目的:了解本地区糖尿病患病情况,比较两种筛查糖尿病方法的优缺点,为今后的筛查工作提供理论依据。方法:采取分层随机整群抽样方法,在2008年10月至2009年7月,横断面调查本地区6个居民小区18岁(包括18岁)以上常驻居民8 140人,其中一个小区1 940人为抽取静脉血查空腹血糖,其余6 200人采手指血查随机血糖。空腹血糖在6.1~7.8 mmol/L,随机手指血糖6 mmol/L以上均择日行OGTT检查。结果:本地区糖尿病患病率为8.6%,标化后患病率为7.7%,其中新发糖尿病占56.6%。糖尿病前期标化患病率为13.4%。结论:本地区糖尿病患病率和糖尿病前期患病率均高,但糖尿病的诊断率非常低,对社区糖尿病的教育和防治工作提出了更高的要求。 OBJECTIVE: To understand the prevalence of diabetes in this area and compare the advantages and disadvantages of the two methods of screening diabetes to provide a theoretical basis for future screening. Methods: From October 2008 to July 2009, stratified random cluster sampling method was used to survey 8,140 permanent residents above 18 years old (including 18 years old) in 6 residential communities in this area. Among them, one district 1 940 people to detect venous blood fasting blood glucose, the remaining 6 200 finger blood test random blood sugar. Fasting blood glucose in 6.1 ~ 7.8 mmol / L, random finger blood glucose 6 mmol / L were selected OGTT day. Results: The prevalence of diabetes in this area was 8.6%. The prevalence of diabetes was 7.7%, of which 56.6% were new-onset diabetes. The pre-diabetes prevalence was 13.4%. Conclusion: The prevalence of diabetes mellitus and pre-diabetes in the region are high, but the diagnostic rate of diabetes is very low, putting forward higher requirements for the education and prevention and treatment of community diabetes mellitus.