Prevalence of micro and macrovascular complications of diabetes detected at single visit screening

Balasuriya, B M A C; Sumanatilleke, Manilka; Jayasekera, T I; Wijesuriya, Mahen; Somasundaram, Noel

doi:10.4038/sjdem.v2i1.4328

Cited by 6 publications

(9 citation statements)

References 7 publications

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“…The prevalence of T2DM of urban residents wase found, in most studies, significantly higher than that of rural residents [ 20 , 39 , 48 ], while little literacy focused on the prevalence of the total diabetic complications. In this study, 74.0% of the T2DM registered were suffering from at least one diabetic chronic complication.…”

Section: Discussionmentioning

confidence: 99%

Metabolic Risk Factors of Type 2 Diabetes Mellitus and Correlated Glycemic Control/Complications: A Cross-Sectional Study between Rural and Urban Uygur Residents in Xinjiang Uygur Autonomous Region

Du¹,

Su²,

Yao³

et al. 2016

PLoS ONE

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BackgroundDiabetes is a major global public health problem driven by a high prevalence of metabolic risk factors.ObjectiveTo describe the differences of metabolic risk factors of type 2 diabetes, as well as glycemic control and complicated diabetic complications between rural and urban Uygur residents in Xinjiang Uygur Autonomous Region of China.MethodsThis comparative cross-sectional study, conducted among 2879 urban and 918 rural participants in Xinjiang, China, assessed the metabolic risk factors of diabetes and related complications differences between urban and rural settlements.ResultsCompared to rural areas, urban participants had higher education level and more average income, little physical activity, less triglycerides and higher HDL-c (p < 0.05 respectively). Differences in metabolic risk factors by urban/rural residence included overweight or obesity, triglycerides (≥1.71mmol/l), HDL-c (< 1.04 mmol/l), alcohol intake, and physical inactivity (p < 0.01 respectively). There was significant difference regarding the prevalence of HbA1c >8% (48.1% versus 54.5%, p = 0.019) between rural and urban diabetic participants. No significant difference in the prevalence of type 2 diabetic complications between urban and rural participants (74.9% versus 72.2%; p = 0.263) was detected. Compared to rural participants, the most prevalent modifiable risk factors associated with diabetic complications in urban participants were obesity (BMI ≥ 28 Kg/m2), HDL-c (< 1.04 mmol/l), physical inactivity and irregular eating habits (p = 0.035, p = 0.001, p < 0.001, and p = 0.013, respectively).ConclusionsUrban settlers were significantly more likely to have metabolic risk factors highlighting the need for public health efforts to improve health outcomes for these vulnerable populations. Diabetes related complications risk factors were prevalent amongst rural and urban diabetes settlers.

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Section: Discussionmentioning

confidence: 99%

Metabolic Risk Factors of Type 2 Diabetes Mellitus and Correlated Glycemic Control/Complications: A Cross-Sectional Study between Rural and Urban Uygur Residents in Xinjiang Uygur Autonomous Region

Du¹,

Su²,

Yao³

et al. 2016

PLoS ONE

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“…Diabetic retinopathy is the leading cause of blindness among working adults in India and other countries . The prevalence of diabetic retinopathy, including sight‐threatening retinopathy, is significantly higher among South Asian patients compared with White Europeans .…”

Section: Determinantsmentioning

confidence: 99%

“…South Asians are at a higher risk for complications atributable to multiple factors: early onset of diabetes, delayed diagnosis, suboptimal control, non-compliance to treatment, and genetic predisposition A cross-sectional study in Sri Lanka showed that the prevalence of retinopathy, neuropathy and nephropathy was 6.8%, 11% and 18.8% in newly diagnosed patients and, in those with 16-20 years of diabetes duration, the prevalence rose to 52.6%, 54.3% and 23.8%, respectively [36].…”

Section: Complicationsmentioning

confidence: 99%

Diabetes in South Asians

et al. 2014

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Economic, dietary and other lifestyle transitions have been occurring rapidly in most South Asian countries, making their populations more vulnerable to developing Type 2 diabetes and cardiovascular diseases. Recent data show an increasing prevalence of Type 2 diabetes in urban areas as well as in semi-urban and rural areas, inclusive of people belonging to middle and low socio-economic strata. Prime determinants for Type 2 diabetes in South Asians include physical inactivity, imbalanced diets, abdominal obesity, excess hepatic fat and, possibly, adverse perinatal and early life nutrition and intra-country migration. It is reported that Type 2 diabetes affects South Asians a decade earlier and some complications, for example nephropathy, are more prevalent and progressive than in other races. Further, prevalence of pre-diabetes is high, and so is conversion to diabetes, while more than 50% of those who are affected remain undiagnosed. Attitudes, cultural differences and religious and social beliefs pose barriers in effective prevention and management of Type 2 diabetes in South Asians. Inadequate resources, insufficient healthcare budgets, lack of medical reimbursement and socio-economic factors contribute to the cost of diabetes management. The challenge is to develop new translational strategies, which are pragmatic, cost-effective and scalable and can be adopted by the South Asian countries with limited resources. The key areas that need focus are: generation of awareness, prioritizing health care for vulnerable subgroups (children, women, pregnant women and the underprivileged), screening of high-risk groups, maximum coverage of the population with essential medicines, and strengthening primary care. An effective national diabetes control programme in each South Asian country should be formulated, with these issues in mind.

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“…14 Alwakeel et al also reported the progressors had a significantly higher prevalence of cataract, retinopathy, angina and neuropathy compared to non-progressors. 17 As reported by Rani et al, the prevalence of diabetic retinopathy was 17.6% in selfreported rural population with diabetes.…”

mentioning

confidence: 98%

“…13 Balasubriya et al stated that the prevalence of nephropathy (microalbuminuria) in <1 year group was 18.8%, in 6-10 years group 21.2% and in the over 20 years group 25.4%. 14 In a follow up study Viswanathan V et al in their study during median follow up of 11 years, 44.1 percent developed proteinuria at follow up in 2630 type 2 diabetics. They concluded patients with uncontrolled diabetes and increases in blood pressure are at high risk of developing nephropathy.…”

mentioning

confidence: 99%

The Role of Duration of Diabetes in the Development of Nephropathy

Hasabi¹,

Kardkal²,

Bande³

2017

jebmh

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BACKGROUNDDiabetes has now become the most common single cause of end-stage renal disease. Diabetic Kidney Disease (DKD) is a lifethreatening and irreversible microvascular complication characterised by presence of persistent proteinuria, hypertension and progressive decline in renal function. Early detection and risk reduction measures can prevent diabetic nephropathy. Screening for microalbuminuria will allow early identification of patients with nephropathy provide an opportunity for early treatment, which has been shown to preserve renal function and thus prevent morbidity and mortality from diabetic nephropathy.The aim of the study is to study the relation between duration of diabetes and nephropathy.

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Prevalence of micro and macrovascular complications of diabetes detected at single visit screening

Cited by 6 publications

References 7 publications

Metabolic Risk Factors of Type 2 Diabetes Mellitus and Correlated Glycemic Control/Complications: A Cross-Sectional Study between Rural and Urban Uygur Residents in Xinjiang Uygur Autonomous Region

Metabolic Risk Factors of Type 2 Diabetes Mellitus and Correlated Glycemic Control/Complications: A Cross-Sectional Study between Rural and Urban Uygur Residents in Xinjiang Uygur Autonomous Region

Diabetes in South Asians

The Role of Duration of Diabetes in the Development of Nephropathy

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