Users Online: 346 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
 

 

Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
     

LETTER TO THE EDITOR
Year : 2010  |  Volume : 54  |  Issue : 1  |  Page : 46-47 Table of Contents     

Some observations on diabetes mellitus in Ludhiana, Punjab


1 Associate Professor, Department of Community Medicine, Christian Medical College, Ludhiana, Punjab, India
2 Final Year MBBS Student, Department of Community Medicine, Christian Medical College, Ludhiana, Punjab, India
3 Professor, Department of Community Medicine, Christian Medical College, Ludhiana, Punjab, India

Date of Web Publication29-Sep-2010

Correspondence Address:
Paramita Sengupta
Associate Professor, Department of Community Medicine, Christian Medical College, Ludhiana, Punjab
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-557X.70556

Rights and Permissions

How to cite this article:
Sengupta P, Benjamin NS, Benjamin A I. Some observations on diabetes mellitus in Ludhiana, Punjab. Indian J Public Health 2010;54:46-7

How to cite this URL:
Sengupta P, Benjamin NS, Benjamin A I. Some observations on diabetes mellitus in Ludhiana, Punjab. Indian J Public Health [serial online] 2010 [cited 2019 Aug 19];54:46-7. Available from: http://www.ijph.in/text.asp?2010/54/1/46/70556

Sir,

India leads the world with the highest number of people suffering from diabetes, estimated to be 31.7 million in the year 2000 and projected to be 79.4 million by the year 2030 [1] . But population-based epidemiological information regarding the disease is lacking in this part of the country. Hence, a cross-sectional, descriptive study was conducted on 100 urban and 100 rural respondents to study the prevalence of the disease in the 30-64 years old residents of Ludhiana, Punjab. The respondents were interviewed using a pre-tested questionnaire. Fasting plasma glucose (FPG) was determined using capillary whole blood, obtained by prick method, and tested on Lifescan (Johnson and Johnson) One-Touch; Horizon TM Glucometer. According to the manufacturer's specifications, the glucometer was internally calibrated to automatically display the plasma-equivalent results [2] . FPG ?126mg/dl was taken as diagnostic of DM, as per WHO criteria. Respondents already diagnosed and on treatment (oral hypoglycaemic drugs / insulin), were also included as diabetics.

The reported prevalence of the disease in the earlier studies elsewhere in the country has been about 2.4% among the rural and 4.0% to 11.6% among the urban population [3] . Our study found the prevalence of DM to be 20.0% (urban) and 11.0 % (rural), which appeared to be the highest reported in the country. 35.0% urban and 18.2% rural respondents of those found to be suffering from DM in our study were as yet undiagnosed, the submerged part of the iceberg. The "new to known" ratio of 1: 1.9 (urban) and 1: 4.5 (rural) found in our study confirmed that the process of early diagnosis and identification of the diabetics was unsatisfactory, more so in the urban population than in the rural. Our findings are in conformity with those of Ramachandran et al.[4] in South India, who reported "new-to-known ratio" in their study as 1: 2 (urban) and 3: 9 (rural).Out of those already diagnosed, 53.8% of urban and 33.3% of rural population were not on regular treatment. It is quite a paradox that with better access to higher level of health care and with presumably a higher level of health awareness, both the under-diagnosis and non-compliance with treatment amongst the known diabetics were found to be higher in the urban areas compared to the rural. There is need for concerted efforts to focus on the disease as a priority for control and prevention, through health education and targeted public health measures.

 
   References Top

1.Wild S, Roglic G, Green A, Sicree R, King H. Global Prevalence of Diabetes: Estimates For the year 2000 and projections for 2030. Diabetes Care 2004;27:1047-53.  Back to cited text no. 1  [PUBMED]  [FULLTEXT]  
2.Lifescan, Inc., Johnson and Johnson. One-Touch; Horizon TM Blood Glucose Monitoring System Instructions for Use. Specifications. Lifescan Inc., 1000 Gibraltar Drive, Milipitas, California 95035, U.S.A., May 2004.  Back to cited text no. 2      
3.Zimmet P. Challenges in diabetes epidemiology from west to rest of the world. Diabetes Care 1992;15:232-52.   Back to cited text no. 3      
4.Ramachandran A, Snehalatha C, Dharmraj D, Vishwanathan M. Prevalence of glucose intolerance in Asian Indians: urban-rural difference and significance of upper body adiposity. Diabetes Care 1992;15:1348-55.  Back to cited text no. 4      




 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    References

 Article Access Statistics
    Viewed2205    
    Printed44    
    Emailed0    
    PDF Downloaded342    
    Comments [Add]    

Recommend this journal