DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20200432

Assessment of the contributing risk factors in adult diabetic patients attending the diabetic clinic in Bankura Sammilani Medical College, Bankura

Indu Padmey, Arindam De, Eashin Gazi, Aditya Prasad Sarkar, Asit Baran Saren, Banamali Sinha Mahapatra

Abstract


Background: Diabetes affects all segments of the population and is one of the leading causes of premature morbidity and mortality and requires life-long healthcare services. The National Rural Health Mission launched in 2005 and the new pilot National Programme for Prevention and Control of Diabetes, Cardiovascular diseases and Stroke offer opportunities for improving care for diabetes and other non-communicable diseases through service provision at the primary and secondary levels of care. This article describes the health services related factors and ascertains the physical status of adult diabetic patients.

Methods: It is an institution based, cross-sectional, descriptive study. Complete enumeration of all patients attending diabetic clinic of Bankura Sammilani Medical College and hospital, Bankura, West Bengal was done. Eligible consenting adult patients, who were diagnosed as a case of diabetes and on treatment were interviewed with review of medical record. The study was preceded after obtaining ethical clearance. Data were entered in MS Excel spread sheet. Calculation was done with the help of software SPSS 22.0 free version.

Results: Only 5.3% of study subjects had drug supply from hospital fully but rest of them had to buy from the shop. 79.3% of study subjects skipped the drug when it was finished. Diabetic complication was found to be more when distance of home from hospital was more.

Conclusions: Antidiabetic drug were not regularly available in hospital so all most all had to purchase drug from the shop when not available at hospital. 


Keywords


Adult diabetic, Complications, Co-morbidity, Drug availability, Drug compliance

Full Text:

PDF

References


Chattopadhyay D. A review of current preventive, diagnostic and curative strategies for Diabetes mellitus. IKP Centre for Technologies in Public Health. 2007: 1-60.

Guariguata L, Nolan T, Beagley J, Linnenkamp U, Jacqmain O. International Diabetes Federation 2013. IDF Diabetes Atlas 6th ed. 2013.

Islam SSM, Lechner A, Ferrari U, Froeschl G, Niessen LW, Seissler J, et al. Social and economic impact of diabetics in Bangladesh: protocol for a case–control study. BMC Public Health. 2013;13:1217.

Rayappa PH, Raju KNM, Kapur A, Bjork S, Sylvest C, Kumar KMD. The impact of socio-economic factors on diabetes care. Int J Diab Dev Countries. 1999;19:7-16.

National Rural Health Mission. Framework for Implementation. Ministry of Health and Family Welfare. Government of India, 2005.

Annual Report 2006-07. Ministry of Health and Family Welfare. Government of India, 2007.

ICMR. Guidelines for Management of type 2 Diabetes. New Delhi: Indian Council of Medical Research; 2005.

Rahman Al-Nuaim A. High prevalence of metabolic risk factors for cardiovascular diseases among Saudi population, aged 30-64 years. Int J Cardiol. 1997;62:227-35.

Rao CR, Kamath VG, Kamath A. A study on the prevalence of type 2 diabetes in coastal Karnataka. Int J Diabetes Dev Ctries. 2010;2:80-5.

Mohan V, Sandeep S, Deepa R, Shah B, Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Res. 2007;125:217-30.

Mohan V, Shanthirani CS, Deepa R. Glucose intolerance (diabetes and IGT) in a selected South Indian population with special reference to family history, obesity and lifestyle factors– the Chennai Urban Population Study (CUPS 14) J Assoc Physicians India. 2003;51:771-7.

Gupta A, Gupta R, Sarna M, Rastogi S, Gupta VP, Kothari K. Prevalence of diabetes, impaired fasting glucose and insulin resistance syndrome in an urban Indian population. Diabetes Res Clin Pract. 2003;61:69-76.

Basavanagowdappa H, Prabhakar AK, Prasannaraj P, Gurudev KC, Suma V. Study of prevalence of diabetes mellitus and impaired fasting glucose in a rural population. Int J Diabetes Dev Ctries. 2005;25:98-101.

Amoah AG, Owusu SK, Adjei S. Diabetes in Ghana: a community based prevalence study in Greater Accra. Diabetes Res Clin Pract. 2002;56:197-20.

Sharma SK, Imtiaz D, Singh JP, Gupta SB, Shrotriya VP. An assessment of self-perceived health status of patients of diabetes mellitus, hypertension and comorbidity using physical functioning. Ind J Community Health. 2014;26(03):254-8.

Mandhari AA, Zakwani IA, Hasni AA, Sumri NA. Assessment of perceived health status in hypertensive and diabetes mellitus patients at Primary Health Centers in Oman. Int J Prev Med. 2011;2(4):256-63.

Gupta SK, Singh Z, Purty AJ, Kar M, Vedpriya DR, Mahajan P, et al. Diabetes prevalence and its risk factors in rural area of Tamil Nadu. Indian J Community Med. 2010;35:396-9.

Venkataraman K, Kannan AT, Mohan V. Challenges in diabetes management with particular reference to India. Int J Diabetes Dev Ctries. 2009;29(3):103-9.

Shobhana R, Begum R, Snehalatha C, Vijay V, Ramachandran A. Patients’ adherence to diabetes treatment. J Assoc Phys India. 1999;47:1173-5.

Shobana R, Augustine C, Ramachandran A, Vijay V. Improving psychosocial care: The Indian experience. Diabetes Voice. 2005;50(1):19-21.

Chew LD. The impact of low health literacy on diabetes outcomes. Diabetes Voice. 2004;49(3):30-2.

Shrivastava SR, Shrivastava PS, Ramasamy J. Role of self-care in management of diabetes mellitus. J Diab Metab Disorder. 2013;12:14.

Harris MI, Couric CC, Reiber G, Boyko E, Stern M, Bennett P. Diabetes in America. 2nd ed. Washington, DC: National Institutes of Health; 1995.

Zimmet PZ. Challenges in diabetes epidemiology: from the west to the rest. Diabetes Care. 1992;15:232-52.

Raheja BS, Kapur A, Bhoraskar A, Sathe SR, Jorgensen LN, Moorthi SR, et al. Diabcare Asia- India study: Diabetes care in India- current status. J Assoc Phys India. 2001;49:717-22.

Mohan V, Deepa R, Shanthirani CS, Premalatha G. Prevalence of coronary artery disease and its relationship to lipids in a selected population in south India. J Am Coll Cardiol. 2001;38:682-7.

Premalatha G, Shanthirani CS, Deepa R, Markovitz J, Mohan V. Prevalence and risk factors of peripheral vascular disease in a selected south Indian population- The Chennai Urban Population Study (CUPS). Diabetes Care. 2000;23:1295-300.

Peyrot M, Rubin R. Levels and risks of depression and anxiety symptomatology among diabetic adults. Diabetes Care. 1997;20-4:585-90.

Rema M, Premkumar S, Anitha B, Deepa R, Pradeepa R, Mohan V. Prevalence of diabetic retinopathy in urban India: The Chennai Urban Rural Epidemiological Study (CURES) Eye Study-1. Invest Ophthalmol Vis Sci. 2005;46:22328-33.

Ranjit UI, Rema M, Pradeepa R, Deepa M, Shanthirani CS, Deepa R, et al. Prevalence and risk factors of diabetic nephropathy in an Urban South Indian population: The Chennai Urban Rural Epidemiological Study (CURES-45) Diabetes Care. 2007;30:2019-24.

Pradeepa R, Rema M, Vignesh J, Deepa M, Deepa R, Mohan V. Prevalence and risk factors for diabetic neuropathy in an urban south Indian population: The Chennai Urban Rural Epidemiological Study (CURES-55). Diabet Med. 2008;25:407-12.