Prevalence and risk factors of peripheral vascular disease in a selected South Indian population: the Chennai Urban Population Study.

Premalatha, G.; Shanthirani, S; Deepa, R; Markovitz, Jerome H.; Mohan, Vishnu

doi:10.2337/diacare.23.9.1295

Cited by 154 publications

(135 citation statements)

References 26 publications

(28 reference statements)

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“…The prevalence of CHD, measured as major Q wave changes was 3.9%, almost similar to Asian Indians in UK (4.0%) [24]. The prevalence of peripheral vascular disease (PVD) among Indians is 4-6% which is comparatively lower as compared to 9.3% among the white population [32]. Diabetic foot is a common cause of hospital admissions among diabetics in India.…”

Section: Complications Of Diabetesmentioning

confidence: 76%

Diabetes Mellitus in India: The Modern Scourge

Mehta¹,

Kashyap

Das³

2009

Medical Journal Armed Forces India

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India has a high prevalence of diabetes mellitus and the numbers are increasing at an alarming rate. In India alone, diabetes is expected to increase from 40.6 million in 2006 to 79.4 million by 2030. Studies have shown that the prevalence of diabetes in urban Indian adults is about 12.1%, the onset of which is about a decade earlier than their western counterparts and the prevalence of Type 2 diabetes is 4-6 times higher in urban than in rural areas. The risk factors peculiar for developing diabetes among Indians include high familial aggregation, central obesity, insulin resistance and life style changes due to urbanization. Screening for gestational diabetes and impaired glucose tolerance among pregnant women provides a scope for primary prevention of the disease in mothers as well as in their children. The problems of obesity and impaired glucose tolerance (IGT) (important predisposing factors) are not confined to adults alone but children are also increasingly getting affected. Most long standing macro and micro vascular complications are also more common among Indian diabetics as compared to other races and ethnic groups. A strong familial clustering of diabetic nephropathy among Indian Type 2 diabetics has also been noted. Clustering of cardiovascular risk factor like Syndrome X is common among urban Indians. The rising incidence of diabetes and its complications are going to pose a grave health care burden on our country. Timely effective interventions/measures and screening tests for complications at the time of diagnosis becomes imperative not only for early detection, but also to prevent progression to end stage disease. Screening for gestational diabetes among pregnant women would also go a long way in primary prevention of the disease. Life style changes/interventions and drugs like rosiglitazone are the current strategies that can prevent and/or delay the onset of diabetes. Simple interventional strategies like "Eat less, Eat on time and Walk more" can go a long way in preventing these chronic disorders among present as well as in the future generations. MJAFI 2009; 65 : 50-54

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Section: Complications Of Diabetesmentioning

confidence: 76%

Diabetes Mellitus in India: The Modern Scourge

Mehta¹,

Kashyap

Das³

2009

Medical Journal Armed Forces India

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“…5 Population data on micro and macro vascular complications of diabetes are available in urban India. [6][7][8][9][10] However, such data were not available in rural India. This is largely because in rural areas, diabetes remains a neglected field, as awareness levels and accessibility to diabetes health care remains woefully inadequate.…”

Section: Symposiummentioning

confidence: 99%

Tele-diabetology to Screen for Diabetes and Associated Complications in Rural India

Mohan

Prathiba

Pradeepa

2014

J Diabetes Sci Technol

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Diabetes, with its acute and long-term complications, has become a major health hazard in developing countries. An estimated 62.4 million people in India have diabetes. With increasing urbanization and industrialization, we can expect huge numbers of people with diabetes in India in the future. Moreover, all diabetes efforts in India are currently focused in urban areas while 70% of India's population actually lives in rural areas. The current statistics demonstrates that urgent interventions are mandatory to curb the epidemic of diabetes and its complications at the grassroots level. This gap in providing diabetes care can be nullified by the use of tele-diabetology. This holds great potential to overcome barriers and improve quality and access to diabetes care to remote, underserved areas of developing counties. The Chunampet Rural Diabetes Prevention Project (CRDPP) has been developed and tested as a successful model for screening and delivering diabetes care to rural areas in developing countries. Using a tele-diabetology mobile van loaded with appropriate equipment, trained technicians, and satellite technology helped us to screen for diabetes and its complications and deliver diabetes care to remote villages in southern India. The Chunampet model can be applied in reaching out to remote areas where specialized diabetes care facilities may not be available.

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“…It has been observed in many studies that over 50% of patients with DM in India have a poor glycemic control and a substantial proportion amongst these also have diabetes-related complications [1]. According to the Chennai Urban Population Study (CUPS), the prevalence of coronary artery disease (CAD) was 21.4% (CUPS No 5) [2] and peripheral vascular disease (PVD) was 6.3% among patients of DM in South India [3]. Another study from North Delhi Diabetes centre comprising 720 T2DM patients, retinopathy was found in 21.2%, microalbuminuria in 41%, peripheral neuropathy in 15.3%, CAD in 7% and PVD in 7.4% of patients [1].…”

Section: Introductionmentioning

confidence: 99%

Morbidity Profile and Causes of Mortality in Type 2 Diabetes Patients: Data from a Tertiary Teaching Hospital from Eastern India

Behera¹,

Behera²,

Das³

et al. 2017

JDM

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Background: Data regarding the prevalence of morbidity and mortality in patients of Type 2 Diabetes Mellitus (T2DM) is scanty in India. Objectives: To determine the prevalence of micro and macro vascular complications, acute metabolic complications, infections, Non Alcoholic Fatty Liver Disease (NAFLD) and cause of mortality in T2DM patients admitted to a tertiary care teaching hospital in Eastern India. Material and Methods: This was a hospital-based prospective study evaluating 150 T2DM patients admitted to a tertiary care institution in Eastern India. Diagnosis of micro and macro vascular complications, infections and NAFLD was made using standard protocols. In case of death, the most probable cause was noted. Results: Out of 150 patients, 14.7% of patients were newly diagnosed T2DM and out of them 41% of patients had vascular complications and 54.5% had infections. Of the total patients, 56% had nephropathy, 20% neuropathy, 17.3% retinopathy, 31.3% CVD, 11.3% CAD, 4.6% acute metabolic complications, 44% infections and 16.6% had NAFLD respectively. Macrovascular events occured earlier than microvascular complications. Multiple logistic regression analysis showed strong association of age, duration of diabetes, serum cholesterol, triglyceride, LDL-C with 196cause (51.5%: CVD 36.4%, CAD 15.1%) to be followed by infections (27.3%) and then chronic kidney disease (12.1%). Conclusions: This study highlights the high prevalence of vascular complications and infections in T2DM patients of Eastern India. CV-related deaths were principal causes of death, similar to that in developed world.

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Prevalence and risk factors of peripheral vascular disease in a selected South Indian population: the Chennai Urban Population Study.

Cited by 154 publications

References 26 publications

Diabetes Mellitus in India: The Modern Scourge

Diabetes Mellitus in India: The Modern Scourge

Tele-diabetology to Screen for Diabetes and Associated Complications in Rural India

Morbidity Profile and Causes of Mortality in Type 2 Diabetes Patients: Data from a Tertiary Teaching Hospital from Eastern India

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