Opportunistic screening for diabetes mellitus among adults attending a primary health center in Puducherry
Journal Title: International Journal of Medical Science and Public Health - Year 2015, Vol 4, Issue 9
Abstract
Background : More than half of cases with diabetes mellitus in India remain undiagnosed. Considering factors on yield and availability of resources, population-based screening is not recommended in low- and middle-income countries. Evidences on feasibility of opportunistic screening for diabetes mellitus and follow-up in rural settings are scarce. Objective : To estimate the proportion of undiagnosed diabetes mellitus among individuals aged 30 years or more attending a primary health center, and to identify factors influencing yield of such an opportunistic screening. Materials and Methods : Individuals aged 30 years and above attending a rural health center were screened for diabetes mellitus (using random blood sugar test) and for noncommunicable diseases risk factors. People who had random blood sugar level 140 mg% or more were advised to come for the follow-up visit to confirm the diagnosis. Study participants with fasting blood sugar level of ≥126 mg/dL (7.0 mmol/L) and/or 2-h postprandial blood sugar level of ≥200 mg/dL (11.1 mmol/L) were diagnosed as having diabetes mellitus. Result : Of 400 eligible participants, 81 (21.3%) had a random blood sugar level of 140 mg% or more. A total of 18 participants (4.5%) were newly diagnosed with diabetes mellitus. Overall, the number needed to screen a case of diabetes mellitus was 22. The number needed to screen was least among males (12) and highest among females (43). Conclusion : In primary care settings where more than half of the cases were unidentified in the community, opportunistic screening can be a feasible strategy to find out missed cases.
Authors and Affiliations
Vinayagamoorthy Venugopal, Kalaiselvi Selvaraj, Anindo Majumdar, Palanivel Chinnakali, Gautam Roy
Keywords
Related Articles
- EP ID EP95602
- DOI 10.5455/ijmsph.2015.03032015238
- Views 118
- Downloads 0
Factors determining family support and quality of life of elderly population
Background: Aging is an unavoidable and irreversible change as a result of demographic transition in all societies. Family support for the elderly people has become a very important issue in examining the overall wel...
Comparison of physicians’ knowledge regarding radiation exposure and risks in common radiological investigations – A cross-sectional study
Background: Radiations have been proven to increase the risk of cancer, heritable defects, and radiation associated noncancer diseases. Inappropriately advised radiology investigations can lead to avoidable radiation exp...
Exclusive breast-feeding among children attending well-baby clinic at Al-Eskan PHC Center, Makkah Al-Mokarramah
Background: The World Health Organization (WHO), the American Academy of Pediatrics, and the US Preventive Services Task Force, all recommend exclusive breast-feeding for the fi rst 6 months of life. Objectives: To...
Prevalence of polypharmacy and potentially inappropriate medication use among elderly people in the rural field practice area of a medical college in Karnataka
Background: With the rise in proportion of elderly people in India, various problems related to their health are also on the rise. An estimated 50% elderly people in India suffer from at least one chronic disease tha...
The role of nociceptin and orexin in the pathophysiology of psychogenic stress and sepsis: A literature review
The established paradigm of stress axis is not only borne by the hypothalamic-pituitary-adrenal (HPA) axis. There are various “fine-tuners” in the form of neuromodulators whose intricate functioning is under active inves...