relationship between positive family history and the presence of diagnosed
diabetes prior to the survey.
.
During the 1974 survey, fasting blood glucose values were obtained for
139 individuals. Of these, 19.5% had FBS values >130 mg%, and 13.7% had values >160 mg%. These 139 people included 32 individuals with previously diagnosed diabetes, some of whom exhibited normal fasting and 2-hr post-prandial
blood sugars in this survey. With these 32 excluded, 7.5% of the remaining inAividuals showed FBS >130 mg%, and 5.6% showed >160 mg%. In the 1974 survey,
2-hr post-prandial blood sugar was measured on 277 individuals, including only
19 previously diagnosed diabetics. The data on all 277 individuals showed
19.2% with post~prandial blood sugar values >130 mg% and 8.7% with values >160
mg%. With the known diabetics excluded, these percentages were 15.5 and 5.4
respectively. Of the previously diagnosed diabetics, 67.7% were female, but
on the basis of post-prandial blood sugar >130 mg%4, no significant difference
was found between the sexes with regard to carbohydrate intolerance: 24 of
129 males and 27 of 144 females had values >130 mg%, and 10 males and 13 females had values >160 mg%. This is in contrast to the findings in other similar surveys in the Pacific, which show diabetes considerably more common in females (77). Relative weight had a significant although rather weak effect on
carbohydrate tolerance. Measurements using a ponderal index (wt/ht2) showed
the correlation between relative weight and fasting blood sugar to be r = 0.33
(p = 0.001) and that with post-prandial blood sugar to be r = 0.31 (p = 0.001).
Also examined was the relationship within the female population between number
of pregnancies and previous diagnosis of diabetes or carbohydrate intolerance
indicated by either the fasting or the post-prandial blood sugar value. First
analysis of these data indicated no relationship between these variables in
the Marshall Islands population, but further study is under way.

The data from previous diagnoses and from the two measures of glucose
tolerance can be used to define a group of individuals with altered carbohydrate tolerance. This group includes all previously diagnosed diabetics and
all individuals with either a fasting blood glucose level >130 mgé% or a 2-hr
post-prandial blood glucose level >160 mg%. This group of affected persons
comprises 17.3% of the population, and is composed of 65% females and 35%
males. The age distribution of affected individuals in the Marshall Island
population, by sex, is given in Table 1. The age group-specific prevalence of
carbohydrate abnormalities increases by age groups in this population, with
females showing greater percentages in all groups. Affected persons comprise
13.3% of all males examined and 20.7% of all females.
Table 1.

Age distribution of carbohydrate abnormalities (defined in text)
in the Marshall Island population (numbers in parentheses are

sample sizes).

Age group:

Male
Female

om

0-24

25-34

35-44

0
(57)
7.5

6.1
(33)
7.7

10.0
(20)
17.2

(53

“

VU U Gay UU

(52)

(29)

45-54
% Affected
29.2 (24)
37.5

- 44 -

(40)

55-64

>65

Total

27.3
(33)
45.8

28.6
(14)
33.3

13.3
(181)
20.7

(24)

(15)

(213)

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