetsa.
  • Kuchepetsa thupi kumakhudza amuna omwe amafunsidwa (14%) kuposa akazi (8%).
  • Kuchepetsa thupi kumakhudza omwe anafunsidwa azaka zapakati pa 25 mpaka 34 (19%) ndi 35 mpaka 44 (15%) kuposa mibadwo ina.
  • 24% ya omwe adayankha omwe adafotokoza za njira yawo yothandizira matenda ashuga yawalola kuti akhale ndi moyo wathanzi ndipo 18% omwe akuti akuchita masewera olimbitsa thupi nawonso akuti kuchepa thupi ngati gawo lina.
• 11% adatinso kupuma pang'ono.
  • Kupuma pang'ono kumakhudza omwe adayankha omwe ali ndi zaka 65 kapena kupitirira (12%) kuposa ena azaka zina.
• 10% akuti mkodzo wakuda.
• 8% inanena kuti matenda a yisiti.
  • Matenda a yisiti amakhudza azimayi ambiri omwe amafunsidwa (10%) kuposa amuna (6%).
  • Matenda a yisiti amakhudza omwe amafunsidwa azaka zapakati pa 25 mpaka 34 (15%) kuposa mibadwo ina.
• 8% adatinso kuthamanga kwa magazi.
  • Kuthamanga kwa magazi kumakhudza ambiri omwe amafunsidwa azaka zapakati pa 25 mpaka 34 (15%) ndi 35 mpaka 44 (15%) kuposa ena amisinkhu.
• 8% idanenanso zovuta zina (kunenepa ndi kupweteka kwa mafupa ndi mafupa) kapena kusakhala ndi zotsatirapo konse.
• 6% adatinso kutupa kwakukulu.
  • Kutupa kwakukulu kumakhudza omwe anafunsidwa azaka zapakati pa 55 mpaka 64 (3%) kuposa mibadwo ina.
• 1% yati lactic acidosis.
• 31% akuti samamwa mankhwala a shuga kapena insulini.

Zotsatira zoyipa zamankhwala ashuga motsutsana ndi insulin zimasiyana

Mwa iwo omwe amamwa mankhwala:

• 34% adanenanso zoyipa za GI
• 35% amafotokoza kukodza pafupipafupi
• 32% adanenetsa kutopa
• 15% adatinso kupuma pang'ono
• 8% inanena kuti matenda a yisiti
• 5% adatinso kuthamanga kwa magazi

Mwa iwo omwe amatenga insulin:

• 41% adanenanso zoyipa za GI
• 27% adanenanso kuti ataya njala
• 18% akuti mkodzo wakuda

54% ya omwe adayankha amalipira m'thumba kuti asamalire matenda ashuga

Malinga ndi Bungwe la American Diabetes Association (ADA) , 67.3% ya chithandizo chamankhwala chokhudzana ndi matenda ashuga (kuyesa magazi m'magazi, mankhwala, zopereka, kuyendera othandizira azaumoyo, ndi zina zambiri) imayikidwa ndi Medicare, Medicaid, kapena asitikali; 30.7% imaphimbidwa ndi inshuwaransi yaumwini; ndipo ndi 2% yokha yamalipiro omwe amalipiridwa ndi osalimbikitsidwa. Zotsatira zathu zakufufuza zidanenanso chimodzimodzi.

• 26% adanenanso kuti inshuwaransi imakhudza zonse zomwe amawasamalira
• 20% adanenanso kuti Medicare kapena Medicaid imakhudza zonse zomwe amawasamalira
• 16% adanena kuti inshuwaransi imakhudzanso chisamaliro chawo cha matenda ashuga
• 10% adanena kuti Medicare kapena Medicaid imakhudzanso chisamaliro cha matenda ashuga
• 4% adanenanso kuti amalipira mthumba ndi khadi yotsatsira (SingleCare, GoodRx, RxSaver, ndi zina zambiri) chifukwa cha chisamaliro cha matenda ashuga
• 3% adanenanso kuti amalipira mthumba pazithandizo zawo zonse za matenda ashuga
• 21% adanena kuti alibe chisamaliro chilichonse cha matenda ashuga

ZOKHUDZA: Kodi insulin imawononga ndalama zingati?

Njira zathu:

SingleCare idachita kafukufukuyu pa intaneti kudzera pa AYTM pa Okutobala 3, 2020. Kafukufukuyu akuphatikiza achikulire aku 500 aku US azaka zapakati pa 18+ omwe akuti ali ndi matenda ashuga. Kugonana kunagawanika 50/50.