Diabetes in rural Pondicherry, India: a population-based studyof the incidence and risk factors

Ghorpade, Arun Gangadhar; Majgi, Sumanth Mallikarjuna; Sarkar, Sonali; Kar, Sitanshu Sekhar; Roy, Gautam; Ananthanarayanan, PH; Ak, Das

doi:10.4103/2224-3151.206761

Cited by 21 publications

(16 citation statements)

References 2 publications

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“…15 Ghopade et al, 2013 reported 5.8% prevalence in his study. 16 Approximately similar finding is found in present study (6.1%). Prevalence increases with increasing age in both males and females.…”

Section: Discussionsupporting

confidence: 91%

Linkage between Behavioural and Physiological Risk Factors with Type 2 Diabetes Mellitus in Rural Varanasi, India

Shankar¹,

Singh²,

Singh³

2019

IJCMR

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Introduction:Diabetes is an important public health problem, one of our priority non communicable diseases (NCDs) targeted for action by world leaders. Both the number of cases and the prevalence of diabetes have been steadily increasing over the past few decades. The global prevalence of diabetes has nearly doubled in year 2014 since 1980, rising from 4.7% to 8.5% in the adult population. Study objective was to find out risk factors for Type 2 Diabetes Mellitus among 40 year and above in rural areas of Varanasi. Material and methods:A community based cross sectional study was conducted in rural areas of Varanasi covering 40 year and above. WHO, STEP approach was used for data collection in this study. RBS and FBS blood sugar measured and diagnosis was confirmed by WHO criteria. χ 2 test was applied to find significant association. Results:The mean ±SD age of the study subject was 55.19+11.92 years. The prevalence of smoking, alcohol intake, fruits consumption, vegetables consumption and physical activity was 18.3%, 22.7%, 48.1%, 99.8% and 28.8% respectively. The overall prevalence of diabetes was 6.1%. The prevalence of overweight and obesity was found 15.5% and 32.5% respectively, while prevalence of hypertension was 29%.Conclusion: Study showed that the association between physiological risk factors such as obesity and hypertension with diabetes was statistically significant (p<0.05), while behavioural risk factors mentioned above were not statistically significant (p>0.05).

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Section: Discussionsupporting

confidence: 91%

Linkage between Behavioural and Physiological Risk Factors with Type 2 Diabetes Mellitus in Rural Varanasi, India

Shankar¹,

Singh²,

Singh³

2019

IJCMR

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“…14 However, with the increase in urbanisation of the rural areas along with other factors like increasing age, obesity, alcohol use and a family history of diabetes might contribute to the increasing incidence of this disease among the rural population as well, as evident by the study conducted by Arun Gangadhar Gorpade et al 15 It is interesting to note that the study population had good awareness about the proper disposal of expired insulin vials. About 40% (n=40) responded that they will return the expired insulin to the local pharmacy, about 30% (n=30) responded that they will not take the insulin, and about28 % (n=28) responded that they will throw it in the dustbin, and 2% (n=2) responded that they will take the insulin.…”

Section: Discussionmentioning

confidence: 88%

Knowledge, attitude and practice of insulin use and its adverse effects in adult diabetic population

Nivethitha¹,

Manickavasagam²,

Paramasivam³

et al. 2017

Int J Basic Clin Pharmacol

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Background: Diabetes is a disease when left untreated, leads to many complications. India is emerging as a diabetic capital of the world. Insulin is widely used as a therapeutic option, and hence this study was conducted to assess the awareness of Insulin use and its adverse effects in diabetic population.Methods: The study was a questionnaire survey conducted in adult patients with diabetes who are on Insulin therapy. The participants’ knowledge, attitude and practice were assessed by using a questionnaire consisting of 32 questions. Scores were allotted to each question, and evaluated after applying appropriate statistical tests.Results: The mean age of the participants was 57.26±11.24 years. About 54% were males. 46% belonged to rural areas. The mean knowledge score was 17.53±4.40, mean attitude score 7.42±4.85 and the mean practice score was 6.56±1.91. 40% responded that they will return the expired insulin vials to the pharmacy. The most common reason for non adherence was economical constraints (60%). The females had better knowledge (17.60±4.43 vs. 17.45±4.40, p>0.88), attitude (8.21±3.84 vs. 6.58±5.56, p>0.09) and practice (6.97±1.84 vs. 6.13±1.92, p<0.02) of insulin use than males. Also, the urban population had better knowledge (17.58±3.64 vs. 17.32±4.97, p>0.297), attitude (8.70±3.95 vs. 6.06±5.37, p <0.002) and practice scores (6.92±1.89 vs. 6.38±1.92, p>1.395) than the rural counterparts.Conclusions: There exists a gap between knowledge attitude and practice of insulin use. This can be overcome by conducting awareness programmes by health care providers, to sensitise people about the proper use, side effects and the methods of disposal of insulin vials.

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“…Prevalence of type II diabetes ranges from 5.8% to 8.97% in Puducherry. [15][16][17][18] Apart from public health facilities, diabetes care is provided in the private sector as well. The study was carried out in two PHCs located at Kirumampakkam and Thavalakuppam areas of Puducherry.…”

Section: Study Design and Settingmentioning

confidence: 99%

Screening for autonomic neuropathy using validated non-invasive scale among diabetes patients treated in the selected primary health centres of Puducherry, India: an operational research

Thekkur¹,

Muruganandam²,

Narayan

et al. 2019

Int J Community Med Public Health

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Background: Diabetes autonomic neuropathy (DAN) is a complication of diabetes which has direct implications on the mortality of diabetes patients. American Diabetes Association (ADA-2017) guidelines recommend early recognition and treatment of DAN. In this regard, we conducted a study among diabetic patients treated in the selected PHCs of Puducherry to determine the proportion with DAN and to assess the factors associated with DAN.Methods: A cross-sectional analytical study was conducted among diabetics and information on socio-demographic details, morbidity and behavioural risk factors were elicited using semi-structured interview schedule. The COMPASS-31 questionnaire was administered to assess the autonomic neuropathy symptoms. The data was captured using EpiCollect mobile app and analysed using Stata 12.0 software. The proportion of DAN was expressed as percentage with 95% confidence interval. The association between independent factors and DAN was assessed using multivariate generalized linear models. The prevalence ratio with 95% CI was used to express the strength of association.Results: Of the total 303 individuals with diabetes, 32 {10.6% (95% CI: 7.3%-14.6%)} were screened positive for autonomic neuropathy using COMPASS-31 scale. The number of individuals with diabetes who needed to be screened (NNS) for finding one with autonomic neuropathy was 10 (303/32).Conclusions: One in ten individuals with diabetes was screened positive for autonomic neuropathy. With good yield, there is need for including autonomic neuropathy screening as a component in the comprehensive care provided to diabetes patients in the primary health centres.

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Diabetes in rural Pondicherry, India: a population-based studyof the incidence and risk factors

Cited by 21 publications

References 2 publications

Linkage between Behavioural and Physiological Risk Factors with Type 2 Diabetes Mellitus in Rural Varanasi, India

Linkage between Behavioural and Physiological Risk Factors with Type 2 Diabetes Mellitus in Rural Varanasi, India

Knowledge, attitude and practice of insulin use and its adverse effects in adult diabetic population

Screening for autonomic neuropathy using validated non-invasive scale among diabetes patients treated in the selected primary health centres of Puducherry, India: an operational research

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