CLINICAL AND SOCIODEMOGRAPHIC PROFILE OF TYPE 2 DIABETES MELLITUS IN RURAL POPULATION OF VINDHYA REGION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 94
Abstract
BACKGROUND Diabetes Mellitus (DM) is a major epidemic of this century. The prevalence of Type 2 Diabetes Mellitus (T2DM) is 11% in urban areas, while it is 3% - 9% in rural areas. The prevalence of diabetes and its complications is now rapidly increasing in India among the poor in the urban slum dwellers, the middle class and even in the rural areas. This is due to changes in lifestyle and dietary habits associated with urbanisation and globalisation. MATERIALS AND METHODS 500 type 2 diabetic patients from rural area of Vindhya region were included in the study. A detailed history and thorough clinical examination was done. Anthropometric measurements were recorded. RESULTS Out of 500 patients, 277 (55.4%) were males and 223 (44.6%) were females. Most of the patients, 303 (66.6%) were in the age group of 41 - 60 years with mean age of 57 yrs. In present study 71.8% patients were addicted to tobacco chewing, 28% were addicted to smoking and 11.2% were addicted to alcohol. 37.4% patients have positive family history. 17.4%, 61.8% and 20.8% patients have diabetes duration of < 5 yrs., 5 - 10 yrs. and > 10 yrs. respectively. 33% patients were on irregular treatment. 16.6% patients were hypertensive, 63.6% patients were overweight (25 - 29.9 kg/m2) and 5.2% patients were obese (> 30 kg/m2). In present study, 59.56% male patients have waist circumference (WC) ≥ 90 cm and 60.98% female patients have WC ≥ 80 cm. 25.60% patients have hypertriglyceridaemia and 18% patients have hypercholesterolaemia. 68.8% patients have poor glycaemic control. CONCLUSION The present study revealed that poor glycaemic control, irregular medication intake, obesity, dyslipidaemia and hypertension were prevalent in T2DM patients. Hence, the overall risk profile in patients from rural Vindhya region was very poor and needs improvement. These data can support health professional’s actions to effectively maintain and provide a more comprehensive approach to management of T2DM.
Authors and Affiliations
Praveen Kumar Baghel, Keshav Singh, Umesh Pratap Singh
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