Factors associated with glucose tolerance, pre-diabetes, and type 2 diabetes in a rural community of south India: a cross-sectional study

Little, Matthew; Humphries, Sally; Patel, Kirit; Dodd, Warren; Dewey, Cate

doi:10.1186/s13098-016-0135-7

Cited by 49 publications

(46 citation statements)

References 44 publications

(68 reference statements)

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“…15 These figures imply that though the prevalence of DM varies in different settings, it is certainly quite high and warrants immediate attention. Our study adds to the limited but growing body of evidence suggesting that diabetes is no longer confined to urban areas of India and is a matter of concern in rural areas as well.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have also found a positive association with family history, hypertension and overweight with Diabetes. [14][15][16][17][18] More than one third of the people were found to have random blood sugar more than 140 mg/dl indicating high proportion of population at risk of developing diabetes in future if preventive measures including life style modification are not followed.…”

Section: Discussionmentioning

confidence: 99%

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Risk factor assessment and screening for diabetes in field practice area of a private medical college in Thiruvallur district of Tamil Nadu

Dev

Jain

Sivaprakasam

et al. 2017

Int J Community Med Public Health

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Background: Diabetes, which was known to be an epidemic in the urban areas, has been found to be increasing rapidly in the rural areas too as a result of the socioeconomic transitions. Diabetes is no longer only a disease of the elderly but is one of the major causes of morbidity and mortality affecting youth and middle aged people.Methods: Screening camp for diabetes was conducted by the Department of Community Medicine in three different areas in the field practice area of Saveetha Medical College and Hospital viz. Thirumazhisai, Kuthambakkam and Velavedu in Thiruvallur district of Tamil Nadu on 7th April 2016 as a part of World Health Day 2016 celebration. Data was collected using a predesigned interview schedule. Descriptive statistics was calculated using rates, ratios & proportions. Univariate analysis was done using Chi square test to find the association between various factors and diabetes status. A parsimonious regression model was developed to find the predictor variables for diabetes.Results: A total of 188 people aged above 18 years attended the screening camps. Majority of the camp attendees were females (62.2%). Proportion of people having diabetes (already diagnosed plus newly screened) was found to be 18.1% out of which 3.2% were screened positive for diabetes. On regression analysis, Intake of alcohol and perceived stress were found to be significantly associated with diabetes (p<0.05).Conclusions: This study highlights a significant burden of undiagnosed cases of diabetes in the community. This indicates the need for systematic screening and awareness programs to identify the undiagnosed cases in the community and offer early life style modifications, treatment and regular follow up to such individuals.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk factor assessment and screening for diabetes in field practice area of a private medical college in Thiruvallur district of Tamil Nadu

Dev

Jain

Sivaprakasam

et al. 2017

Int J Community Med Public Health

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“…26 Little et al found the prevalence of newly diagnosed diabetics in rural Kerala to be 41.8% of total diabetics. 27 This high prevalence of undiagnosed diabetics might have emphasized upon poor healthcare-seeking behaviour of the study population.…”

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confidence: 95%

Prevalence of type 2 diabetes mellitus in rural population of India- a study from Western Uttar Pradesh

Singh¹,

Sharma²,

Zafar³

et al. 2017

Int J Res Med Sci

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Background: Diabetes is a major challenge for a resource-limited country like India. Majority of the patients are diagnosed late in the course of illness with presence of complications. There is limited data on diabetes from rural India. Present study is an attempt to provide data on diabetes in rural India. The overall objective of present study was to estimate the prevalence of Type 2 diabetes mellitus in rural population above 25 years age in district Etawah and neighbouring areas of Uttar Pradesh, India.Methods: The study was planned to determine the prevalence of diabetes mellitus in rural community by health camp and door to door approach. Fasting capillary blood glucose was first determined using a glucose meter (SD check code free, SD biosensor Inc. Korea). All the adults were given 75gm of glucose dissolved in 200ml water which was drunk over a period of up to 5 minutes and the 2-hour post load capillary blood glucose was estimated. Diabetic status was confirmed by taking blood samples for fasting and postprandial blood sugar levels in a fluoride vacutainer. Fasting plasma glucose ≥126mg/dl and or 2-hour postprandial glucose ≥200mg/dl were taken as the diagnostic criteria for diagnosis.Results: Prevalence of type 2 diabetes in the rural population was found to be 8.03%. Prevalence was higher in female population (9.91%) as compared to males (6.79%). 19.74 % of participants over 70 yrs of age were diabetics while diabetes was present only in 2.95% of participants in the age group of 25-39 year. The maximum number of diabetes were in the age group of 50-59 years. 10.04 % of participants were diagnosed to be Prediabetics. 35.77% of the diabetics were newly diagnosed.Conclusions:Present study shows there is high prevalence of type 2 diabetes in rural area of western Uttar Pradesh, India.

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“…5 Little et al, in a rural community in south India showed prevalence of 10.8%. 3 Ghorpade et al, at rural Pondicherry found T2DM prevalence of 5.8%. 6 The ICMR INDIAB study showed rural prevalence of T2DM in rural Tamil Nadu as 7.8%, Maharashtra 6.5%, Jharkand 3%, Chandigarh 8.3%.…”

Section: Introductionmentioning

confidence: 93%

“…The reason for this increasing diabetes burden is attributed to modernization and urbanization. 3 Majority of the population in India reside in the rural areas approximately 742 million. Hence, the estimation of the prevalence of diabetes in rural India becomes crucial from the point of view of designing the strategies to halt the rising prevalence of diabetes.…”

Section: Introductionmentioning

confidence: 99%

Study of prevalence of diabetes mellitus in the rural areas of Hubballi, Karnataka, India

Jahagirdar

Bant

Bathija

2016

Int J Community Med Public Health

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Background: India is largely a rural nation. The prevalence of diabetes in the rural areas is increasing. The prevalence data is mainly available for urban areas and insufficient data is available for rural areas. Aims and objectives: To estimate the prevalence of diabetes mellitus in rural areas of Hubli taluk, Karnataka, India and also to assess the risk factors associated.Methods: One village was selected randomly in the taluk. Information was gathered on demographics, personal history, past history, family history of diabetes mellitus and hypertension, life style practices and other parameters pertinent to the study objectives. Blood pressure was recorded and anthropometric data was collected. FBS was recorded and WHO criteria was used for diagnosis. Results: 15.6% are known diabetic and 84.4% were non diabetic. According to IDRS risk scores, 6.4% subjects belonged to low risk category, 34.9% belonged to medium risk category and 58.7% belonged to high risk category. 11% of people were under weight, 40.4% were normal, 22% were overweight, 22.9% were pre obese and 3.7% are obese. 77.1% of people have normal FBS values, 8.3% had impaired glucose tolerance and 14.7% had impaired fasting glucose. There was significant difference in the mean FBS values (p=0.0001) and mean IDRS risk score (p=0.031) of Normal subjects, Pre-diabetics and Diabetics on ANOVA test.Conclusions: The total prevalence of Diabetes in the study was 22%. There was significant relationship between the family history of Diabetes among diabetics and non-diabetics (p=0.036).

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Factors associated with glucose tolerance, pre-diabetes, and type 2 diabetes in a rural community of south India: a cross-sectional study

Cited by 49 publications

References 44 publications

Risk factor assessment and screening for diabetes in field practice area of a private medical college in Thiruvallur district of Tamil Nadu

Risk factor assessment and screening for diabetes in field practice area of a private medical college in Thiruvallur district of Tamil Nadu

Prevalence of type 2 diabetes mellitus in rural population of India- a study from Western Uttar Pradesh

Study of prevalence of diabetes mellitus in the rural areas of Hubballi, Karnataka, India

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