Table_1_How the European Union legislations are tackling the burden of diabetes mellitus: A legal surveillance study.DOCX

IntroductionSurveillance of the European Union's (EU) legislations on the prevention of diabetes mellitus (DM) is needed, to more effectively tackle the rising prevalence of DM.
MethodsThis legal surveillance was carried out through a systematic search and screening, using EUR-Lex database to identify treaties, acts, and other legal documents for prevention of DM, non-communicable diseases (NCDs) and obesity, followed by their content analysis and assessment according to DM specific guidelines, target population and functional categories.
Results and discussionWe found 22 legislations aimed at preventing DM, NCDs and obesity, but only 5 out of them specifically addressed preventing DM. The aims of legislations covered a broad spectrum of themes indicated by DM specific guidelines, mostly initiatives of life-course approach in preventing DM, NCDs and obesity from the area of energy intake. The target group of most legislations was the general population; high-risk subgroups such as pregnant women were hardly ever the primary target group. Our results prove that the EU has made cross-sectoral legislative efforts to reduce the disease burden and prevent DM but does not exhaust all possibilities. However, given its persistently rising DM prevalence, it is imperative to make sure that DM is a top health priority for various EU authorities and is incorporated into new initiatives, policies and laws.

引言：为更有效地应对糖尿病（diabetes mellitus, DM）患病率持续攀升的态势，亟需对欧洲联盟（European Union, EU）糖尿病防控相关立法开展监测工作。
方法：本次法律监测采用系统检索与筛选流程，通过EUR-Lex数据库检索与糖尿病、非传染性疾病（non-communicable diseases, NCDs）及肥胖防控相关的条约、法案及其他法律文件，随后依据糖尿病专属指南、目标人群与功能分类开展内容分析与评估。
结果与讨论：本次研究共检索到22项针对糖尿病、非传染性疾病及肥胖防控的立法，但其中仅5项专门针对糖尿病防控。相关立法的目标涵盖糖尿病专属指南明确的多维度主题，多数举措聚焦于从能量摄入维度，采用全生命周期路径开展糖尿病、非传染性疾病及肥胖防控。多数立法的目标人群为普通人群，孕妇等高危亚群极少被列为主要目标群体。研究结果表明，欧盟已开展跨部门立法工作以减轻疾病负担、防控糖尿病，但仍未穷尽所有可行路径。鉴于糖尿病患病率持续攀升，亟需确保糖尿病成为欧盟各主管部门的首要健康优先级事项，并将其纳入新的举措、政策与法律之中。