Study of the Factors Favoring the Transition From Prediabetes to Diabetes on Reunion Island.

  • STATUS
    Recruiting
  • End date
    Dec 5, 2026
  • participants needed
    2000
  • sponsor
    Centre Hospitalier Universitaire de la Réunion
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Updated on 19 February 2024
See if I qualify
diabetes
fasting
stroke
myocardial infarction
infarct
hyperglycemia
glucose intolerance
prediabetic state
fasting blood sugar
gestational diabetes

Summary

The management of diabetes and its complications in Reunion island is one of the priority areas of health. Indeed, the impact of diabetes on the health of the Reunion island population is major: the prevalence of diabetes treated in Reunion island is the highest in France (10% of the population), and gestational diabetes is found in 10% of pregnancies. Reunionese diabetics develop severe complications, in particular cardiovascular (strokes, myocardial infarction).

This results in 3 times higher mortality linked to diabetes on Reunion Island, in particular among those under 65 years of age. Despite all the screening and prevention programs put in place, the weight of diabetic disease continues to increase in our island, and this is more accelerated than in the other French departments with 4,300 new cases of diabetes / year, 95% of which type 2 diabetics (T2D). The presentation of type 2 diabetic patients in Reunion island also differs from the Metropolis with subjects more often female (56%), thinner and younger at the discovery of diabetes. These data highlight the need to better understand the factors underlying the diabetes "epidemic" in Reunion island.

The rise in blood sugar until the onset of diabetes is a continuous phenomenon reflecting the progressive suffering of the organs used to maintain carbohydrate homeostasis. Thus, we talk about fasting hyperglycemia when the fasting blood sugar is between 1.10 and 1.25 g / L (6.1-6.9 mmol / l) and glucose intolerance when the blood sugar 2 hours after taking 75 g of glucose is between 1.40 and 1.99 g / L (7.8-11.0 mmol / l). Subjects with fasting hyperglycemia or glucose intolerance constitute the target population at very high risk of developing diabetes (up to 70% of these subjects). They have an increased risk of developing diabetes at 1 year multiplied by 5 to 10 compared to normoglycemic subjects, hence the name "prediabetic subjects". This great variability in the risk of developing diabetes highlights the presence of associated risk / protective factors which it is important to find in order to adapt the monitoring and management. It is important in Reunion island, in view of the specificities presented by our population, to understand the pre-diabetes / diabetes transition and the risk and protective factors.

Details
Condition NIDDM, diabetes mellitus, type 2, Diabetes Mellitus, diabetes (pediatric), diabetes (pediatric), diabetes mellitus, type 2
Age 25years - 70years
Treatment prevention program for prediabetes "Say No to Diabetes"
Clinical Study IdentifierNCT04463160
SponsorCentre Hospitalier Universitaire de la Réunion
Last Modified on19 February 2024

Eligibility

 Yes No Not Sure

Inclusion Criteria

Subject aged 25 to 70 with pre-diabetes defined by fasting blood sugar between 1.10 and 1.25 g / l (6.1 and 6.9 mmol / l) or blood sugar between 1.40 and 1.99 g / l (7.8 and 11.0 mmol / l) 2 hours after taking 75g of glucose (HGPO test), dating from less than 3 months
Consulting one of the general practitioners involved in the study, whatever the initial reason for the consultation
able to answer a telephone survey questionnaire
who have never been diagnosed or treated for diabetes with the exception of gestational diabetes
Person affiliated or beneficiary of a social security scheme
Free, informed and written consent signed

Exclusion Criteria

People likely to leave Reunion within 2 years
Persons placed under guardianship, curators, safeguard of justice, person participating in another research including an exclusion period still in progress
Person with severely impaired physical and / or psychological health, who, according to the investigator, may affect the compliance of the study participant
Pregnancy in progress
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diabetes
fasting
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hyperglycemia
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prediabetic state
fasting blood sugar
gestational diabetes

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