2016-05-30-世界卫生组织-Diabetes_Democratic_People_s_Republic_of_Korea_2016_country_profile_1页_342kb

Democratic People's Republic of Korea (DPRK) Diabetes Summary

Core Content

The document provides an overview of diabetes-related data for the Democratic People's Republic of Korea (DPRK), including mortality statistics, prevalence rates, and the country's response to diabetes. It also outlines the availability of medicines and technologies in the public health sector.

Mortality Data

• Diabetes Deaths:
  • Ages 30-69: 920 males and 920 females.
  • Ages 70+: 660 males and 1,490 females.
• Deaths Attributable to High Blood Glucose:
  • Ages 30-69: 2,830 males and 2,090 females.
  • Ages 70+: 2,220 males and 4,450 females.
• Note: The mortality estimates for the DPRK have a high degree of uncertainty due to the lack of national non-communicable disease (NCD) mortality data.

Proportional Mortality

• The proportional mortality due to diabetes is illustrated in a chart (not included in the text), which shows the percentage of total deaths attributable to diabetes across all ages.

Prevalence of Diabetes and Related Risk Factors

• Diabetes Prevalence:
  • Males: 5.6%
  • Females: 6.7%
  • Total: 6.2%
• Overweight Prevalence:
  • Males: 19.8%
  • Females: 22.4%
  • Total: 21.2%
• Obesity Prevalence:
  • Males: 1.7%
  • Females: 3.3%
  • Total: 2.5%
• Physical Inactivity: Data not available.

National Response to Diabetes

• Operational Policies:
  • Diabetes Policy/Strategy/Action Plan: Yes
  • Overweight and Obesity Policy: No
  • Physical Inactivity Policy: Yes
• Guidelines and Protocols:
  • Evidence-based National Diabetes Guidelines: Available and fully implemented
  • Standard Criteria for Referral: Available and fully implemented
• Monitoring and Data Collection:
  • Diabetes Registry: Yes
  • Recent National Risk Factor Survey with Blood Glucose Measurement: No

Availability of Medicines and Technologies

Medicines in Primary Care Facilities

• Insulin: ○ (Not generally available)
• Metformin: ○ (Not generally available)
• Sulphonylurea: ○ (Not generally available)

Basic Technologies in Primary Care Facilities

• Blood Glucose Measurement: ○ (Not generally available)
• Oral Glucose Tolerance Test: ○ (Not generally available)
• HbA1c Test: DK (Don't know)
• Dilated Fundus Examination: DK
• Foot Vibration Perception by Tuning Fork: DK
• Foot Vascular Status by Doppler: DK
• Urine Strips for Glucose and Ketone Measurement: DK

Advanced Procedures

• Retinal Photocoagulation: ● (Generally available)
• Renal Replacement Therapy by Dialysis: ● (Generally available)
• Renal Replacement Therapy by Transplantation: DK (Don't know)

Key Information

• The DPRK has a low income group and a population of approximately 25.155 million.
• The country has an operational diabetes strategy but lacks a policy to reduce overweight and obesity.
• Diabetes and related risk factors are significant public health issues, with notable prevalence among both males and females.
• The availability of essential diabetes medicines and basic technologies in primary care is limited, indicating potential challenges in early detection and management.
• Advanced procedures such as retinal photocoagulation and dialysis are generally available, but transplantation and some diagnostic tools are not well documented.
• There is a lack of recent national surveys that include blood glucose measurements, which may affect the accuracy of mortality and prevalence data.