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Diabetes Metab. J., 2022 May;46(3):417-426 | https://doi.org/10.4093/dmj.2022.0106 Diabetes Fact Sheet in Korea 2021

Jae Hyun Bae ^1,†, Kyung-Do Han ^2,†, Seung-Hyun Ko³, Ye Seul Yang ⁴, Jong Han Choi ⁵, Kyung Mook Choi ⁶, Hyuk-Sang Kwon ^{7 *}, Kyu Chang Won ^{8 *}, on Behalf of the Committee of Media-Public Relation of the Korean Diabetes Association

¹Department of Internal Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul ²Department of Statistics and Actuarial Science, Soongsil University, Seoul
³Department of Internal Medicine, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Suwon ⁴Department of Internal Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu
⁵Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul ⁶Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul
⁷Department of Internal Medicine, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul ⁸Department of Internal Medicine, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu Korea

^†Jae Hyun Bae and Kyung-Do Han contributed equally to this study as first authors.
^*Corresponding author: Hyuk-Sang Kwon or Kyu Chang Won

Abstract

Background

This study aimed to investigate the prevalence and management of diabetes mellitus, risk-factor control, and comorbidities among Korean adults.

Methods

We conducted a cross-sectional analysis of data from the Korea National Health and Nutrition Examination Survey to assess the prevalence, treatment, risk factors, comorbidities, and self-management behaviors of diabetes mellitus from 2019 to 2020. We also analyzed data from the Korean National Health Insurance Service to evaluate the use of antidiabetic medications in people with diabetes mellitus from 2002 through 2018.

Results

Among Korean adults aged 30 years or older, the estimated prevalence of diabetes mellitus was 16.7% in 2020. From 2019 through 2020, 65.8% of adults with diabetes mellitus were aware of the disease and treated with antidiabetic medications. The percentage of adults with diabetes mellitus who achieved glycosylated hemoglobin (HbA1c) <6.5% was 24.5% despite the increased use of new antidiabetic medications. We found that adults with diabetes mellitus who achieved all three goals of HbA1c <6.5%, blood pressure (BP) <140/85 mm Hg, and low-density lipoprotein cholesterol <100 mg/dL were 9.7%. The percentage of self-management behaviors was lower in men than women. Excess energy intake was observed in 16.7% of adults with diabetes mellitus.

Conclusion

The prevalence of diabetes mellitus among Korean adults remained high. Only 9.7% of adults with diabetes mellitus achieved all glycemic, BP, and lipid controls from 2019 to 2020. Continuous evaluation of national diabetes statistics and a national effort to increase awareness of diabetes mellitus and improve comprehensive diabetes care are needed.

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