The prevalence of diabetes mellitus and impaired fasting glucose/glycaemia (IFG) in suburban and rural Nepal—the communities-based cross-sectional study during the democratic movements in 1990

Sasaki, Haruka; Kawasaki, Terukazu; Ogaki, Tetsuro; Kobayashi, Saki; Itoh, Kazuyoshi; Yano, Yutaka; Sharma, Swati; Acharya, Gopal P.

doi:10.1016/j.diabres.2004.06.012

Cited by 26 publications

(16 citation statements)

References 24 publications

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“…Similar findings have also been reported from studies conducted in other Nepalese populations. [8][9][10] This gradual increase in the frequency of type 2 diabetes over a period of five years seems to be due to rapidly increasing economies and adoption of western life style in Nepal. The increasing frequency of IFG and IGT is likely to contribute to increase the prevalence of type 2 diabetes in near future too.…”

Section: Discussionmentioning

confidence: 99%

“…4 There has been no nationwide survey to estimate the actual prevalence of diabetes and -prediabetes‖ conditions among Nepali population. The currently reported prevalence is either from the hospital and urban area based studies [8][9][10][11][12][13] or extrapolation of the prevalence data from India. 14 Moreover, no survey has been carried out in the south-western part of Nepal to establish the prevalence.…”

Section: Introductionmentioning

confidence: 99%

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Frequency of Type 2 Diabetes mellitus and Impaired Glycemia in a Teaching Hospital of South-Western Nepal

et al. 2012

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Objective: The aim of this study was to determine the frequency of type 2 diabetes, impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) among patients visiting a tertiary level teaching hospital in south-western Nepal. Material & Methods: This is a retrospective study conducted among subjects (n=17082) who visited outpatient department of the Universal College of Medical Sciences Teaching Hospital (UCMSTH), Bhairahawa, Nepal for their medical checkup. Data related to age, sex, hospital number and blood glucose concentration of the study subjects were collected from hospital records and analyzed for the frequency study. Results: The average frequency of type 2 diabetes was found to be 6.1% over a period of five years and it was significantly (p=0.0232) higher in males (3.4%) than in females (2.8%). Frequency of IFG and IGT were found to be 2.31% and 2.70% respectively. The frequency of type 2 diabetes, IFG and IGT was significantly higher in males and age group of 51-60 years. Conclusion: The frequency of type 2 diabetes and impaired glycemia is increasing every year in south-western part of Nepal. We recommend that efforts be made by all the stakeholders to curb this emerging medical problem before it becomes epidemic in the general population. DOI: http://dx.doi.org/10.3126/ajms.v2i3.5485 Asian Journal of Medical Sciences 2 (2011) 202-206

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Frequency of Type 2 Diabetes mellitus and Impaired Glycemia in a Teaching Hospital of South-Western Nepal

et al. 2012

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“…While the relationship between impaired glucose regulation (IGR) and ethnicity, lifestyle, and socioeconomic status has been well established (Tan et al, 1999;Daniel et al, 1999;Suvd et al, 2002;Sasaki et al, 2005;Carter et al, 2006), population-based information on high altitude effect on the same ethnic group is lacking. Although Santos et al (2001) found low prevalence of diabetes mellitus (DM) in 196 Aymara natives residing at altitudes higher than 2000 metres, the effect of altitude on the prevalence of DM was not studied.…”

Section: Introductionmentioning

confidence: 99%

Impaired Glucose Regulation in a Sherpa Indigenous Population Living in the Everest Region of Nepal and in Kathmandu Valley

Lhamo

Soonthornpun

Chongsuvivatwong

2008

High Altitude Medicine & Biology

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The aim of this study was to determine the prevalence of impaired glucose regulation status in Sherpa adults living in the Everest area and in Kathmandu valley. A cross-sectional survey was conducted in Chaurikharka village (Everest area) and Kathmandu city on 119 and 121 randomly selected individuals, aged 30-70 years. They were assessed on conventional risk factors for diabetes, and an oral glucose tolerance test was performed. Based on the 2003 American Diabetes Association criteria, the prevalence in the Kathmandu city and Everest region of any impaired glucose regulation (IGR), isolated impaired fasting plasma glucose (isolated IFG), isolated impaired glucose tolerance (isolated IGT), and combined isolated IFG and isolated IGT were 55.4% vs. 23.5%, 42.1% vs. 14.3%, 1.7% vs. 0.8%, 11.6 vs. 8.4%, respectively. Using the subjects with normal glucose tolerance as the referent group and after adjusting for age, sex, physical activity, calories, and waist circumference, the odds ratios for isolated IFG and combined isolated IFG and isolated IGT of living in the highland region were 0.19 (0.08-0.44) and 0.33 (0.09-1.18), respectively. Isolated IFG was more common among the lowland Sherpas. Unlike combined isolated IFG and isolated IGT, this isolated IFG difference could not be explained by the difference of conventional diabetes mellitus risk factors.

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“…Diabetes prevalence in Nepal has increased over the past three decades [16]; and there appear to be a significant number of undiagnosed cases [17]. Effective diabetes management in Nepal, including diagnosis and treatment, is challenged by multiple factors, including poor overall understanding of diabetes in the community [18], limited healthcare resources, and substandard diagnostic and laboratory facilities [19,20].…”

Section: Introductionmentioning

confidence: 99%

Blood glucose monitoring in type 2 diabetes – Nepalese patients’ opinions and experiences

Sapkota

Brien

Aslani

2017

Global Health Action

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Background: Blood glucose monitoring forms a vital component of diabetes care. Monitoring conducted at home using glucometers, and in laboratories by professionals, are two common methods of blood glucose monitoring in clinical practice. Objective: To investigate Nepalese patients’ perceptions and practices of blood glucose monitoring in diabetes. Methods: In-depth interviews were conducted with 48 Nepalese participants with type 2 diabetes in Sydney and Kathmandu. The interviews were audio-recorded, transcribed verbatim and thematically analysed. Results: In Australia, most participants perceived home monitoring as useful; and both home and laboratory monitoring were conducted at fairly regular intervals. In Nepal, only a small number conducted home monitoring and the laboratory method formed the primary method of day-to-day monitoring. The laboratory method was preferred due to easy access to laboratories, lack of faith in glucometers and perceptions that home monitoring is costlier. However, overall monitoring was irregular in Nepal. In addition to the healthcare system which enabled cheaper self-monitoring in Australia, Nepalese in Australia also tended to have a better understanding about the purpose of home monitoring. Conclusions: This study has highlighted the disparity in perceptions and practices related to blood glucose monitoring. Understanding the importance of blood glucose monitoring and access to affordable resources are critical facilitators for conducting regular monitoring. Both patient and health-system factors play a key role in ensuring continued diabetes monitoring and management.

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The prevalence of diabetes mellitus and impaired fasting glucose/glycaemia (IFG) in suburban and rural Nepal—the communities-based cross-sectional study during the democratic movements in 1990

Cited by 26 publications

References 24 publications

Frequency of Type 2 Diabetes mellitus and Impaired Glycemia in a Teaching Hospital of South-Western Nepal

Frequency of Type 2 Diabetes mellitus and Impaired Glycemia in a Teaching Hospital of South-Western Nepal

Impaired Glucose Regulation in a Sherpa Indigenous Population Living in the Everest Region of Nepal and in Kathmandu Valley

Blood glucose monitoring in type 2 diabetes – Nepalese patients’ opinions and experiences

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