Objective   To analyse the epidemiology of diabetes in adults in Hebei province.

  Methods   4 196 adult residents from 20 districts in Hebei Province were selected by multistage stratified sampling, and they were investigated with quesionnaire, body measurement and blood sample analysis from Sept to Oct in 2004.

  Results   The total crude prevalence rates of DM and IFG were 5.34% and 2.93%, and the age-adjusted rates were 4.19% and 2.96%.They were significantly higher than the average levels in China.The rates of awareness, treatment, control of FBG only and control of multi-factors FBG, blood pressure, serum lipids and BMI, were 40.63%, 36.61%, 27.68% and 0.45%, respectively.Multiple logistic regression analysis indicated that urban, age, over weight or obesity, high serum TC and TG were the main risk factors for diabetes, while urban, high serum LDL-C or low serum HDL-C, retirement and jobs with less physical activity were risk factors for IFG.

  Conclusion   The prevalence rate of DM in adults in Heibei province was higher than the average level in China, but the ablity to control the disease was at lower level.Health promotion for taking healthy diets and controlling overweight or obesity, as well as DM screening and patients management, should be stressed.