High prevalence of prediabetes among the family members of individuals with diabetes. Findings from targeted screening program from south India.

IF 3.4

Diabetes & metabolic syndrome Pub Date : 2019-01-01 Epub Date: 2018-12-11 DOI:10.1016/j.dsx.2018.12.001

Gomathi Ramaswamy, Palanivel Chinnakali, Sriram Selvaraju, Divya Nair, Pruthu Thekkur, Kalaiselvi Selvaraj, Roopa Shivashankar, Akash Ranjan Singh, Halevoor Nanjundappa Vrushabhendra

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引用次数: 5

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.

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糖尿病患者家庭成员中糖尿病前期患病率高。来自印度南部针对性筛查项目的研究结果。

目的:我们的目的是在印度南部一家初级保健中心登记的糖尿病患者的家庭成员中筛查前驱糖尿病、糖尿病和其他心血管危险因素。方法:在2017-2018年期间，我们在糖尿病患者家中筛选符合条件的家庭成员。测定空腹毛细血管血糖(FCBG);对于FCBG≥126 mg/dl的患者，我们通过空腹血糖(FPG)确诊为糖尿病。我们将前驱糖尿病定义为FCBG在100 - 125 mg/dl之间;FCBG和FPG均≥126 mg/dl。我们使用世卫组织STEPS问卷评估非传染性疾病的危险因素。结果:在884名参与者中，873名(99%)接受了筛查;280例(32%)有糖尿病前期，19例(2.2%)确诊为糖尿病。在新诊断的患者中，17例(90%)开始接受治疗。在873名参与者中，180名(20.6%)新诊断为高血压。在总数中，分别有7.3%、5.2%和16%的人报告吸烟、饮酒和高盐摄入量。近一半(48%)的人超重。结论:虽然糖尿病的筛查率一般(3%)，但挨家挨户的方法能够筛查99%的符合条件的人群。高患病率的前驱糖尿病和未确诊的高血压强调需要筛查和改变生活方式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes & metabolic syndrome

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