Prevalence of diagnosed type 2 diabetes mellitus in the French general population: the INSTANT study

Diabetes Metab. 2009 Feb;35(1):25-31. doi: 10.1016/j.diabet.2008.06.004. Epub 2008 Nov 28.

Abstract

Aims: To estimate the prevalence of diagnosed type 2 diabetes mellitus in the French general population. Secondary objectives were to evaluate treatments and diabetic complications.

Methods: In this cross-sectional epidemiological survey, a representative sample of the French adult population was selected using a stratified quota method: 10,038 individuals were evaluated by a standardized face-to-face interview. The diagnosis of type 2 diabetes was determined on the basis of replies to six questions using a specific algorithm. Data were collected on risk factors, diabetes history, familial antecedents and diabetic complications. These patients also identified their treatments from an exhaustive list.

Results: The prevalence of type 2 diabetes was 5.08% in men and 4.11% in women, and rose progressively after the age of 50. Of these, 79 patients (13.4%) received no pharmacological treatment, 477 (80.9%) were taking an oral antidiabetic drug and 134 (22.7%) were taking insulin. Renal and ocular complications were reported by 6.8% and 21.0%, respectively, of the patients. Also, 10.4% had been hospitalized at some time of that year for a diabetes-related problem. The most frequently reported treatments were metformin and sulphonylureas, used by more than 50% of the patients. In addition, 380 patients (65.9%) claimed to be following a diet and 228 (39.2%) were consulting a dietitian.

Conclusion: The prevalence of treated and untreated type 2 diabetes mellitus in France was 4.57%.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Comorbidity / trends
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetes Mellitus, Type 2 / genetics
  • Diabetic Nephropathies / epidemiology
  • Diabetic Retinopathy / epidemiology
  • Diet, Diabetic
  • Family
  • Female
  • France / epidemiology
  • Hospitalization / statistics & numerical data
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Socioeconomic Factors
  • Young Adult