scholarly journals Screening for Diabetes Mellitus risk using Indian Diabetic risk score in an urban slum in Mysuru

2020 ◽  
Vol 1 (1) ◽  
pp. 12-16
Author(s):  
M R Narayanamurthy ◽  

Globalization of risk factors is the new trend leading to non-communicable diseases and Diabetes ranks fourth. Diabetes owes its major importance to the fact that it is a silent killer which leads to serious sequel reducing the quality of life. Early detection of diabetes by suitable screening methods helps to delay the micro and macrovascular complications, thereby reducing the clinical, social, and economic burden of the diseases. To assess diabetes risk using IDRS and other associated factors. A cross-sectional study was done in an urban slum in Mysuru with 136 participants aged >18 years and no history of diabetes. Data was collected using a pre-designed questionnaire after taking written informed consent. Diabetes risk was assessed using MDRF’s IDRS. Data was entered in MS Excel and analysed using IBM SPSS v24. P<0.05 was considered statistically significant. Mean age of the study participants was 45.24±15.59 years. BPL card holders were 99 (72.8%). As per IDRS 49 (36.0%), 41 (30.1%) and 46 (33.8%) had a low, moderate and high risk for diabetes mellitus. Age, marital status, education, having BPL card and IDRS score of study participants were statistically significantly associated. According to IDRS 49 (36.0%), 41 (30.1%) and 46 (33.8%) had a low, moderate and high risk for diabetes mellitus, which is moderate to high. Measures like yoga and creating awareness about risk factors need to be taken to reduce the risk. Keywords: Diabetes mellitus; IDRS; risk factor

2020 ◽  
Vol 32 (1) ◽  
pp. 97-100
Author(s):  
Mahendra Singh ◽  
Surekha Kishore ◽  
Bhavan Jain ◽  
Sanjeev Kishore ◽  
Pradeep Aggarwal ◽  
...  

Background: Type 2 diabetes mellitus (T2DM) is a chronic, debilitating non communicable diseases (NCDs) which has emerged as a leading global health problem. Aim & Objective: To find out the prevalence of known cases of diabetes mellitus and associated risk factors in the study area. Material & Methods: Community-based cross-sectional study was conducted among people living in Barrage colony of Rishikesh, Uttarakhand for a period of 3 months from December 2018 to February 2019. House to house survey was done in all the four blocks (A, B, C, D) of Barrage colony. Total of 815 study participants (both male and female) ≥ 20 years of age were surveyed. Data collected was entered into Microsoft Excel and analyzed using epi info software version 7. Results: The prevalence of DM was found to be high i.e 5.6% among the study participants. Prevalence was significantly more among females as compared to males and significantly increased by aging in both genders. Conclusions: It seems that the prevalence of diabetes is increasing in our region as well as our country and the world. To control DM public health education regarding consumption of balanced diet, increasing physical activity and leading a stress-free life is needed.


2021 ◽  
Vol 21 (2) ◽  
pp. 693-701
Author(s):  
Chinonyerem O Iheanacho ◽  
Doyin O Osoba ◽  
Uchenna IH Eze

Background: Prevention of type 2 diabetes is enabled by identification and effective management of risk factors. Objectives: To evaluate the predominant risks for type 2 diabetes and identify persons at highest risk in a population; to facilitate the understanding of implications for practice. Methods: Cross-sectional survey using Canadian diabetes risk assessment questionnaire was conducted among non-diabetic persons who visited two secondary hospitals. SPSS version 18 was used for data analysis. Results: A total of 300 respondents participated in the study, with 25.7% having family history of type 2 diabetes, while 160 (53.3%) were at high risk of developing the disease. Males (62.5%), overweight (65.1%) and obese (82.6%) participants, were at higher risk. Others found to be at high risk were respondents with high waist circumference (55.6%), respondents who did not exercise (77.0%), those who did not eat fruits/vegetable daily (54.4% ), those with high blood pressure (67.5%) and those who have had raised blood sugar in the past (71.0% ). Conclusion: Majority of the study participants was at high risk for type 2 diabetes, male participants had higher risks and lifestyles/habits were the major risks for developing the disease. Keywords: Evaluation; type 2 diabetes; risk factors; Nigeria; primary prevention.


Author(s):  
Sushma Katkuri ◽  
Misha Gorantla

Background: Breast cancer is the second most common cancer overall and is the most common cancer in women worldwide, both in the developed and developing countries. There are about 1.38 million new cases and 458,000 deaths from breast cancer each year. The aims and objectives of the study were to determine the awareness about breast cancer among urban slum women.Methods: A community based cross–sectional study was conducted at urban slum Shahpur Nagar, Hyderabad. The study participants were above 15 years of age and the study was conducted for a period of one month. A total of 200 study participants were enrolled.Results: Only 35% of the study population was aware about the early danger signs and 66% were unaware. Those who were aware in that 46.3% were breast lump is the early warning sign of breast cancer, followed by 28% said breast abscess, 16% pain in breast, 9% painless lump and 1.4% said for nipple discharge. Regarding skin changes nobody was aware about it. Awareness about risk factors for breast cancer was very poor that is only 21% were knowing about the risk factors about breast cancer. Near about 54% said they are aware about breast cancer by clinical examination done by doctor, 35% said by self breast examination and 12% said by mammography.Conclusions: Intensified health education campaigns should be conducted in the community and they be made aware about breast cancer. 


Author(s):  
Singam Sivasankar Reddy ◽  
Syeda Rahath ◽  
Rakshitha H N ◽  
Godson K Lal ◽  
Swathy S ◽  
...  

The objective of the study was to evaluate the risk of diabetes mellitus in elderlywith age above 20 years in a hospital setting using Indian Diabetes risk score and to provide patient counselling regarding their life style modifications and health related quality of life among participants with high risk of developing diabetes.A total of 125 non diabetic patients were interviewed with a pre designed selfstructured questionnaire (IDRS). Participants were chosen voluntarily and a written consent was obtained before the administration of the questionnaire from individual patients. In our study we observed that out of 125 patients,males 26[59%]and 18[41%] females were at high risk, males 39[58.2%] and 28[41.8%] females were at moderate risk, males 5[35.7%] and 9[64.3%] females were at low risk of developing diabetes mellitus.


2017 ◽  
pp. 35-44
Author(s):  
Dinh Toan Nguyen

Background: Studies show that diabetes mellitus is the greatest lifestyle risk factor for dementia. Appropriate management and treatment of type 2 diabetes mellitus could prevent the onset and progression of mild cognitive impairment to dementia. MoCA test is high sensitivity with mild dementia but it have not been used and studied widespread in Vietnam. Aim: 1. Using MoCA and MMSE to diagnose dementia in patients with type 2 diabetes mellitus. 2. Assessment of the relationship between dementia and the risk factors. Methods: cross-sectional description in 102 patients with type 2 diabetes mellitus. The Mini-Mental State Examination(MMSE) and the Montreal Cognitive Assessment (MoCA) were used to assess cognitive function. The diagnosis of dementia was made according to Diagnostic and Statistical Manual of Mental Disorders. Results: The average value for MoCA in the group of patients with dementia (15.35 ± 2.69) compared with non-dementia group (20.72 ± 4.53). The sensitivity and specificity of MoCA were 84.8% and 78.3% in identifying individuals with dementia, and MMSE were 78.5% and 82.6%, respectively. Using DSMIV criteria as gold standard we found MoCA and MMSE were more similar for dementia cases (AUC 0.871 and 0.890). The concordance between MoCA and MMSE was moderate (kappa = 0.485). When considering the risk factors, the education,the age, HbA1c, dyslipidemia, Cholesterol total related with dementia in the type 2 diabetes. Conclusion: MoCA scale is a good screening test of dementia in patients with type 2 diabetes mellitus.When compared with the MMSE scale, MoCA scale is more sensitive in detecting dementia. Key words: MoCA, dementia, type 2 diabetes mellitus, risk factors


2020 ◽  
Vol 2020 ◽  
pp. 1-12 ◽  
Author(s):  
Oliver Okoth Achila ◽  
Millen Ghebretinsae ◽  
Abraham Kidane ◽  
Michael Simon ◽  
Shewit Makonen ◽  
...  

Objective. There is a dearth of relevant research on the rapidly evolving epidemic of diabetes mellitus (particularly Type 2 diabetes mellitus) in sub-Saharan Africa. To address some of these issues in the Eritrean context, we conducted a cross-sectional study on glycemic and lipid profiles and associated risk factors. Methods. A total of 309 patients with diabetes mellitus on regular follow-up at the Diabetic and Hypertensive Department at Halibet Regional Referral Hospital, Asmara, were enrolled for the study. Data on specific clinical chemistry and anthropomorphic parameters was collected. Chi-squared (χ2) test or Fischer’s exact test was used to evaluate the relationship between specific variables. Multivariate logistic regression (backward: conditional) was undertaken to identify the factors associated with increased odds of suboptimal values in glucose and specific lipid panel subfractions. Results. High proportions of patients (76.7%) had suboptimal levels of HbA1c with a mean±SD of 8.6%±1.36, respectively. In multivariate regression analysis, the likelihood of HbA1c≥7% was higher in patients with abnormal WHR (AOR=3.01, 95% CI, 3.01 (1.15–7.92=0.024)) and in patients without hypertension (AOR=1.97, 95% CI (1.06–3.56), p=0.021). A unit reduction in eGFR was also associated with HbA1c≥7% (AOR=0.99, 95% CI (0.98–1=0.031)). In a separate analysis, the data shows that 80.9% of the patients had dyslipidemia. In particular, 62.1% of the patients had TC≥200 mg/dL (risk factors: sex, hypertension, and HbA1c concentration), 81.6% had LDL‐C≥100 mg/dL (risk factors: sex and hypertension), 56.3% had TG≥150 (risk factors: sex, HbA1c, and waist circumference), 62.8% had abnormal HDL-C (risk factors: waist circumference), 78.3% had non‐HDL<130 mg/dL (risk factors: duration of disease, reduced estimated glomerular filtration rate, and HbA1c), and 45.3% had abnormal TG/HDL (risk factors: sex, age of patient, FPG, and waist circumference). Conclusions. The quality of care, as measured by glycemic and specific lipid targets, in this setting is suboptimal. Therefore, there is an urgent need for simultaneous improvements in both indicators. This will require evidence-based optimization of pharmacological and lifestyle interventions. Therefore, additional studies, preferably longitudinal studies with long follow-up, are required on multiple aspects of DM.


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