Screening of Rural Adults (30 Years and Above) for Fasting Glycemic Status of Marathwada Region of Maharashtra, India
Keywords:
T2DM, fasting blood glucose, impaired fasting glucose, normoglycemia, glucometerAbstract
Background: Fasting blood glucose (FBG) is useful in screening of type 2 diabetes (T2DM) as well as in management of T2DM. The study conducted to screen the rural adults (30 years and above) for fasting glycemic status by using glucometer.
Material and methods: The present cross-sectional study was conducted among 184 adults during Oct 2017 to Dec 2017. A camp was organized in three villages of Nanded district in Marathwada region, Maharashtra, India. As per WHO criteria, fasting glycemia i.e. blood glucose < 110 g/l, ≥ 110 to < 126 g/l and ≥ 126 g/l was considered as normal, impaired fasting glucose(IFG) and high risk for T2DM respectively. A predesigned questionnaire was used for data collection. The data was analyzed by using SPSS Version 16 for percentages and binary logistic regression etc.
Results: Out of 184 adults, 143 (77.7%) had normoglycemia. 24(22.9%) adults had IFG whose age group was >45 years. Out of 93 males, 25 (26.9%) had IFG while out of 91 females, 16 (17.6%) had IFG. Binary logistic regression showed that no risk factor was significantly associated with IFG.
Conclusion: To conclude, the 22.3% participants had IFG which is alarming signal for the public health specialist to search the further.
References
World Health Organization: The World Health Report 2003. Geneva, World Health Organization, 2003.
Muktabhant B, Sanchaisuriya P, Sarakarn P, Tawityanon W, Trakulwong M, Worawat S et al. Use of glucometer and fasting blood glucose as screening tools for diabetes mellitus type 2 and glycated haemoglobin as clinical reference in ru- ral community primary care settings of a middle income country. BMC Public Health 2012;12:1.
Christophi CA, Resnick HE, Ratner RE, et al. Confirming Glycemic Status in the Diabetes Prevention Program: Impli- cations for Diagnosing Diabetes in High Risk Adults. J dia- betes complications 2013;27(2):150-157.
Screening for Type 2 Diabetes. Diabetes Care Jan 2003, 26 (suppl 1) s21-24.
WHO STEPS Surveillance. Part 3:Training and practical guide.Section 4:Guide to physical measurements(Step 2) [se- rial online] [cited 2018 July 24]; Available from:URL: http://www.who.int/ncds/surveillance/steps/Section%20 4%20Step%202%20Physical%20Measurements.pdf
Freestyle optium H blood glucose monitoring system: Hos- pital in-servicing program. Available from http://www. freestyleoptiumhtraining.com.au/FreeStyle-Optium-H- Introduction[Last accessed on 2018 Mar 6]
Deepthi R, Chandini C, Pratyusha K, Kusuma N, Raajitha B, Shetty G. Screening of diabetes and their risk factors among adults in rural kolar - A community based study. Int J Res Dev Health 2013;1(4):152-9.
Sayeed MA, Mahtab H, Akter Khanam P, Abdul Latif Z, Keramat Ali SM, Banu A et al. Diabetes and impaired fast- ing glycemia in a rural population of Bangladesh. Diabetes Care. 2003 Apr;26(4):1034-9.
Basit A, Hydrie MZ, Ahmed K, Hakeem R. Prevalence of diabetes, impaired fasting glucose and associated risk fac- tors in a rural area of Baluchistan province according to new ADA criteria. J Pak Med Assoc. 2002 Aug; 52(8):357-60.
Gu D, Reynolds K, Duan X, Xin X, Chen J, Wu X, Mo J, Whelton PK, He J; Inter ASIA Collaborative Group. Preva- lence of diabetes and impaired fasting glucose in the Chi- nese adult population: International Collaborative Study of Cardiovascular Disease in Asia (InterASIA). Diabetologia. 2003 Sep;46(9):1190-8.
Abu Sayeed M, Mahtab H, Akter Khanam P, Abul Ahsan K, Banu A, Rashid AN et al. Diabetes and impaired fasting glycemia in the tribes of Khagrachari hill tracts of Bangla- desh. Diabetes Care. 2004 May;27(5):1054-9.
Hussain A, Vaaler S, Sayeed MA, Mahtab H, Ali SM, Khan AK. Type 2 diabetes and impaired fasting blood glucose in rural Bangladesh: a population-based study. Eur J Public Health. 2007 Jun;17(3):291-6.
Kumar S, Mukherjee S, Mukhopadhyay P, Pandit K, Ray- chaudhuri M, Sengupta N et al. Prevalence of diabetes and impaired fasting glucose in a selected population with spe- cial reference to influence of family history and anthropom- etric measurements--the Kolkata policeman study. J Assoc Physicians India. 2008 Nov;56:841-4.
Rahim MA, Azad Khan AK, Nahar Q, Ali SM, Hussain A. Impaired fasting glucose and impaired glucose tolerance in rural population of Bangladesh. Bangladesh Med Res Counc Bull. 2010 Aug;36 (2):47-51.
Sahai S, Vyas D, Sharma S. Impaired Fasting Glucose: A Study of its Prevalence Documented at a Tertiary Care Cen- tre of Central India and its Association with Anthropomet- ric Variables. JIACM. 2011;12(3):187–92.
Kumar P, Mallik D, Mukhopadhyay DK, Sinhababu A, Ma- hapatra BS, Chakrabarti P. Prevalence of diabetes mellitus, impaired fasting glucose, impaired glucose tolerance, and its correlates among police personnel in Bankura District of West Bengal. Indian J Public Health. 2013 Jan-Mar;57(1):24- 8.
Qi L, Feng L, Ding X, Mao D, Wang Y, Xiong H. Prevalence of diabetes and impaired fasting glucose among residents in the Three Gorges Reservoir Region,China. BMC Public Health. 2014 Nov 6;14:1152.
Sagna Y, Tieno H, Guira O, Yanogo DAR, Benon LE, Zida S,et al. Prevalence and associated risk factors of diabetes and impaired fasting glucose in urban population; a study from Burkina Faso. J Diabetol 2014;2:4.
Reviriego J, Vázquez LA, Goday A, Cabrera M, García- Margallo MT, Calvo E.Prevalence of impaired fasting glu- cose and type 1 and 2 diabetes mellitus in a large nation- wide working population in Spain. Endocrinol Nutr. 2016 Apr;63(4):157-63.
Irazola V, Rubinstein A, Bazzano L, Calandrelli M, Chung- Shiuan C, Elorriaga N et al. Prevalence, awareness, treat- ment and control of diabetes and impaired fasting glucose in the Southern Cone of Latin America. PLoS One. 2017 Sep 6;12(9):e0183953.
Worede A, Alemu S, Gelaw YA, Abebe M. The prevalence of impaired fasting glucose and undiagnosed diabetes melli- tus and associated risk factors among adults living in a rural Koladiba town, northwest Ethiopia. BMC Res Notes. 2017 Jul 6;10(1):251.
WHO: Definition and diagnosis of diabetes mellitus and intermediate hyperglycaemia. 2006, World Health Organi- zation Press, Geneva.
Carnevale Schianca GP, Rossi A, Sainaghi PP, Maduli E, Bartoli E. The significance of impaired fasting glucose ver- sus impaired glucose tolerance: importance of insulin secretion and resistance. Diabetes Care 2003;26:1333–1337.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.
