Prevalence and Determinants of Uncontrolled Diabetes Mellitus: A Community-Based Study from Karnataka, India

Authors

  • Imaad Mohammed Ismail Yenepoya Medical College, Mangaluru, Karnataka, India
  • Poonam R Naik Yenepoya Medical College, Mangaluru, Karnataka, India

DOI:

https://doi.org/10.55489/njcm.151020244459

Keywords:

Diabetes mellitus, Uncontrolled, Determinants, Kknowledge, Practice, India

Abstract

Background: Uncontrolled diabetes mellitus is a significant health challenge, especially in developing countries. Factors contributing to it vary by region, making it crucial to understand them for effective blood sugar control. The study’s objectives were to estimate the prevalence of uncontrolled diabetes mellitus and its determinants among residents of selected areas of Dakshina Kannada, Karnataka.

Methodology: This study was conducted from October 2021 to May 2023 among adult diabetics residing in the Jokatte and Madani Nagar areas of Dakshina Kannada. The required sample size was estimated at 180 and 90 diabetic patients were randomly selected from each study area. Data were collected by field workers using a pre-tested questionnaire, and a lab technician obtained blood samples for HbA1c. Data analysis was performed using SPSS Ver 27.

Results: The study enrolled 180 diabetics with a mean (± S.D) age of 56.9 (±10.3) years. Uncontrolled diabetes was noted in 75.6% of diabetics. Significant determinants for uncontrolled diabetes were longer duration of diabetes, poor knowledge of blood sugar tests, irregular testing and insufficient physical activity.

Conclusion: The study observed an alarming prevalence of uncontrolled diabetes and identified its key determinants. Healthcare providers must implement targeted interventions addressing these factors to achieve effective diabetes control.

References

American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2014;37(Suppl 1):S81-90. Doi: https://doi.org/10.2337/dc14-S081

International Diabetes Federation. Diabetes facts and figures [Internet]. Available at: https://idf.org/about-diabetes/diabetes-facts-figures/. Accessed Jun 5th, 2024.

Mathur P, Leburu S, Kulothungan V. Prevalence, awareness, treatment and control of diabetes in India from the countrywide national NCD monitoring survey. Front Public Health. 2022;10:748153. Doi: https://doi.org/10.3389/fpubh.2022.748157

Maiti S, Akhtar S, Upadhyay AK, Mohanty SK. Socioeconomic inequality in awareness, treatment and control of diabetes among adults in India: Evidence from National Family Health Survey of India (NFHS), 2019-2021. Sci Rep. 2023;13(1):2971. Doi: https://doi.org/10.1038/s41598-023-29978-y

Fowler MJ. Microvascular and macrovascular complications of diabetes. Clin Diabetes. 2008;26(2):77-82. Doi: https://doi.org/10.2337/diaclin.26.2.77

El Bcheraoui C, Basulaiman M, Tuffaha M, Daoud F, Robinson M, Jaber S, et al. Status of the diabetes epidemic in the Kingdom of Saudi Arabia, 2013. Int J Public Health. 2014;59(6):1011-21. Doi: https://doi.org/10.1007/s00038-014-0612-4

Siddiqui FJ, Avan BI, Mahmud S, Nanan DJ, Jabbar A, Assam PN. Uncontrolled diabetes mellitus: Prevalence and risk factors among people with type 2 diabetes mellitus in an urban district of Karachi, Pakistan. Diabetes Res Clin Pract. 2015;107(1):148-56. Doi: https://doi.org/10.1016/j.diabres.2014.09.025

De Silva AP, De Silva SHP, Haniffa R, Liyanage IK, Jayasinghe KSA, Katulanda P, et al. A survey on socioeconomic determinants of diabetes mellitus management in a lower middle income setting. Int J Equity Health. 2016;15:74. Doi: https://doi.org/10.1186/s12939-016-0363-3

Al Makhmari AAK, Ullah MM, Salim Al Alawi FS, Al Saadi KD. Identifying the prevalence and risk factors associated with uncontrolled diabetes (Type 2) in Al Buraimi Governorate, Sultanate of Oman. Glob J Health Sci. 2018;10(11):39-45. Doi: https://doi.org/10.5539/gjhs.v10n11p39

Gebreyohannes EA, Netere AK, Belachew SA. Glycemic control among diabetic patients in Ethiopia: A systematic review and meta-analysis. PLoS One. 2019;14(8):e0221790. Doi: https://doi.org/10.1371/journal.pone.0221790

Ayele BH, Roba HS, Beyene AS, Mengesha MM. Prevalent, uncontrolled, and undiagnosed diabetes mellitus among urban adults in Dire Dawa, Eastern Ethiopia: A population-based cross-sectional study. SAGE Open Med. 2020;8:1-11. Doi: https://doi.org/10.1177/2050312120975235

Phuwilert P, Khiewkhern S, Wongprachum K, Phajan T. Google maps: Prevalence and distribution of uncontrolled type 2 diabetes mellitus in Kalasin Province, Thailand. Stud Health Technol Inform. 2020;272:403-6.

Alsuliman MA, Alotaibi SA, Zhang Q, Durgampudi PK. A systematic review of factors associated with uncontrolled diabetes and meta-analysis of its prevalence in Saudi Arabia since 2006. Diabetes Metab Res Rev. 2021;37(3):e3395. Doi: https://doi.org/10.1002/dmrr.3395

Fang M, Wang D, Coresh J, Selvin E. Trends in diabetes treatment and control in U.S. adults, 1999-2018. N Engl J Med. 2021 Jun 10;384(23):2219-28. Doi: https://doi.org/10.1056/NEJMsa2032271

Najafipour H, Farjami M, Sanjari M, Amirzadeh R, Shadkam Farokhi M, Mirzazadeh A. Prevalence and incidence rate of diabetes, pre-diabetes, uncontrolled diabetes, and their predictors in the adult population in southeastern Iran: Findings from KERCADR study. Front Public Health. 2021;9:611652. Doi: https://doi.org/10.3389/fpubh.2021.611652

Unnikrishnan R, Anjana RM, Deepa M, Pradeepa R, Joshi SR, Bhansali A, et al. Glycemic control among individuals with self-reported diabetes in India, the ICMR-INDIAB Study. Diabetes Technol Ther. 2014;16(9):596-603. Doi: https://doi.org/10.1089/dia.2014.0018

Borgharkar SS, Das SS. Real-world evidence of glycemic control among patients with type 2 diabetes mellitus in India: The TIGHT study. BMJ Open Diabetes Res Care. 2019;7:e000654. Doi: https://doi.org/10.1136/bmjdrc-2019-000654

Najeeb SS, Joy TM, Sreedevi A, Vijayakumar K, Syama, Glycaemic Control and Determinants Team. Glycemic control and its determinants among people with type 2 diabetes mellitus in Ernakulam district, Kerala. Indian J Public Health. 2022;66(Supplement):S80-6. Doi: https://doi.org/10.4103/ijph.ijph_1104_22

Djonor SK, Ako-Nnubeng IT, Owusu EA, Akuffo KO, Nortey P, Agyei-Manu E, et al. Determinants of blood glucose control among people with Type 2 diabetes in a regional hospital in Ghana. PLoS One. 2021;16(12):e0261455. Doi: https://doi.org/10.1371/journal.pone.0261455

Liu L, Wang F, Gracely EJ, Moore K, Melly S, Zhang F, et al. Burden of uncontrolled hyperglycemia and its association with patients characteristics and socioeconomic status in Philadelphia, USA. Health Equity. 2020;4(1):525-32. Doi: https://doi.org/10.1089/heq.2020.0076

Fathima F, George N, George M, Mathew S, Rajitha M, Agrawal T, et al. Effectiveness of color coded diabetic control monitoring charts among elderly diabetics attending outreach primary care geriatric clinics in rural Karnataka: An open label randomized control trial. Indian JouCommunity Med. 2019;44(1):39-43. Doi: https://doi.org/10.4103/ijcm.IJCM_231_18

American Diabetes Association. Standards of medical care in diabetes-2022 abridged for primary care providers. Clin Diabetes. 2022;40(1):10-38. Doi: https://doi.org/10.2337/cd22-as01

Riaz F, Al Shaikh A, Anjum Q, Mudawi Alqahtani Y, Shahid S. Factors related to the uncontrolled fasting blood sugar among type 2 diabetic patients attending primary health care center, Abha city, Saudi Arabia. Int J Clin Pract. 2021;75(7):e14168. Doi: https://doi.org/10.1111/ijcp.14168

Alemu T, Tadesse T, Amogne G. Glycemic control and its determinants among patients with type 2 diabetes mellitus at Menelik II Referral Hospital, Ethiopia. SAGE Open Med. 2021;9:1-8. Doi: https://doi.org/10.1177/20503121211023000

Khan H, Lasker SS, Chowdhury TA. Exploring reasons for very poor glycaemic control in patients with Type 2 diabetes. Prim Care Diabetes. 2011;5(4):251-5. Doi: https://doi.org/10.1016/j.pcd.2011.07.001

Mamo Y, Bekele F, Nigussie T, Zewudie A. Determinants of poor glycemic control among adult patients with type 2 diabetes mellitus in Jimma University Medical Center, Jimma zone, south west Ethiopia: a case control study. BMC EndocrDisord. 2019;19(1):91. Doi: https://doi.org/10.1186/s12902-019-0421-0

Rasheed M, Islam N, Mahjabeen W. Factors associated with uncontrolled type 2 diabetes mellitus. J Islamabad MedDen Coll. 2015;4(2):68-71.

Hawley JA. Exercise as a therapeutic intervention for the prevention and treatment of insulin resistance. Diabetes Metab Res Rev. 2004;20(5):383-93. Doi: https://doi.org/10.1002/dmrr.505

Sluik D, Buijsse B, Muckelbauer R, Kaaks R, Teucher B, Johnsen NF, et al. Physical activity and mortality in individuals with diabetes mellitus. Arch Intern Med. 2012;172(17):1285-95. Doi: https://doi.org/10.1001/archinternmed.2012.3130

Downloads

Published

2024-10-01

How to Cite

1.
Ismail IM, Naik PR. Prevalence and Determinants of Uncontrolled Diabetes Mellitus: A Community-Based Study from Karnataka, India. Natl J Community Med [Internet]. 2024 Oct. 1 [cited 2024 Oct. 16];15(10):842-9. Available from: https://njcmindia.com/index.php/file/article/view/4459

Issue

Section

Original Research Articles