1. Challenges of diabetes care in India: Results from a Family Cohort Study.
- Author
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Devassy, Saju Madavanakadu, Allagh, Komal Preet, Benny, Anuja Maria, and Scaria, Lorane
- Subjects
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BLOOD sugar analysis , *DIAGNOSIS of diabetes , *DIABETES prevention , *TREATMENT of diabetes , *INSULIN therapy , *SPORTS participation , *CONFIDENCE intervals , *CROSS-sectional method , *SELF-evaluation , *AGE distribution , *DIABETES , *MEDICAL care costs , *INTERVIEWING , *HYPOGLYCEMIC agents , *CONTINUUM of care , *HEALTH literacy , *DESCRIPTIVE statistics , *HEALTH behavior , *RESEARCH funding , *DISEASE prevalence , *EXERCISE intensity , *PATIENT compliance , *DATA analysis software , *STATISTICAL sampling , *SOCIODEMOGRAPHIC factors , *DISEASE management , *MEDICAL needs assessment , *LONGITUDINAL method , *BEHAVIOR modification , *EDUCATIONAL attainment , *PREDIABETIC state - Abstract
Objectives: Diabetes is a significant public health concern in India, with Kerala being labeled as the diabetes capital of the country. The study aims to evaluate the prevalence, treatment, and management of diabetes to examine the unmet need for care to propose cost-effective strategies. Design: A cross-sectional study was conducted on a geographically defined cohort population in Ernakulam. Sample: This paper presents diabetes data of adults ≥30 years enrolled from the community cohort. The interviews were conducted with 997 participants at their residence. Measurement: Random blood glucose was assessed for each participant using a finger prick test. Results: The overall prevalence of diabetes was 30.1%, of which 4.1% of participants had undiagnosed diabetes. Among those with diabetes, 86.3% were aware of their diagnosis; among those aware, 86.5% were on treatment. Among those on treatment for diabetes, 54% achieved controlled blood sugar. Conclusion: The challenge in diabetes management is controlling the blood glucose levels of people who adhere to treatment. Younger employed females from lower-income quartiles have the highest risk. The study also raises questions about quality and strategies for medication compliance. The findings inspire future research on care needs, policies, and program responses to reduce the diabetes disease burden. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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