A community based cross sectional study to assess the prevalence and pattern of co- morbidities among known type 2 diabetic patients of urban slum of North Karnataka, India

Authors

  • Tanuja P. Pattankar Department of Community Medicine, S. Nijlingappa Medical College, Navanagar, Bagalkot, Vijayapura, Karnataka, India
  • Shailaja S. Patil Department of Community Medicine, BLDEU's Shri B M Patil Medical College, Vijayapura, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20192300

Keywords:

Type 2 diabetic mellitus, Co-morbidities, Hypertension, HbA1c

Abstract

Background: India is the second largest home for type 2 diabetes mellitus patients. The chronic nature of disease along with high prevalence of “co morbidities” make its management tricky. Hence this multiple health conditions lead to faster decline in quality of health, which poses a great concern on the health-care delivery system as well as on patients’ pocket. The objective of the study was to assess the prevalence of co-morbidities among known type 2 diabetic patients residing in urban slums of the field practice area of a Medical College in North Karnataka.

Methods: It was a cross-sectional study done in urban slums among type 2 diabetics, sample size was calculated to be 155. Semi-structured questionnaire was used to collect information regarding socio-demographic data and history of co-morbidities; height, weight and blood-pressure were measured using standard criteria. HbA1C level was checked using single use HbA1C Now+ kit by BHR diagnostics.

Results: Out of 158 type 2 diabetics in our study, 86.7% had presence of one or the other co-morbidity. 61.9% and 51.5% of male and female participants had HbA1c levels >7.0 respectively, this was statistically significant. HbA1c level and BMI were significantly associated with presence of co-morbidities in our study population.

Conclusions: Results show high prevalence of co-morbidities among type 2 diabetics. Hypertension, obesity, depression and neuropathy are the commonest co-morbidities. So, prevention of such co-existing diseases improves the quality of life of the sufferers.

References

Ahmed AM. History of diabetes mellitus. Saudi Med J. 2002;23(4):373-8.

Patlak M. New weapons to combat an ancient disease: treating diabetes. FASEB J. 2002;16(14):1853.

Genetic basis of type 1 and type 2 diabetes, obesity, and their complications. Advances and emerging opportunities in diabetes research: a Strategic Planning report of the DMICC. Available at: www2.niddk.nih.gov/NR. Accessed on 22 December 2011.

Azevedo M, Alla S. Diabetes in sub-saharan Africa: kenya, mali, mozambique, Nigeria, South Africa and zambia. Int J Diabetes Dev Ctries. 2008;28(4):101-8.

GeilNijpels. Epidemiology of type 2 diabetes Type 2 diabetes mellitus ¬Diapedia, The Living Textbook of Diabetes. Diapedia. 1-4. Available at: https://www.diapedia.org/type-2-diabetes-mellitus/ 3104287123/epidemiology-of-type-2-diabetes. Accessed on 25 June 2017.

International Diabetes Federation. IDF Diabetes Atlas, seventh edition 2015. Available at: http://www.idf.org/idf-diabetes-atlas-seventh-edition (2015). Accessed on 25 June 2016.

Kaveeshwar SA, Cornwall J. The current state of diabetes mellitus in India. AMJ. 2014:7(1):45-8.

Pati S, Schellevis FG. Prevalence and pattern of co morbidity among type2 diabetics attending urban primary healthcare centers at Bhubaneswar (India). PLoS One. 2017;12(8):e0181661.

Kerr EA, Heisler M, Krein SL, Kabeto M, Langa KM, Weir D, et al. Beyond comorbidity counts: how do comorbidity type and severity influence diabetes patients’ treatment priorities and self-management? J General Internal Med. 2007;22:1635–40.

Tinetti ME, Bogardus ST Jr, Agostini JV. Potential pitfalls of disease-specific guidelines for patients with multiple conditions. N Engl J Med 2004;351:2870–4.

Somappa HK, Venkatesh M, Prasad R. Quality of life assessment among type 2 diabetic patients in rural tertiary center. Int J Med Sci Public Health. 2014;3(4):415-7.

Akholkar PJ, Gandhi AA. Prevalence of obesity in diabetic and non-diabetic population. Int J Res Med Sci. 2015;3(8):2114-7.

Yadav D, Mishra M, Tiwari A, Bisen PS, Goswamy HM, Prasad GB. Prevalence of dyslipidemia and hypertension in Indian type 2 diabetic patients with metabolic syndrome and its clinical significance. Osong Public Health Res Perspectives. 2014;5:169–75.

Patel M, Patel IM, Patel YM, Shah P, Rathi SK. Profile of the subjects with Diabetes: A hospital-based observational study from Ahmedabad, Western India. Electronic Physician. 2011: 3.

Das R, Singh O, Thakurta RG, Khandakar MR, Ali SN, Mallick AK, et al. Prevalence of depression in patients with type ii diabetes mellitus and its impact on quality of life. Indian J Psychol Med. 2013;35:284-9.

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Published

2019-05-27

How to Cite

Pattankar, T. P., & Patil, S. S. (2019). A community based cross sectional study to assess the prevalence and pattern of co- morbidities among known type 2 diabetic patients of urban slum of North Karnataka, India. International Journal Of Community Medicine And Public Health, 6(6), 2414–2419. https://doi.org/10.18203/2394-6040.ijcmph20192300

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Original Research Articles