A Study of Screening for Diabetes Mellitus Type II in Population aged more than 40 years in Central Indian City
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 3
Abstract
Background Type 2 diabetes mellitus is one of the most common chronic metabolic disorders characterized by hyperglycemia. The International Diabetes Federation (IDF) estimates the global prevalence of type 2 diabetes at 6.6% (285 million cases) in 2010 and expects to reach to 7.8 % (438 million cases) by 20301. This rapid increase in the global prevalence is attributed to population growth, aging, urbanization and increasing prevalence of obesity and physical inactivity. This study was carried out to screen those > 40 years of age in the population of Rewa Madhya Pradesh for Type 2 diabetes mellitus. Material and Methods: 4000 individuals were screened. These were those who were either admitted or attending the OPD of SGMH Rewa between August 2013 and October 2014. Patients who were known Diabetics, Type 1 Diabetics, MODY and Gestational Diabetes Mellitus were excluded. Consent was taken from all individuals. Samples were collected from those fulfilling the inclusion criteria and 2 hr post prandial blood sugar values were estimated. Results: 516 cases were diagnosed as diabetics while 640 had impaired glucose tolerance. Out of those 516 diabetics a slight majority of 53.1% were males. 56.98% of those were from the 41-50 years age group. The majority of the population screened belonged to urban areas i.e. 2116 people. 61.63% patients who were diagnosed as diabetics were literate. 184 people out of the 516 diagnosed as diabetics had BMI between 25-29.9 kg/m2 and those having BMI between 18.5-24.9 kg/m2 had impaired glucose tolerance. Conclusion: Our study revealed that there is positive co relation between incidence of Diabetes and age, gender, BMI >25 kg/m2 and an inverse co relation with literacy rate. There was a surprising revelation of impaired glucose tolerance in people with normal BMI leading us to question whether how effective is BMI in Indian population as a marker for Impaired glucose tolerance and if there are any other indices which need to be explored for our population.
Authors and Affiliations
Keshav Singh, Hemant Palwe, Manoj Indurkar, Praveen Kumar Baghel, M. K. Jain
Keywords
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