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Lack of knowledge about diabetes in Pune—the city of knowledge!

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

Abstract

India is experiencing an escalating epidemic of diabetes for which the most cost-effective solution is prevention. Awareness is the first step towards prevention. We undertook a questionnaire-based study to evaluate gaps in awareness of different implications of diabetes among various sections of the urban population of Pune. Individuals aged ≥13 years (378 diabetic, 1122 non-diabetic) from different socio-economic backgrounds were interviewed using a structured questionnaire. Awareness regarding causes, symptoms, complications, treatment and preventive measures, curability of diabetes and long-term implications of diabetes in pregnancy was evaluated. An awareness score was calculated based on the percent of total questions correctly answered. Of those surveyed, 78 % scored less than 50 %, 44 % did not know the meaning of diabetes, 30 % could not name any of the risk factors, symptoms, complications and preventive measures for diabetes, and 70 % were unaware of the long-term risks of diabetes in pregnancy. As a group, diabetic participants scored marginally better than non-diabetic participants (mean score 39 vs. 31 %; P < 0.001). Participants at high risk of diabetes (sedentary workers, non-diabetic participants with first-degree family history of diabetes and non-diabetic hypertensive participants) had poor knowledge about the condition (mean scores <40 %). Lower age, lower education and male gender were independently associated with poor awareness; education was the strongest predictor. Awareness regarding different implications of diabetes is poor in the population of Pune. There is a need for widespread and extensive public education campaigns to raise awareness and contribute to the national diabetes prevention initiatives.

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References

  1. Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103:137–49.

    Article  CAS  PubMed  Google Scholar 

  2. Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R, et al. Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: phase I results of the Indian Council of Medical Research-INdia DIABetes (ICMR-INDIAB) study. Diabetologia. 2011;54:3022–7.

    Article  CAS  PubMed  Google Scholar 

  3. Thakur J, Prinja S, Garg CC, Mendis S, Menabde N. Social and economic implications of noncommunicable diseases in India. Indian J Community Med. 2011;36 Suppl 1:S13–22.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Yajnik CS. The insulin resistance epidemic in India: fetal origins, later lifestyle, or both? Nutr Rev. 2001;59:1–9.

    Article  CAS  PubMed  Google Scholar 

  5. Kapur A. Economic analysis of diabetes care. Indian J Med Res. 2007;125:473–82.

    PubMed  Google Scholar 

  6. Kaufman FR. Type 2 diabetes in children and young adults: a “new epidemic”. Clin Diabetes. 2002;20:217–8.

    Article  Google Scholar 

  7. Mohan D, Raj D, Shanthirani CS, Datta M, Unwin NC, Kapur A, et al. Awareness and knowledge of diabetes in Chennai—the Chennai Urban Rural Epidemiology Study [CURES-9]. J Assoc Physicians India. 2005;53:283–7.

    PubMed  Google Scholar 

  8. Hannon TS, Rao G, Arslanian SA. Childhood obesity and type 2 diabetes mellitus. Pediatrics. 2005;116:473–80.

    Article  PubMed  Google Scholar 

  9. Thomas GN, Jiang CQ, Taheri S, Xiao ZH, Tomlinson B, Cheung BM, et al. A systematic review of lifestyle modification and glucose intolerance in the prevention of type 2 diabetes. Curr Diabetes Rev. 2010;6:378–87.

    Article  CAS  PubMed  Google Scholar 

  10. Agrawal RP, Ranka M, Beniwal R, Sharma S, Purohit VP, Kochar DK, et al. Prevalence of micro and macro vascular complications in type 2 diabetes and their risk factors. Int J Diab Dev Ctries. 2004;24:11–6.

    Google Scholar 

  11. Rai M, Kishore J. Myths about diabetes and its treatment in North Indian population. Int J Diab Dev Ctries. 2009;29:129–32.

    Article  Google Scholar 

  12. Kale SD, Yajnik CS, Kulkarni SR, Meenakumari K, Joglekar AA, Khorsand N, et al. High risk of diabetes and metabolic syndrome in Indian women with gestational diabetes mellitus. Diabet Med. 2004;21:1257–8.

    Article  CAS  PubMed  Google Scholar 

  13. Krishnaveni GV, Veena SR, Hill JC, Kehoe S, Karat SC, Fall CH. Intrauterine exposure to maternal diabetes is associated with higher adiposity and insulin resistance and clustering of cardiovascular risk markers in Indian children. Diabetes Care. 2010;33:402–4.

    Article  CAS  PubMed  Google Scholar 

  14. Ferrara A. Increasing prevalence of gestational diabetes mellitus: a public health perspective. Diabetes Care. 2007;30 Suppl 2:S141–6.

    Article  PubMed  Google Scholar 

  15. Murugesan N, Snehalatha C, Shobhana R, Roglic G, Ramachandran A. Awareness about diabetes and its complications in the general and diabetic population in a city in southern India. Diabetes Res Clin Pract. 2007;77:433–7.

    Article  CAS  PubMed  Google Scholar 

  16. Muninarayana C, Balachandra G, Hiremath SG, Iyengar K, Anil NS. Prevalence and awareness regarding diabetes mellitus in rural Tamaka, Kolar. Int J Diab Dev Ctries. 2010;30:18–21.

  17. Khapre MP, Mudey A, Goyal RC, Wagh V. Low awareness of diabetes affecting the clinical outcome of patient: a cross-sectional study conducted in rural tertiary care hospital. Int J Biol Med Res. 2011;2:627–30.

    Google Scholar 

  18. Ghadage A, Khadke S, Harke S, Kakade A, Pawar S, Shinde U, et al. Awareness towards type 2 diabetes mellitus in urban population of Pune, Maharashtra, India. Int J Pharm Bio Sci. 2013;4:1070–5.

  19. Shriraam V, Anitha Rani M, Sathiyasekaran BWC, Mahadevan S. Awareness of gestational diabetes mellitus among antenatal women in a primary health center in South India. Indian J Endocrinol Metab. 2013;17:146–8.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Deepa M, Bhansali A, Anjana RM, Pradeepa R, Joshi SR, Joshi PP, et al. Knowledge and awareness of diabetes in urban and rural India: the Indian Council of Medical Research India Diabetes Study (Phase I): Indian Council of Medical Research India Diabetes 4. Indian J Endocr Metab. 2014;18:379–85.

    Article  CAS  Google Scholar 

  21. The India Diabetes Educator Project (http://www.idf.org/project-hope-%E2%80%93-india-diabetes-educator-project accessed on 20th December 2014)

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Acknowledgments

This study was funded by the Department of Science and Technology, Government of India. Special thanks are due to Ms. Pooja Jadhav, Ms. Shweta Kate (research assistants) and colleagues from the Diabetes Unit, KEM Hospital, and the Health Sciences Department, University of Pune, for all their help. We thank the management of the participating institutes for their support. We are grateful to the survey participants for their contribution and cooperation.

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Authors’ contribution

Chittaranjan Yajnik, Tejas Limaye and Sonali Wagle planned the study and wrote and edited the manuscript. Kalyanaraman Kumaran and Arun Nanivadekar wrote and edited the manuscript. Charudatta Joglekar analysed the data and edited the manuscript.

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Correspondence to Kalyanaraman Kumaran.

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Limaye, T.Y., Wagle, S.S., Kumaran, K. et al. Lack of knowledge about diabetes in Pune—the city of knowledge!. Int J Diabetes Dev Ctries 36, 263–270 (2016). https://doi.org/10.1007/s13410-015-0367-3

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  • DOI: https://doi.org/10.1007/s13410-015-0367-3

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