PREVALENCE OF DIAGNOSED AND UNDIAGNOSED DIABETES IN A RURAL COMMUNITY: A HOME-BASED SCREENING
DOI:
https://doi.org/10.22159/ajpcr.2018.v11i5.24906Keywords:
Prevalence, Pre-diabetes, DiabetesAbstract
Objectives: Diabetes is one of the main global risks of mortality and is seen with a drastic rise in developing nations in accordance with rise in age. The main aim of the study is to find the prevalence of diabetes and pre-diabetes and its associated risk factors among the rural community based on diagnostic criteria.
Methods: This cross-sectional study was conducted in a rural community of Salem district, Tamil Nadu, India. Patient data (demographics, lifestyle factors, and medical reports) were collected with the help of a questionnaire.
Results: Of 780 populations, 425 were included for the screening of diabetes based on inclusion criteria. Of the 425 screened samples, 224 (52.7%) were diagnosed with diabetes. From these 224 diabetic cases, 133 (31.3%) were known cases of diabetes, 26 (6.1%) were newly diagnosed diabetic cases, and 65 (15.3%) were pre-diabetic cases. Most of the diabetic patients 140 (62.5%) were illiterate, and 159 (71%) were never had physical activities. A positive association (p<0.05) was observed between diabetes and age, body mass index (BMI) and tobacco use other than smoking. 65 patients were found to be pre-diabetes, among which 41.5% (27 cases) were male and 58.5% (38 cases) were female. A positive association (p<0.05) was observed between pre-diabetes and age, family history of diabetes and HTN, BMI, and lifestyle factors such as tobacco use, alcohol consumption, and smoking.
Conclusion: Our study demonstrated that the burden of diabetes was observed to be increasing in India and it is becoming common among communities. Patient awareness and timely diagnosis and intervention may limit the progression of the disease.
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References
World Health Organization: Global Health Risks: Mortality and Burden of Diseases Attributable to Selected Major Risks. Published December 11, 2010. Available from: http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_full.pdf. [Last accessed on 2016 Jun 18].
Joshi SR, Saboo B, Vadivale M, Dani SI, Mithal A, Kaul U, et al. Prevalence of diagnosed and undiagnosed diabetes and hypertension in India—results from the screening India’s twin epidemic (SITE) study. Diabetes Technol Ther 2012;14:8-15.
Diabetes can be Controlled in 80 Percent of Cases in India. IANS. Published February 6, 2014. Available from: https://www.news.biharprabha.com/2014/02/diabetes-can-be-controlled-in-80-percent-of-cases-in-india/. [Last accessed on 2016 Apr 08].
Gale J. India’s Diabetes Epidemic Cuts Down Millions Who Escape Poverty. Bloomberg. Published November 8, 2010. Available from: http://www.fullertreacymoney.com/general/india-s-diabetes-epidemic-cuts-down-millions-who-escape-poverty-1691/. [Last accessed on 2015 Jun 14].
Patel V, Chatterji S, Chisholm D, Ebrahim S, Gopalakrishna G, Mathers C, et al. Chronic diseases and injuries in India. Lancet 2011;377:413- 28.
Viswanathan M, Snehalatha C, Viswanathan V, Vidhyavathi P, Indu J, Ramachandran A. Reduction in body weight helps to delay the onset of diabetes even in non-obese with strong family history of the disease. Diab Res Clin Pract 1997;35:107-12.
World Health Organization. Global Report on Diabetes. Geneva: WHO; 2016.
Caliskan D, Ozdemir O, Ocaktan E, Idil A. Evaluation of awareness of diabetes mellitus and associated factors in four health center areas. Patient Educ Couns 2006;62:142-7.
Deshpande AD, Harris-Hayes M, Schootman M. Epidemiology of diabetes and diabetes-related complications. Phys Ther 2008;88:1254- 64.
Misra A, Khurana L. Salt intake and hypertension: Walking the tight rope. J Assoc Phys India 2007;55:401-3.
Bjorntorp P, De Jounge K, Sjostrom L, Sullivan L. The effect of physical training on insulin production in obesity. Metabolism 1970;19:631-8.
Kokiwar PR, Gupta SS. Prevalence of hypertension in a rural community of central India. Int J Biol Med Res 2011;2:950-3.
Shantirani CS, Pradeepa R, Deepa R, Premalatha G, Saroja R, Mohan V. Prevalence and risk factors of hypertension in a south Indian population–the Chennai urban population study. J Assoc Phys India 2003;51:20-7.
Vashitha A, Agarwal BK, Gupta S. Hospital based study: Prevalence and predictors of Type 2 diabetes mellitus in rur al population of Haryana. Asian Pac J Trop Dis 2012;2:173-9.
Buchanan TA. (How) can we prevent Type 2 diabetes? Diabetes 2007;56:1502-7.
Keech S, Colquehoun D, Best J, Kirby A, Simes RJ, Hunt D, et al. Secondary prevention of cardiovascular events with long-term pravastatin in patients with diabetes or impaired fasting glucose: Results from the LIPID trial. Diabetes Care 2003;26:2713-21.
Liberty IA, Kodim N. Assess pre-diabetes risk, as a golden period for prevention of diabetes. Asian J Pharm Clin Res 2017;10:349-53.
Arafat M, Salam A, Arafat O. The association of Type 2 diabetes with obesity and other factors: In multinational community. Int J Pharm Pharm Sci 2014;6:257-60.
Guideline Principles for Diabetes Care. Published April 16, 2009. Available from: http://www.ndep.nih.gov/media/guidprin_hc_eng.pdf. [Last accessed on 2014 Apr 23].
Gibbons LW, Wei M, Kampert JB, Mitchell TL, Blair SN. Alcohol intake and incidence of Type 2 diabetes in men. Diabetes Care 2000;23:18-22.
Levitt NS, Katzenellenbogen JM, Bradshaw D, Hoffman MN, Bonnici F. The prevalence and identification of risk factors for NIDDM in urban Africans in Cape Town, South Africa. Diabetes Care 1993;16:601-7.
Bukelo MF, Kiran D, Goud R, Bukelo MJ, Kiran BR, Kulkarni V, et al. Risk factors for non-communicable diseases among rural adolescents: A school-based cross-sectional study. Asian J Pharm Clin Res 2015;8:284-7.
Jhawat V, Gupta S, Agarwal BK, Roy P, Saini V. Prevalence of risk factors of essential hypertension and new onset of diabetes in essential hypertension in rural population of Haryana. Int J Pharm Pharm Sci 2018;10:142-8.
Maja L, Masia T, Binyane K, Ramathebane M. Assessment of patient counselling in diabetic and hypertensive patients in terms of patients knowledge about their medication, disease state, and lifestyle modification by pharmacy personnel at LDF clinic in Maseru. Int J Pharm Pharm Sci 2018;10:155-61.
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