Impact of adherence to lifestyle factors on glycemic control among individuals with type 2 diabetes
Journal Title: National Journal of Research in Community Medicine - Year 2017, Vol 6, Issue 0
Abstract
Background: Diabetes is one among the non communicable diseases which is an upcoming public health problem in India. Due to its chronic nature, the disease leads to complications which are life threatening and also affects the quality of life of the patients. Objectives: To evaluate compliance to lifestyle management among type 2 diabetes patients and To study the effect of lifestyle management on glycemic control. Methodology: A hospital based cross sectional study was done in a tertiary care teaching hospital. The study involved 600 type 2 diabetes patients who were on treatment for diabetes, attending the outpatient department of the hospital. The study participants were interviewed using a semi structured interview schedule to obtain information on duration of diabetes, awareness and practice of pharmacological and non pharmacological treatment for diabetes, complication of diabetes. Fasting and postprandial blood sugar levels were measured. The data was entered and analyzed using IBM SPSS version 20.0 and presented in the form of mean and percentages. Chi-square test, binary logistic regression were used to find the association between parameters assessed and glycemic control. Results: Among the diabetic patients, 50.7% were males and mean age was 52.19±11.08 years. Mean duration of the diabetes was 7.3±3.2 years. About 50% of the patients were overweight, 29% were obese and 21% had normal BMI values. Glycemic control was unsatisfactory for 50% of the patients using fasting blood glucose (>125mg/dl) and 44% using 2 hour postprandial blood glucose levels (180mg/dl). With bivariate analysis young age, regular physical activity, non alcoholic and compliance to pharmacological treatment had significantly low blood glucose level. Conclusion: Along with pharmacological treatment, adherence to healthy behavioral factors should be emphasized to achieve better glycemic control among diabetics.
Authors and Affiliations
Hemalatha K, Karthikeyan K, Kavitha G, Jayachandran N
Knowledge Attitude and Practices about dengue among adults slum population of Chennai, India
Back ground: Dengue is one of the major public health problems and contributes to annual outbreak in India. Rapid urbanization, neglected slum area and environmental changes results in vector breeding, since dengue does...
Socio-demographic Determinants and Perception of Family Planning Practices among Eligible Couples in Urban Field Practice area of a Medical College, Mysuru
Background: The Child bearing and the use of contraceptives are some of the most important decisions on reproduction that could be taken by couples to curtail the number of children they want to have. The issue of family...
A community based study regarding awareness of cancer among women of reproductive age group (15-49 years) in Kalaburagi district
Background Due to lack of awareness of cancer and danger signs among people, more than 70% of the cases present in advanced stage accounting to high morbidity and mortality. Objective: To study the awareness of cancer am...
Screening of Type II Diabetes Mellitus on the Basis of IDRS Among Urban Population of Bhopal, Madhya Pradesh
Background: The prevalence of diabetes for all age groups worldwide was estimated to be 2.8% in 2000 which is projected to increase to 4.4% by 2030 , The total number of people with diabetes is projected to rise from 171...
Prevalence and Correlates of Low PEFR among non-smoking tribal adults of Kandhamal district in Odisha: a cross sectional field study
Introduction: The primary cause of obstructive lung disease is tobacco smoke. However, this disease is more than a “smoker’s cough”. This study was conducted with the objective to estimate the prevalence of various risk...