Objective-This study was aimed at approximate the prevalence of hyperglycemia in India. Methods-The study was conducted using the Demographic and Health survey 2015-16, which surveyed 811,808 individuals using a stratified, multistage, cluster sampling design. This cross-sectional survey recorded the socio-demographic and anthropometric data, blood glucose levels of adults aged 18 to 54 years. Results-The final analysis included 718,597 individuals of which 49.9% (weighted) were males. The overall prevalence of diabetes was 6.65% and prediabetes was 5.57%. A positive association was seen with urban residence, geographic region, gender, age, body mass index, socioeconomic status, and hypertension. About 2/3 rd of all the diabetic population live in urban areas. About half of the urban population is considered overweight/obese. South India region showed a high prevalence of diabetes (PR=2.01;p<0.001) compared to Northern India. Conclusion-Hyperglycemia (Diabetes and prediabetes) have a high prevalence in India and is a major public health issue. Diabetes is unevenly distributed based on geographic location and urbanization. Prevention, early detection and treatment strategies should include this uneven distribution of diabetes.
Background This double-blind randomized controlled trial (RCT) was conducted to evaluate the pre-emptive analgesia and anti-inflammatory efficacy of piroxicam compared with tramadol in patients undergoing oral surgery. Methods Seventy-eight patients who required extraction of impacted mandibular third molars were randomized into three treatment groups of 26 patients each: group I received 100 mg of tramadol, group II received 20 mg of piroxicam, and group III received a placebo. Drugs were administered intramuscularly 30 min prior to the extraction procedure. Results Pain intensity, time to first analgesic administration, total analgesic consumption, facial edema, and trismus were the outcomes of interest. The group receiving 20 mg of piroxicam showed significantly lower pain intensity, increased time to first analgesic, and reduced edema from preoperative to postoperative day seven than those in the tramadol and placebo groups. Conclusion The findings of this study showed that piroxicam had significant pain relief efficacy after third molar surgery compared with that in tramadol.
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