Prevalence and Natural History of Diabetes in Trinidad

Poon-King, Theo; Henry, Monica; Rampersad, Fidel

doi:10.1016/s0140-6736(68)92559-2

Cited by 73 publications

(31 citation statements)

References 9 publications

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“…The study population of India had a significantly higher male to female ratio in which the males were presented with lower HDL values thus placing the males at a greater risk for CAD which was outlined in a previous study [20]. Conversely, in Trinidad, the male population were at higher risk for CAD when compared to females [21]. This is another significant finding as the females are inclined to have more central adiposity when compared to the men.…”

Section: Discussionmentioning

confidence: 64%

Inconsistent Lipid Profiles Exhibited Among the Diabetic Asian Indians of India and Trinidad–a Comparative Study

Nayak

Geetha

2016

Int J Pharm Pharm Sci

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Objective: This was an cross-sectional observational study wherein clinical parameters were compared between the population of two countries like India and Trinidad. Methods:One hundred and six diabetic and 100 healthy individuals from Dakshina Kannada District of India were chosen and compared with 106 Type 2 diabetic and 100 healthy individuals of Trinidad. Along with anthropometric variables and blood pressure, blood samples were collected from the subjects aged above 35years of both genders who would fit with the inclusion criteria. Total cholesterol, triglyceride, VLDL, LDL and sugar levels were estimated from the blood samples collected.Results: Though both the study population were of similar BMI, we found considerable higher values from the baseline among the systolic pressure, total cholesterol and fasting blood glucose level in both the countries. Though the normal study population showed a small change in the mean values, most of the difference was not statistically significant. We found that Indian diabetic population had a higher risk of future complication of diabetes with significantly higher LDL (p=0.002) and systolic pressure (p=0.000). Conclusion:This study shows important difference among biochemical parameters and other risk factors in the Asian phenotypic races with countries like India and Trinidad. The data also showed that Indian diabetic population are at higher risk of developing complications when compared to Trinidadians.

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Section: Discussionmentioning

confidence: 64%

Inconsistent Lipid Profiles Exhibited Among the Diabetic Asian Indians of India and Trinidad–a Comparative Study

Nayak

Geetha

2016

Int J Pharm Pharm Sci

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“…These studies indicate that Indians have a greater susceptibility to diabetes than many other ethnic groups. Migrant Indians in South Africa [32], Trinidad [40], Singapore [23], Malaysia [31] and Fiji [30] show higher diabetes prevalence rates than the local population and in the people of the Indian sub-continent [19]. Numerous reports exist of migration studies in other ethnic groups beside the Indians.…”

Section: Prevalence Of Type 2 Diabetesmentioning

confidence: 99%

Type 2 (non-insulin-dependent) diabetes ? An epidemiological overview

1982

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Summary.Despite the use of a wide range of different methodologies and diagnostic criteria, epidemiological studies have shown that Type 2 (non-insulindependent) diabetes has a global distribution and its prevalence varies from country to country, in different ethnic groups in the same country, and between the same ethnic group undergoing internal or external migration. Rural-urban and migration studies indicate that change towards a 'Westernized' lifestyle is associated with a dramatic increase in the prevalence rates for Type 2 diabetes. Between populations, comparisons are confounded by a wide range of different ascertainment rates, survey methodologies, and diagnostic criteria for diabetes. However, low prevalence rates for Type 2 diabetes are seen in Eskimos and populations of the Far East, while the highest are seen in American Indians, urbanized Pacific Island populations, and migrant Asian Indians. Available evidence suggests that these latter groups have a genetic susceptibility to Type 2 diabetes ('diabetes genotype') and that the disease is unmasked by environmental factors. There appears to be a spectrum of interaction between genetic and environmental factors -in certain populations the genetic role may be more important than environmental, or vice versa. Epidemiological studies, apart from their value in population screenings and case-finding, have contributed to the new classification and diagnostic criteria for diabetes and our understanding of risk factors and host characteristics in the aetiology of Type 2 diabetes.

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“…1 Studies in various parts of the world [2][3][4][5] including the UK 6-10 report a higher prevalence of diabetes in Asians from the Indian subcontinent than in other races. The order of increase in prevalence of diabetes in Asians could be as high as four times that of people of European (Caucasian) origin.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, self-help and socioeconomic factors in South Asian and Caucasian diabetic patients

Pardhan

Mahomed

2004

Eye

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Aims We carried out a survey of important nonclinical issues including awareness and self-management of diabetes on a group of South Asian and Caucasian patients attending diabetic clinics within a set period. Methods A structured questionnaire examined various issues including demographics, perceived knowledge and awareness of diabetes, perceived self-help/ support, and psycho-social factors. A total of 500 patients (268 South Asians and 232 Caucasian) took part. Results Univariate analysis showed significant differences (Po0.05) with various issues including a lower perceived awareness of diabetes and its complications in South Asians, and of the nutritional content of their diet. Asians also appeared to be less worried in the event of missed clinical appointments and if treatment was not strictly adhered to. Conclusions The study provides evidence of the inability of health information systems to convey the importance of diabetic control to the Asian population. In order that this important information reaches the required recipients, more assertive and perhaps more culturally acceptable methods need to be explored.

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Prevalence and Natural History of Diabetes in Trinidad

Cited by 73 publications

References 9 publications

Inconsistent Lipid Profiles Exhibited Among the Diabetic Asian Indians of India and Trinidad–a Comparative Study

Inconsistent Lipid Profiles Exhibited Among the Diabetic Asian Indians of India and Trinidad–a Comparative Study

Type 2 (non-insulin-dependent) diabetes ? An epidemiological overview

Knowledge, self-help and socioeconomic factors in South Asian and Caucasian diabetic patients

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