Diabtes

ARTICLE IN PRESS

Journal of Diabetes and Its Complications xxx (2007) xxx – xxx

An increase in prevalence of diabetes mellitus in Jordan over 10 years
Kamel Ajlounia,4, Yousef S. Khaderb, Anwar Batiehab,1, Haitham Ajlounia, Mohammed El-Khateeba b National Center for Diabetes, Endocrinology and Genetics, P.O. Box 13165 Amman 11942, Jordan Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science & Technology, Irbid 22110, Jordan Received 22 November 2006; accepted 24 January 2007

a

Abstract Objective: This study aimed to determine the prevalence of type 2 diabetes mellitus (DM) and impaired fasting glycemia (IFG), identify their associated factors, determine how the prevalence of type 2 DM has changed over 10 years, and assess the awareness and state of control of diabetes in Jordan. Methods: Data were analyzed from a cross-sectional study that included a random sample of 1121 Jordanians aged 25 years and above. A subject was deemed affected by DM if this diagnosis was known to the patient or if his or her condition complies with the American Diabetes Association definition. IFG was defined as a fasting serum glucose level of z6.1 mmol/l (110 mg/dl) but b7 mmol/l. HbA1c N7.5% was defined as bunsatisfactoryQ metabolic control. Results: The age-standardized prevalence of diabetes and IFG was 17.1% and 7.8%, respectively, with no significant differences between women and men. Of the 195 diabetic subjects, 146 (74.9%) had been previously diagnosed. More than half (54%) of those previously diagnosed were found to be with unsatisfactory glycemic control. Compared to the 1994 survey, there was a significant increase in the prevalence of diabetes by 31.5%. Increase in age, increase in body mass index, and having a family history of diabetes were associated with increased odds of diabetes and IFG. While the level of education had no effect on IFG, higher level of education was associated with a

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