Estimation of Undiagnosed Diabetes and Pre-diabetes in People 45–75 Years in Two Blocks of Himachal Pradesh, India: A Cross-sectional Study
Background: As per the International Diabetes Federation guidelines and American Diabetic Association guidelines, all people above 45 and <75 years should be regularly tested for undiagnosed diabetes. Objective: We aimed to estimate the prevalence of undiagnosed diabetes and pre-diabetes in the p...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Amrita Journal of Medicine |
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| Online Access: | https://doi.org/10.4103/AMJM.AMJM_31_24 |
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| author | Ashok Bhardwaj Sanjay Kumar Mitasha Singh Chirag Goel |
| author_facet | Ashok Bhardwaj Sanjay Kumar Mitasha Singh Chirag Goel |
| author_sort | Ashok Bhardwaj |
| collection | DOAJ |
| description | Background: As per the International Diabetes Federation guidelines and American Diabetic Association guidelines, all people above 45 and <75 years should be regularly tested for undiagnosed diabetes. Objective: We aimed to estimate the prevalence of undiagnosed diabetes and pre-diabetes in the population aged 45–75 years using fasting plasma glucose (FPG), oral glucose tolerance test (OGTT), and glycated hemoglobin (HbA1c). Materials and Methods: An observational cross-sectional study was conducted at district Hamirpur and district Una of Himachal Pradesh on 600 adults 45–75 years of age. A community-based screening was conducted using a questionnaire with symptoms suggestive of diabetes and other non-communicable diseases such as hypertensions and stroke. Already diagnosed diabetics were excluded from the second phase of the study where all patients positive on screening were invited for laboratory investigations to confirm the diabetic status. Diabetes and pre-diabetes prevalence was calculated using fasting blood glucose (FBS), OGTT, and HbA1c criteria of the World Health Organization individually. Results: Using FBS, 21.7% were found to be pre-diabetic and 15.5% were diabetic. Using OGTT on the same population, 19.7% were labeled as diabetic and 48.2% were impaired glucose-tolerant. Conclusion: The prevalence of only diabetes was highest on OGTT and lowest using FPG. |
| format | Article |
| id | doaj-art-8c7126f928e84549b33f13e5a0f8fcba |
| institution | Kabale University |
| issn | 0975-9662 2772-2805 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Amrita Journal of Medicine |
| spelling | doaj-art-8c7126f928e84549b33f13e5a0f8fcba2025-01-14T11:18:32ZengWolters Kluwer Medknow PublicationsAmrita Journal of Medicine0975-96622772-28052024-12-0120415616210.4103/AMJM.AMJM_31_24Estimation of Undiagnosed Diabetes and Pre-diabetes in People 45–75 Years in Two Blocks of Himachal Pradesh, India: A Cross-sectional StudyAshok BhardwajSanjay KumarMitasha SinghChirag GoelBackground: As per the International Diabetes Federation guidelines and American Diabetic Association guidelines, all people above 45 and <75 years should be regularly tested for undiagnosed diabetes. Objective: We aimed to estimate the prevalence of undiagnosed diabetes and pre-diabetes in the population aged 45–75 years using fasting plasma glucose (FPG), oral glucose tolerance test (OGTT), and glycated hemoglobin (HbA1c). Materials and Methods: An observational cross-sectional study was conducted at district Hamirpur and district Una of Himachal Pradesh on 600 adults 45–75 years of age. A community-based screening was conducted using a questionnaire with symptoms suggestive of diabetes and other non-communicable diseases such as hypertensions and stroke. Already diagnosed diabetics were excluded from the second phase of the study where all patients positive on screening were invited for laboratory investigations to confirm the diabetic status. Diabetes and pre-diabetes prevalence was calculated using fasting blood glucose (FBS), OGTT, and HbA1c criteria of the World Health Organization individually. Results: Using FBS, 21.7% were found to be pre-diabetic and 15.5% were diabetic. Using OGTT on the same population, 19.7% were labeled as diabetic and 48.2% were impaired glucose-tolerant. Conclusion: The prevalence of only diabetes was highest on OGTT and lowest using FPG.https://doi.org/10.4103/AMJM.AMJM_31_24fpghba1cinapparent diabetesogttolder adultsscreening |
| spellingShingle | Ashok Bhardwaj Sanjay Kumar Mitasha Singh Chirag Goel Estimation of Undiagnosed Diabetes and Pre-diabetes in People 45–75 Years in Two Blocks of Himachal Pradesh, India: A Cross-sectional Study Amrita Journal of Medicine fpg hba1c inapparent diabetes ogtt older adults screening |
| title | Estimation of Undiagnosed Diabetes and Pre-diabetes in People 45–75 Years in Two Blocks of Himachal Pradesh, India: A Cross-sectional Study |
| title_full | Estimation of Undiagnosed Diabetes and Pre-diabetes in People 45–75 Years in Two Blocks of Himachal Pradesh, India: A Cross-sectional Study |
| title_fullStr | Estimation of Undiagnosed Diabetes and Pre-diabetes in People 45–75 Years in Two Blocks of Himachal Pradesh, India: A Cross-sectional Study |
| title_full_unstemmed | Estimation of Undiagnosed Diabetes and Pre-diabetes in People 45–75 Years in Two Blocks of Himachal Pradesh, India: A Cross-sectional Study |
| title_short | Estimation of Undiagnosed Diabetes and Pre-diabetes in People 45–75 Years in Two Blocks of Himachal Pradesh, India: A Cross-sectional Study |
| title_sort | estimation of undiagnosed diabetes and pre diabetes in people 45 75 years in two blocks of himachal pradesh india a cross sectional study |
| topic | fpg hba1c inapparent diabetes ogtt older adults screening |
| url | https://doi.org/10.4103/AMJM.AMJM_31_24 |
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