Prevention of diabetes in primary healthcare based on the health policy program for early detection and prevention of diabetes and its complications in working individuals in the professionally active people, in the lubuskie province

Background
The term “diabetes” refers not only to a single disease state, but also to a group of many chronic metabolic disorders. Lack of symptoms leads to late diagnosis and treatment of diabetes. Early detection of abnormalities and pre-diabetic status becomes a priority.

Objectives
The aim of this work is to assess the prevalence of carbohydrate metabolism disorders amongst people capable of professional activity in the Lubuskie province.

Material and methods
The research was carried out as part of the Health Policy Program for the early detection and prevention of diabetes and its complications in persons capable of professional activity in the Lubuskie Voivodeship, from January to April 2018, in the basic health center in Zielona Gora. Participants were selected using the recommended FINDRISK questionnaire (ID F) to perform the OGTT in a certified analytical laboratory. Participants with pre-diabetes were included in the educational program (third stage). The paper presents the analysis of preliminary data obtained in the first period of the program at the first and the second stage. The research covered 474 people aged 16 to 90 years.

Results
In that 73.42% (348) of participants were classed as having high or very high risk of developing diabetes, 59% (205) completed the OGTT , in which 90 (43.9%) participant had a normal result, 16 (7.8%) participant had values in 120 min. below 70 mg/dl, 19 (9.27%) had diabetes, and 80 (39.03%) were found to be in a pre-diabetic state.

Conclusions
The scale of the diagnosed condition of pre-diabetes among the inhabitants of the Lubuskie region confirms the general regional, national and global tendency that the problem of diabetes is constantly and dynamically increasing.