Prevalence of Type 2 Diabetes Among Asymptomatic Adults of Lahore Pakistan

Javed, Rabail; Mohsin, Shahida; Adnan, Muhammad; Naz, Shagufta

doi:10.1007/s40995-019-00747-9

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…3 In line with a study in Sudan, these results show that females and males over 45 years old are more prevalent. 18,19 In the PTM Bogor Cohort Study, most of the respondents have 9-year compulsory basic education backgrounds (elementary school to junior high school), at 59.3% in the treated group and 53.3% in the untreated group. Most of the respondents were employed, at 96.8% in the treated group and 97.3% in the untreated group.…”

Section: Discussionmentioning

confidence: 99%

Adherence to Treatment and Glycemic Control in Patients with Type 2 Diabetes Mellitus: A 4-Year Follow-up PTM Bogor Cohort Study, Indonesia

Kaaffah

Soewondo

Riyadina

et al. 2021

PPA

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Section: Discussionmentioning

confidence: 99%

Adherence to Treatment and Glycemic Control in Patients with Type 2 Diabetes Mellitus: A 4-Year Follow-up PTM Bogor Cohort Study, Indonesia

Kaaffah

Soewondo

Riyadina

et al. 2021

PPA

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“…In Pakistan prevalence of asymptomatic type 2 adults ranges up to 34% in general population 6 . Patients suffering from chronic hepatitis B and C illness has an increased risk of type 2 diabetes especially in cases of liver cirrhosis.…”

Section: Introductionmentioning

confidence: 99%

HBA1c and 2 Hours Post-Prandial Blood Sugar Levels in Known Cirrhotic Adult Patients due to HBsAg and/or Anti-HCV Positive, Who are Not Known Diabetics

Mugheri¹,

Phulpoto²,

Shaikh³

et al. 2021

PJMHS

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Background: Liver has a special and unique system of glucose metabolism which keeps its levels under normal ranges. In chronic liver hepatitis and cirrhosis this mechanism is altered. Aim: To evaluate undiagnosed diabetics through HbA1C and 2 hours post prandial blood sugar levels in confirmed hepatitis B and C cirrhotic adult patients. Study design: Descriptive cross-sectional study Place and duration of study: Department of Gastroenterology, Chandka Medical College, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana from 1st July 2020 to 30th June 2021. Methodology: One hundred and twenty four patients >50 years with liver cirrhosis due to hepatitis B and C were enrolled. All clinical, demographic data of patients as well as their blood analysis was performed for testing HbA1C and two hour post prandial blood sugar (as well as liver function test). Results: The mean age was 57.9±5.9 years and majority of patients were males in both hepatitis cases. There were 39.5% of liver cirrhosis patients having undiagnosed diabetes which was confirmed by 2 hours post prandial blood sugar and HbA1c. Within this value 54.8% had hepatitis C and 24.2% had hepatitis B. Conclusion: There is a high prevalence of elevated HbA1c, post prandial blood sugar and consequently diabetic population (undiagnosed) among hepatitis B and C liver cirrhotic adult patients. Keywords: Post-prandial blood sugar, Cirrhotic adult patients, HBsAg, Anti-HCV, Diabetics

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“…Several risk factors and scoring systems are available to determine the population at risk who needs regular screening. A recently done regional study has detected that in 33.7% of the asymptomatic individuals are having diabetes indicated by HbA1c > 7% (7). Approximately, progression to diabetes is seen in about 5-10% of pre-diabetes per year and as high as 70% patients with pre-diabetes will develop clinical diabetes within their lifetime (8) (9).…”

mentioning

confidence: 99%

“…Several large scale studies has been done to detect the prevalence of pre-diabetes and diabetes in the community as well as regionally (7) (11). Though Sri Lankan data is available on the community prevalence, the recent trends allow us to surmise a higher rates of pre-diabetes and diabetes in asymptomatic individuals than detected (2) (12).…”

mentioning

confidence: 99%

High prevalence of pre-diabetes and diabetes in asymptomatic patients attending an endocrine clinic in a tertiary care institute in Colombo.

Ranathunga¹,

Naveenkumar²,

Athukorala³

et al. 2022

EJEA

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Background and ObjectivesThe prevalence of pre-diabetes and diabetes has risen exponentially in the recent past. Though the symptomatic patients frequently undergo testing for the diagnosis of the disease, asymptomatic individuals are not routinely subjected to diagnostic testing. Thus, data on asymptomatic people are still lacking. We have studied the prevalence of pre-diabetes and diabetes in asymptomatic subjects attending the Endocrinology clinic in a tertiary care institute in Sri Lanka. MethodsA descriptive cross sectional study was conducted from January to August 2020 at the Endocrinology Unit of the National Hospital of Sri Lanka. Systematic sampling was done recruiting non diabetic patients aged more than 40 years, attending the clinic for other endocrine diseases. After obtaining informed written consent, the data was collected using an interviewer administered questionnaire. Pre-diabetes or diabetes was diagnosed according to the ADA-2020 diagnostic criteria. ResultsThe study enrolled hundred and nine patients. The mean age was 53.9 years (range 40-76) and 90.8% were females. The mean weight was 62.1 (SD=11.3) kg and BMI was 26.6 (SD=4.6) kg/m -2 . Forty six percent had a family history of rst degree relative being affected with type 2 diabetes. All the patients were asymptomatic of classic symptoms of hyperglycemia. Patients were evaluated with fasting blood glucose levels and HbA1c values. Forty nine patients (45%) were diagnosed with diabetes or pre-diabetes with either one or both values being impaired range. Out of that, six patients (5.5%) were diagnosed with type 2 diabetes and 43 patients (39.4%) were diagnosed with pre-diabetes. Out of the patients diagnosed with pre-diabetes and diabetes (n=49), sixty four percent did not had a family history of rst degree relative being affected with type 2 diabetes. Out of the pre-diabetes and diabetes patients 32% had their BMI < 25 kgm -2 . ConclusionsThe prevalence of pre-diabetes and diabetes are much higher than expected in asymptomatic individuals.Hence, the likely patients should be regularly screened to diagnose asymptomatic phase of the disease. This is important as the prevalence has escalated in the immediate past, and diagnosing and treating early will improve long term outcome of the disease. Further large scale studies including community studies are needed to recognize the current prevalence and the rising trend both in urban and rural regions.

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Prevalence of Type 2 Diabetes Among Asymptomatic Adults of Lahore Pakistan

Cited by 4 publications

References 20 publications

Adherence to Treatment and Glycemic Control in Patients with Type 2 Diabetes Mellitus: A 4-Year Follow-up PTM Bogor Cohort Study, Indonesia

Adherence to Treatment and Glycemic Control in Patients with Type 2 Diabetes Mellitus: A 4-Year Follow-up PTM Bogor Cohort Study, Indonesia

HBA1c and 2 Hours Post-Prandial Blood Sugar Levels in Known Cirrhotic Adult Patients due to HBsAg and/or Anti-HCV Positive, Who are Not Known Diabetics

High prevalence of pre-diabetes and diabetes in asymptomatic patients attending an endocrine clinic in a tertiary care institute in Colombo.

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