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Glycaemic control among adults with self-reported diabetes in health and demographic surveillance site (HDSS) of rural North India

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International Journal of Diabetes in Developing Countries Aims and scope Submit manuscript

Abstract

Background

Achievement of adequate glycaemic control is important to alleviate complications, improve quality of life and reduce mortality among persons with diabetes. This study estimated the level of glycaemic control and determinants of poor glycaemic control among persons with diabetes in a rural population of North India.

Methods

We randomly selected 245 persons aged ≥ 18 years with self-reported diabetes from the information of 100,000 individuals available in Health Information Management System of Health Demographic Surveillance Site (HDSS) Ballabgarh. Glycaemic control was assessed by measurement of glycated haemoglobin (HbA1c). Blood pressure, weight, height, waist and hip circumference were measured with standard procedures. Information regarding disease and treatment history was recorded.

Results

Mean age of participants was 56.2 (± 11.3) years. Mean HbA1c was 8.04% (± 2.54), with no significant difference across age and sex. Good glycaemic control (HbA1c < 7%) was observed in 41.3%. On multivariate logistic regression, duration of > 10 years since diagnosis of diabetes (OR = 2.71, 95% C.I. 1.08–6.81), and high serum triglyceride (OR = 2.17, 95% C.I. 1.19–3.98) levels were significantly associated with poor glycaemic control, while persons aged > 60 years were less likely of poor glycaemic control.

Conclusion

Achievement of adequate glycaemic control in this population is poor and warrants prompt interventions.

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Authors and Affiliations

  1. Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India

    Puneet Misra, Arvind K Singh, Shashi Kant, Priyanka Kardam & Kapil Yadav

  2. Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Sijua, Bhubaneswar, 751019, India

    Arvind K Singh & Sarika Palepu

  3. New Delhi, India

    Rahul Srivastava

  4. Department of Medicine, All India Institute of Medical Sciences, New Delhi, India

    Naval K Vikram

Authors
  1. Puneet Misra
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  2. Arvind K Singh
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  3. Shashi Kant
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  4. Rahul Srivastava
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Correspondence to Arvind K Singh.

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Ethical approval

Ethical clearance for the study was obtained from the Institutional Ethics Committee with the approval number IEC/NP-341/08.10.2014. This article does not contain any experiments done on animal or human subjects by any of the authors. This study contains data obtained from human subjects. Written informed consent was taken from the participant for inclusion in the study.

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The authors declare that they have no conflict of interest.

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Misra, P., Singh, A.K., Kant, S. et al. Glycaemic control among adults with self-reported diabetes in health and demographic surveillance site (HDSS) of rural North India. Int J Diabetes Dev Ctries 39, 707–714 (2019). https://doi.org/10.1007/s13410-019-00732-3

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  • DOI: https://doi.org/10.1007/s13410-019-00732-3

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