Trend in the clinical profile of type 2 diabetes in India - Study from a diabetes care centre in South India

Nair, Dhruv Rajesh; Satheesh, Krishnamoorthy; Raghavan, Arun; Nanditha, Arun; Vinitha, Ramachandran; Susairaj, Priscilla; Snehalatha, Chamukuttan; Ramachandran, Ambady

doi:10.1016/j.dsx.2020.09.018

Cited by 8 publications

(6 citation statements)

References 28 publications

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“…A study from India also reported similar findings (21%). [ 24 ] Most of the previous studies assessed only HbA1C for glycemic control, but we have assessed FBS and PPBS also. The significantly higher PPBS at the baseline in the control group has been attributed to the presence of 3–4 patients with extreme blood sugar values.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Diabetes Self-Management Education on Distress and HbA1C among Indian Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial

Anjali,

Khapre,

Kant

et al. 2023

Indian Journal of Community Medicine

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Introduction: The interrelationship of diabetes with mental illness has increased in recent years. Diabetes-related distress is the emotional burden, stress, and worries associated with diabetes, which does not reach the threshold for depressive disorder. A diabetes self-management education (DSME) is a structured educational approach to improve glycemic control and diabetes-related distress. This study aimed to assess the effectiveness of DSME in comparison with usual diabetes care in improving glycemic control and diabetes-related distress. Material and Methods: This is a single-center, parallel randomized controlled trial. A total of 106 participants were recruited for both intervention and control groups with 53 participants each. The control group received only routine outpatient department (OPD) care. The intervention group received DSME in addition to routine OPD care. Diabetes-related distress and HbA1C were assessed after 3 months. The data were analyzed using IBM Statistical Package for the Social Sciences (SPSS) version 25. Per-protocol analysis was done. Results: Of 127 patients screened, 106 met the eligibility criteria and were randomized. At 3-month follow-up, the reduction in mean HbA1C, fasting blood sugar (FBS), postprandial blood sugar (PPBS), and diabetes distress were significant in the intervention group compared with the control group (p 0.001). The mean HbA1C reduction in the intervention group was significant (mean difference: -1.3, SD: 0.4). The mean DDS had decreased significantly in the intervention group from 2 to 1.2 (mean difference: -0.8, SD: 0.1). Conclusion: The DSME was effective in improving the glycemic control, diabetes-related distress, and self-care among type 2 diabetes (T2DM) mellitus patients.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Diabetes Self-Management Education on Distress and HbA1C among Indian Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial

Anjali,

Khapre,

Kant

et al. 2023

Indian Journal of Community Medicine

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“…3,4 Researchers in South India sought to investigate the changing clinical profile of 50 322 patients with type 2 diabetes over a 10-year period between 2009 and 2018. 5 Results indicated that 85.9% of patients were overweight, and obesity significantly increased from 22.1% to 25% ( P < .0001) with an increased prevalence among younger patients between 30 and 40 years of age. 5 India is the second most populated country in the world where technical, wireless, and mobile advances have quickly surpassed other vital infrastructure such as roadways, which compound challenges to health provider access.…”

mentioning

confidence: 90%

“…5 Results indicated that 85.9% of patients were overweight, and obesity significantly increased from 22.1% to 25% ( P < .0001) with an increased prevalence among younger patients between 30 and 40 years of age. 5 India is the second most populated country in the world where technical, wireless, and mobile advances have quickly surpassed other vital infrastructure such as roadways, which compound challenges to health provider access. 6 Approximately 70% of India's population face challenges accessing a skilled healthcare provider.…”

mentioning

confidence: 90%

“…Diabetes was among the disease categories causing >5% of total disability-adjusted life-years in India in 2016 and was the most significant noncommunicable disease responsible for increase in all-age disability-adjusted life-years rate between 1990 and 2016 (80.0% [95% confidence interval, 71.6–88.5]) 3,4 . Researchers in South India sought to investigate the changing clinical profile of 50 322 patients with type 2 diabetes over a 10-year period between 2009 and 2018 5 . Results indicated that 85.9% of patients were overweight, and obesity significantly increased from 22.1% to 25% ( P < .0001) with an increased prevalence among younger patients between 30 and 40 years of age 5 …”

mentioning

confidence: 99%

“…Researchers in South India sought to investigate the changing clinical profile of 50 322 patients with type 2 diabetes over a 10-year period between 2009 and 2018 5 . Results indicated that 85.9% of patients were overweight, and obesity significantly increased from 22.1% to 25% ( P < .0001) with an increased prevalence among younger patients between 30 and 40 years of age 5 …”

mentioning

confidence: 99%

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Effectiveness of a Culturally Responsive mHealth Gaming Application to Improve Diabetes Health Literacy in India

Garner

Young²,

Fendt³

et al. 2023

CIN: Computers, Informatics, Nursing

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The purpose of this study was to determine the effectiveness of a culturally responsive interactive gaming mHealth educational application designed to improve diabetes health literacy among an underserved urban population in India when compared with a traditional approach of verbal education. In addition, relationships between participant sociodemographic variables and participant knowledge were assessed. A randomized controlled trial was conducted using a two-arm parallel, single-blinded intervention and control group design. The parallel groups were the mHealth Education group serving as the intervention group and the Verbal Education group serving as the control group. The mHealth application was as effective in improving diabetes health literacy as verbal education. Results for the difference in posttest and pretest score between the two groups indicated there was no statistically significant difference between groups (P = .9306). However, there was a significant improvement in the difference in posttest and pretest scores for each group (P < .0001), indicating that the culturally responsive type 2 diabetes educational content was effective in improving type 2 diabetes health literacy among both groups. This study answers a call by the World Health Organization that advocates for evidence-based mHealth interventions that offer unique opportunities for cost-effective informatics service delivery in low- and middle-income countries.

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Editorial: Studies in young adults with type 2 diabetes to inform evidence-based guidelines specifically for early-onset type 2 diabetes are urgently required

Ali

Khunti

2020

Diabetes & Metabolic Syndrome: Clinical Research & Revi

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Trend in the clinical profile of type 2 diabetes in India - Study from a diabetes care centre in South India

Cited by 8 publications

References 28 publications

Effectiveness of Diabetes Self-Management Education on Distress and HbA1C among Indian Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial

Effectiveness of Diabetes Self-Management Education on Distress and HbA1C among Indian Type 2 Diabetes Mellitus Patients: A Randomized Controlled Trial

Effectiveness of a Culturally Responsive mHealth Gaming Application to Improve Diabetes Health Literacy in India

Editorial: Studies in young adults with type 2 diabetes to inform evidence-based guidelines specifically for early-onset type 2 diabetes are urgently required

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