Dr Ravindra Singh, Dr Atul Bhanu Rairker, Dr Menaal Kaushal
Abstract: Context: In last three decades prevalence of Diabetes Mellitus doubled worldwide and in India it is increasing at a higher rate. India is the Diabetic Capital of the World with highest number of type II diabetes patients. Risk of coronary heart disease among diabetic patients is up to four times higher and majority of diabetic cases die of cardiovascular disease1. There are very few Community based studies of known diabetic cases. Therefore, a descriptive analysis is required to understand the current scenario regarding early detection and proper management of Type II Diabetes Mellitus. Settings and Design: Cross-sectional, community based study in Urban population of Agra (U.P.). Methods and Material: Total 670 individuals were interviewed and screened for diabetes. Out of these 670, 52 were found known diabetic while 37 known diabetic cases volunteered for the interview. Thus findings of 89 known type II Diabetes Mellitus cases were analyzed. Result: Around 15 % of known diabetic cases were not taking any kind of medications. Majority (69.7 %) of known diabetics were taking oral hypoglycemic drugs. Among those who were taking irregular treatment, more than two third (72.2 %) had uncontrolled blood sugar level while among those who were taking regular treatment, less than half (46.6 %) had uncontrolled blood sugar level. Conclusion: Community awareness programs regarding early detection and proper diabetic care would help the patients to lead a long and healthy life by maintaining euglycemia thus delaying type II Diabetes Mellitus related complications and premature deaths.
Keywords: Type II Diabetes Mellitus, Secondary Level of Prevention, Known Diabetic cases, Uncontrolled blood sugar level