Risk of developing Diabetes Mellitus among patients attending a Rural Health Training Centre, Kancheepuram district.

Abstract

Background: Diabetes as a non-communicable disease is a significant public health problem. The prevalence rate is increasing globally and reaching epidemic proportions. Globally, an estimated 422 million adults were living with diabetes in 2014 and they compared to 108 million in 1980. Over the past decade, diabetes prevalence has raised faster in low- and middle-income countries than in high-income countries. Objectives: To assess the risk of type 2 diabetes mellitus using the Indian Diabetes Risk Score (IDRS) among patients attending a RHTC;To measure the Random Blood Sugar levels (RBS) of all the study subjects and classify it according to their risk status. Materials and Methods: A cross sectional study was conducted during December 2018 to January 2019 among patients aged 18 years and above attending the Rural Health Training Centre of KIMS&RC, Pulipakkam, Kancheepuram District, Tamil Nadu. The patients were interviewed using a structured questionnaire consisting of socio-demographic details and Anthropometric measurement, Indian Diabetic Risk Score (IDRS) and Random Blood Sugar testing.  Result: Among 137 study participants, 65 (48%) were >50 years and 87(64%) were females. On evaluating the risk status of study subjects using IDRS, 43.7% had moderate risk and 35.0% had high risk score. With increase in age and BMI there was increase in the risk status for diabetes. Among the study subjects, 16(11.6%) were found to have an RBS value more than the cut off (i.e. >200 mg/dl). Conclusion: Majority of the subjects in our study belonged to the high risk and moderate risk category. A statistically significant association was seen between the age, BMI, Waist circumference and Physical activity.