Puja Dudeja1, Gurpreet Singh2, Tukaram Gadekar3, Sandip Mukherji4. 1. Assistant Professor, Department of Community Medicine, Armed Forces Medical College, Pune 411040, India. 2. Clinical Tutor, Department of Community Medicine, Armed Forces Medical College, Pune 411040, India. 3. Resident, Department of Community Medicine, Armed Forces Medical College, Pune 411040, India. 4. Professor & Head, Department of Community Medicine, Armed Forces Medical College, Pune 411040, India.
Abstract
BACKGROUND: India is diabetic capital of world, with maximum number of diabetic patients. There is large burden of undetected diabetic cases in community. There is increasing risk of diabetes in urban slum, because of illiteracy, lack of awareness, low socioeconomic status and unhealthy life style. Madras Diabetes Research Foundation (MDRF) has developed Indian Diabetes Risk Score (IDRS) to detect undiagnosed Type 2 diabetes. The aim of this article is to study the performance of IDRS as screening tool for undiagnosed cases of Type 2 diabetes and to find the prevalence of undiagnosed Type 2 diabetes in an urban slum. METHODS: Screening for diabetes was carried out in an urban slum. The sample size was 155 (assumed prevalence of undiagnosed diabetes 9%). IDRS tool comprising of two modifiable (waist circumference, physical activity) and two non-modifiable risk factors (age, family history) for diabetes was used to assess the risk of diabetes anthropometry data was obtained. Conformation of diabetes was done using blood sugar levels on fasting venous sample. RESULTS: Mean and SD for age of study subjects were 49.68 ± 14.80 years, BMI 26.60 ± 8.51 kg/m2, waist hip ratio (females) 0.87 ± 0.06 cm, waist hip ratio (males) 0.95 ± 0.06 cm, waist circumference (females) 89.99 ± 10.95 cm, waist circumference (males) 89.44 ± 10.9 cm. IDRS predicted the risk of diabetes mellitus with sensitivity of 95.12% and specificity of 28.95% in individuals with score >60. CONCLUSION: IDRS can be used as an effective tool for screening undiagnosed diabetes in the community.
BACKGROUND: India is diabetic capital of world, with maximum number of diabeticpatients. There is large burden of undetected diabetic cases in community. There is increasing risk of diabetes in urban slum, because of illiteracy, lack of awareness, low socioeconomic status and unhealthy life style. Madras Diabetes Research Foundation (MDRF) has developed Indian Diabetes Risk Score (IDRS) to detect undiagnosed Type 2 diabetes. The aim of this article is to study the performance of IDRS as screening tool for undiagnosed cases of Type 2 diabetes and to find the prevalence of undiagnosed Type 2 diabetes in an urban slum. METHODS: Screening for diabetes was carried out in an urban slum. The sample size was 155 (assumed prevalence of undiagnosed diabetes 9%). IDRS tool comprising of two modifiable (waist circumference, physical activity) and two non-modifiable risk factors (age, family history) for diabetes was used to assess the risk of diabetes anthropometry data was obtained. Conformation of diabetes was done using blood sugar levels on fasting venous sample. RESULTS: Mean and SD for age of study subjects were 49.68 ± 14.80 years, BMI 26.60 ± 8.51 kg/m2, waist hip ratio (females) 0.87 ± 0.06 cm, waist hip ratio (males) 0.95 ± 0.06 cm, waist circumference (females) 89.99 ± 10.95 cm, waist circumference (males) 89.44 ± 10.9 cm. IDRS predicted the risk of diabetes mellitus with sensitivity of 95.12% and specificity of 28.95% in individuals with score >60. CONCLUSION: IDRS can be used as an effective tool for screening undiagnosed diabetes in the community.
Authors: K S Reddy; D Prabhakaran; V Chaturvedi; P Jeemon; K R Thankappan; L Ramakrishnan; B V M Mohan; C S Pandav; F U Ahmed; P P Joshi; R Meera; R B Amin; R C Ahuja; M S Das; T M Jaison Journal: Bull World Health Organ Date: 2006-06-21 Impact factor: 9.408
Authors: Annemieke M W Spijkerman; Matthew F Yuyun; Simon J Griffin; Jacqueline M Dekker; Giel Nijpels; Nicholas J Wareham Journal: Diabetes Care Date: 2004-01 Impact factor: 19.112