Journal List > J Korean Diabetes Assoc > v.31(4) > 1062459

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Park, Kim, Min, Baik, Choi, Park, Park, Son, Ahn, Oh, Lee, Chung, Kim, and Kim: Current Status of Diabetes Management in Korea Using National Health Insurance Database
Original Article
The Journal of Korean Diabetes Association

The Journal of Korean Diabetes Association 2007; 31(4): 362-367.

Published online: 31 July 2007

DOI: https://doi.org/10.4093/jkda.2007.31.4.362

Current Status of Diabetes Management in Korea Using National Health Insurance Database

Seok Won Park1, 13, Dae Jung Kim2, 13, Kyung Wan Min3, 13, Sei Hyun Baik4, 13, Kyung Mook Choi4, 13, Ie Byung Park5, 13, Jeong Hyun Park6, 13, Hyun Shik Son7, 13, Chul Woo Ahn8, 13, Jee-Young Oh9, 13, Juneyoung Lee10, 13, Choon Hee Chung11, 13, Jaiyong Kim12, 13, Hwayoung Kim12, 13

1Department of Internal Medicine, Pochon CHA University, Korea.

2Department of Endocrinology and Metabolism, Ajou University School of Medicine, Korea.

3Department of Internal Medicine, College of Medicine, Eulji University, Korea.

4Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University, Korea.

5Department of Endocrinology, Gachon University of Science and Medicine, Gil Medical Center, Korea.

6Division of Endocrinology and Metabolism, Pusan Paik Hospital, Inje College of Medicine, Korea.

7Department of Internal Medicine, The Catholic University, Korea.

8Department of Internal Medicine, Yonsei University College of Medicine, Korea.

9Division of Endocrinology and Metabolism, Department of Internal Medicine, Ewha Womans University College of Medicine, Korea.

10Department of Biostatistics, College of Medicine, Korea University, Korea.

11Department of Internal Medicine, Wonju College of Medicine, Yonsei University, Korea.

12Department of Research, Health Insurance Review Agency, Korea.

13Task Force Team for Basic Statistical Study of Diabetes Mellitus of Korean Diabetes Association, Korea.

Received 28 March 2007       Accepted 23 May 2007

Copyright © 2007 Korean Diabetes Association

Abstract

Background

The prevalence of diabetes is steadily increasing in Korea. The increase in number of people with diabetes would ultimately result in premature death, poor quality of life, and increasing economic burden. However, in our country, researches regarding on the quality of diabetes management are lacking. This study was conducted in 2005 using National Health Insurance Database to know the current status of diabetes management in Korea.

Methods

We have randomly selected 3,902 subjects out of 2,503,754 subjects who had claims with diagnosis of diabetes between January 2003 to December 2003 by using two staged cluster sampling method. Field survey with review of medical records and telephone survey was conducted with standardized record forms developed by Korean Diabetes Association; Task Force Team For Basic Statistical Study of Korean Diabetes Mellitus.

Results

The age of diabetic subjects was 58.1 ± 12.6 years and the duration of diabetes was 6.2 ± 5.5 years. Hypertension was present in 54% of diabetic subjects. Among those with hypertension, 59% were controlled with blood pressure below 140/90 mmHg, but only 19% were controlled with blood pressure below 130/80 mmHg. Hyperlipidemia was present in 29% of diabetic subjects. Only 38% of those with hyperlipidemia were controlled with LDL-cholesterol below 100 mg/dL. For glycemic control, only 40% of diabetic subjects achieved the goal of HbA1c less than 7%, which was suggested by ADA.

Conclusion

We found that only 20~40% of diabetic subjects in Korea achieved the management goal for glucose, blood pressure, and lipids. It seems urgent to develop a quality management program for diabetes subjects in Korea.

Keywords: Diabetes, Prevalence, Quality management

Figures and Tables

Fig. 1
Current therapy of diabetes in Korea.
jkda-31-362-g001
Table 1
Characteristics of diabetic patients by gender
jkda-31-362-i001

*Family history of diabetes: Diagnosed diabetes within the first degree relatives. †DSME: Diabetes self management education. ‡SMBG: Self monitoring of blood glucose. NS, not-significant

Table 2
Body mass index of diabetic patients by gender
jkda-31-362-i002
Table 3
Proportion (%) of diabetic patients reaching therapeutic goals
jkda-31-362-i003

*P < 0.01 vs. baseline. †P < 0.05 vs. baseline.

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