2018年糖尿病健康促進機構品管調查結果報告 一視網膜病變與黃斑部水腫

Diabetic retinopathy (DR) was major cause of blindness in working-age patient. More than one-third adults with diabetes have suffered from diabetic retinopathy, one third of them have high risk of developing vision-threatening DR, including as severe non-proliferative DR (NPDR), proliferative DR (PDR) or progression to diabetic macular edema (DME). There were 5,855 patients enrolled in the Diabetes Health Promotion Institute (DHPI) in 2018 and 5,720 patients with Type 2 diabetes and more than 18 years old were included in our study. We compared hospital information, demographic, laboratory measurement, medication use, health education, exercise situation, and Douleur Neuropathique 4 score between those with and without DR and also those with and without DME. Higher proportion of DR and DME were noted in people from north and east part of Taiwan. The result might be related to the regional difference of health care system. Besides, like the existing worldwide study, we also noted significantty higher proportion of DR and DME in those with older age. higher blood pressure, blood sugar, creatinine level. Exercise and receiving health education were noted with lower proportion of DR and DME. Moreover, we found a positive correlation between DN4 score and DR and DME. Our study showed many known risk factors of DR and DME. Besides, some risk factors that were unclear to DR and DME were also noted in our study. Since our study was a cross-sectional study and further rigorous prospective study is required to confirm the correlation found in it.