2016-05-30-世界卫生组织-Diabetes_Norway_2016_country_profile_1页_338kb

Summary of the Document

Core Content

The document provides an overview of diabetes-related mortality and the national response to diabetes, including policies, guidelines, and availability of healthcare resources. It also highlights the prevalence of diabetes and related risk factors in different age and gender groups.

Diabetes Mortality

Number of Diabetes Deaths

• Ages 30–69:

  • Males: 120 deaths
  • Females: <100 deaths

• Ages 70+:

  • Males: 260 deaths
  • Females: 330 deaths

Deaths Attributable to High Blood Glucose

• Ages 30–69:

  • Males: 270 deaths
  • Females: <100 deaths

• Ages 70+:

  • Males: 720 deaths
  • Females: 830 deaths

Proportional Mortality

• The proportion of deaths attributed to diabetes is presented as a percentage of total deaths across all age groups, though specific values are not provided in the text. A chart is referenced to visualize this data.

Prevalence of Diabetes and Related Risk Factors

The data shows that physical inactivity is more prevalent among females than males, while overweight and obesity are more common in males. Diabetes prevalence is lower in females than in males across all groups.

National Response to Diabetes

The document outlines the current status of national policies and guidelines related to diabetes management and prevention:

• Operational policy/strategy/action plan for diabetes: Yes
• Operational policy/strategy/action plan to reduce overweight and obesity: No
• Operational policy/strategy/action plan to reduce physical inactivity: Yes
• Evidence-based national diabetes guidelines/protocols/standards: Available and partially implemented
• Standard criteria for referral of patients from primary care to higher level of care: Available and partially implemented
• Diabetes registry: Yes
• Recent national risk factor survey in which blood glucose was measured: No

The country has implemented some operational strategies for diabetes and physical inactivity but lacks a policy to address overweight and obesity. Guidelines and referral criteria are available but not fully implemented, and while a diabetes registry exists, there has been no recent national survey measuring blood glucose levels.

Availability of Medicines, Basic Technologies, and Procedures

Medicines in Primary Care Facilities

• Insulin: Available (●)
• Metformin: Available (●)
• Sulphonylurea: Available (●)

Procedures

• Retinal photocoagulation: Available (●)
• Renal replacement therapy by dialysis: Available (●)
• Renal replacement therapy by transplantation: Available (●)

Basic Technologies in Primary Care Facilities

• Blood glucose measurement: Available (●)
• Oral glucose tolerance test: Available (●)
• HbA1c test: Available (●)
• Dilated fundus examination: Available (●)
• Foot vibration perception by tuning fork: Available (●)
• Foot vascular status by Doppler: Not available (○)
• Urine strips for glucose and ketone measurement: Available (●)

The availability of essential technologies and procedures for diabetes management is generally good, except for the assessment of foot vascular status using Doppler, which is not available in primary care facilities.