Screening for diabetes using Indian diabetic risk score in the field practice area of tertiary care hospital, Maharashtra

Abstract

Background: Globally, people living with diabetes were estimated to be 422 million in year 2014. In India, an estimated 7.8% have diabetes. Early detection and prompt treatment for diabetes is key to achieve sustained control and prevent complications. The Indian diabetic risk score (IDRS) is one of simple screening tool to find the risk for diabetes in the community of filed practice area of teaching hospital.Methods: A community based cross sectional study was conducted in urban and rural field practice area during the period of 1st January to 30th September 2018. As per global health report on diabetes, World Health Organization 2016, prevalence of diabetes in India was found to be 7.8%. Considering allowable error as 20% sample size was 1183 which was rounded up to 1200 with 600 each in urban and rural field practice area. The data was collected with bio- data and IDRS questionnaire which includes age, physical exercise, waist circumference and family history of diabetes.Results: Total 1200 Study participants were included in the study. It was observed that 821 (68.41%) were female participants and 379 (31.59%) were male participants. High risk for diabetes was observed in 329 (27.42%) participants. Among the high-risk participants, 194 (58.96%) were from the urban area and 135 (41.04%) were from the rural area. The association between increasing BMI with high IDRS was observed and found statistically significant. High blood pressure was observed among the participants having high IDRS and findings were statistically significant.Conclusions: This simplified IDRS is cost-effective tool to screen the community on large scale.

Screening for Diabetes Mellitus risk using Indian Diabetic risk score in an urban slum in Mysuru

“…(9) In a study conducted by Ashturkar MD et al, 25% had low risk, 47.58% had moderate risk and 27.42% had a low risk for developing diabetes mellitus. (11) The findings of the above three studies are similar to our study.…”

Screening for the risk of diabetes among people aged 31 to 40 years using Indian' diabetic risk score among people attending medicine out-patient department of a tertiary care hospital in Chennai

“…On the other hand, similar findings of high risk were also reported in a study done by Chowdhury et al ., where 31.5% had high risk, and 22.5% had low risk but our study had lesser participants at low risk compared to both the studies followed by high risk. [ 3 6 ] Female participants had higher risk of developing diabetes which is similar to a study done by Dugg P et al . [ 7 ]…”

“…who found that 27.42%, 47.58% and 25% of the participants were in high, moderate and low risk respectively. [ 3 ] Here, moderate risk individuals are higher than the high-risk individuals as in this present study. On the other hand, similar findings of high risk were also reported in a study done by Chowdhury et al ., where 31.5% had high risk, and 22.5% had low risk but our study had lesser participants at low risk compared to both the studies followed by high risk.…”

“…It was found that IDRS with high risk in urban area was 36.2% whereas in the previous study conducted in urban area, the high risk IDRS was found to be 42.9%[ 5 ] and in another study, high risk IDRS in urban area was 32.33%. [ 3 ] 32.6% of the participants in rural areas had high risk in our study, while 29.7% of the participants in rural areas had high risk in another study carried by Raghuram et al . [ 8 ]…”

“…Sample size was 318. [ 3 ] Convenient sampling method was used. The participants were assured that participation was voluntary, and confidentiality would be maintained.…”