Changes and risk factors of adult prediabetes, diabetes prevalence and diabetes control among adult residents in Xinjiang from 2010 to 2018

To analyze the status and related risk factors of prediabetes, diabetes and diabetes control among adult residents in Xinjiang, so as to provide basis and guidance for local diabetes prevention and treatment. A multi-stage stratified sampling method was adopted to conduct preliminary screening of all residents aged 18 years old and above. Personal characteristics, blood glucose, hypertension and blood fat were collected by questionnaire survey, physical measurements and laboratory examinations respectively, and the risk factors of prediabetes, diabetes and blood glucose control were analyzed by binary logistic regression model. The prevalence of prediabetes and diabetes and the control rates of blood glucose in 2010 and 2018 were 17.47% and 20.13%, 12.27% and 15.43%, 35.05% and 38.82%, respectively. The increasing trend was found in prevalence of prediabetes and diabetes. Old age, marriage (including cohabitation), divorce (including separation), overweight or obesity, central obseity and dyslipidemia were risk factors in prediabetes, diabetes was related to old age, family history of diabetes, overweight and obesity, central obesity, hypertension and dyslipidemia, and diabetes blood glucose control was influenced by age, region, central obesity and dyslipidemia. Compared with 2010, the adverse effects on prediabetes of gender and diabetes of region were not significant, and the problem of impaired blood glucose caused by harmful drinking behavior was also alleviated. The prevalence of prediabetes and diabetes in Xinjiang residents is still at a high level, and the control of blood glucose needs to be further strengthened. Meanwhile, the elderly, region, married or divorced, family history of diabetes, overweight and obesity, central obesity, hypertension and dyslipidemia are the key groups for prevention and treatment of diabetes in this area. Active control of weight, blood pressure and blood lipids, screening and publicity of prediabetes and diabetes, and regular monitoring and early intervention are of great significance to reduce the incidence and adverse outcomes of diabetes.