Gomathi Ramaswamy1, Palanivel Chinnakali2, Sriram Selvaraju3, Divya Nair4, Pruthu Thekkur5, Kalaiselvi Selvaraj6, Roopa Shivashankar7, Akash Ranjan Singh8, Halevoor Nanjundappa Vrushabhendra9. 1. M.D. Community Medicine, Assistant Professor, Department of Community Medicine, Sri Venkateshwaraa Medical College Hospital and Research Center (SVMCH&RC), (Current Position: Research Officer, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, Puducherry, India. Electronic address: gmthramaswamy@gmail.com. 2. M.D. Community Medicine, Associate Professor, Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India. Electronic address: palaniccm@gmail.com. 3. MPH, Scientist C, National Institute for Research in Tuberculosis, Chennai, India. Electronic address: sriram.s@nirt.res.in. 4. M.D. Community Medicine, Program Officer, The INCLEN Trust International, New Delhi, India. Electronic address: divsnair08@gmail.com. 5. M.D. Community Medicine, Monitoring and Evaluation Officer, The Union, South East Asia Office, New Delhi, India. Electronic address: pruthu.gowda@gmail.com. 6. M.D. Community Medicine, Assistant Professor, Department of Community Medicine, Pondicherry Institute of Medical Sciences (PIMS), Puducherry, India. Electronic address: kalaiselvi.dr@gmail.com. 7. M.D. Community Medicine, Centre for Chronic Disease Control, New Delhi, India. Electronic address: roopa@ccdcindia.org. 8. M.D. Community Medicine, Senior Resident, Department of Community Medicine, All India Institute of Medical Sciences, Bhopal, India. Electronic address: akashranjan02@gmail.com. 9. M.D. Community Medicine, Assistant Professor, Department of Community Medicine, Sri Venkateshwaraa Medical College Hospital and Research Center (SVMCH&RC), (Current Position: Research Officer, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, Puducherry, India. Electronic address: hnvrushabhendra@gmail.com.
Abstract
AIM: We aimed to screen for prediabetes, diabetes and other cardiovascular risk factors among family members of people with diabetes registered for care in a primary health centre in South India. METHODS: During 2017-2018, we screened eligible family members of individuals with diabetes at their homes. We measured fasting capillary blood glucose (FCBG); for those with FCBG≥126 mg/dl, we confirmed the diagnosis of diabetes with fasting plasma glucose (FPG). We defined prediabetes as FCBG between 100 and 125 mg/dl; diabetes as both FCBG and FPG ≥126 mg/dl. We assessed non-communicable disease risk factors using WHO STEPS questionnaire. RESULTS: Of total 884 participants, 873 (99%) underwent screening; 280 (32%) had prediabetes, and 19 (2.2%) were confirmed with diabetes. Of newly diagnosed, 17 (90%) were initiated on treatment. Of 873 participants, 180 (20.6%) were newly diagnosed with hypertension. Of the total, 7.3%, 5.2% and 16% reported tobacco use, alcohol use and high salt intake respectively. Nearly half (48%) had overweight. CONCLUSION: Though the yield for diabetes is modest (3%), the house to house approach was able to screen 99% of eligible population. High prevalence of prediabetes and undiagnosed hypertension emphasize the need for screening and life style modifications.
AIM: We aimed to screen for prediabetes, diabetes and other cardiovascular risk factors among family members of people with diabetes registered for care in a primary health centre in South India. METHODS: During 2017-2018, we screened eligible family members of individuals with diabetes at their homes. We measured fasting capillary blood glucose (FCBG); for those with FCBG≥126 mg/dl, we confirmed the diagnosis of diabetes with fasting plasma glucose (FPG). We defined prediabetes as FCBG between 100 and 125 mg/dl; diabetes as both FCBG and FPG ≥126 mg/dl. We assessed non-communicable disease risk factors using WHO STEPS questionnaire. RESULTS: Of total 884 participants, 873 (99%) underwent screening; 280 (32%) had prediabetes, and 19 (2.2%) were confirmed with diabetes. Of newly diagnosed, 17 (90%) were initiated on treatment. Of 873 participants, 180 (20.6%) were newly diagnosed with hypertension. Of the total, 7.3%, 5.2% and 16% reported tobacco use, alcohol use and high salt intake respectively. Nearly half (48%) had overweight. CONCLUSION: Though the yield for diabetes is modest (3%), the house to house approach was able to screen 99% of eligible population. High prevalence of prediabetes and undiagnosed hypertension emphasize the need for screening and life style modifications.