Volume : IX, Issue : II, February - 2019

Diabetes awareness in patients in and around Rewa Madhya Pradesh

Dr Pradeep Nigam, Dr Beerbhan Singh, Dr Santosh Patel

Abstract :

BACKGROUND :The term diabetes mellitus describes a metabolic cum vascular syndrome of multiple etiology characterized by chronic hyperglycemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action or both leading to changes in both small blood vessels (Microangiopathy) and large blood vessels (Microangiopathy).1 Type 1 DM results from autoimmune beta cell destruction, and most, but not all, individuals have evidence of islet–directed autoimmunity.In the majority, immunologic markers appear after the triggering event but before diabetes become clinically overt. Beta cell mass then begins to decrease, and insulin secretion progressively declines, although normal glucose tolerance is maintained. The rate of decline in beta cell mass varies widely among individuals, with some patients progressing rapidly to clinical diabetes and others evolving more slowly. Features of diabetes do not become evident until a majority of beta cells are destroyed (70–80%). Type 2 diabetes mellitus is the most common form of diabetes and is the major cause of morbidity and mortality worldwide. Type 2 diabetes is not a single disease process but instead represents a heterogeneous constellation of disease syndromes, all leading to the final common pathway of hyperglycemia. Many factors, alone or in combination, can cause hyperglycemia; thus, the complexity of the pathogenesis of type 2 diabetes reflects the heterogeneous genetic, pathologic, environmental, and metabolic abnormalities that can exist in different patients. Above three major metabolic abnormalities coexist in type 2 diabetes,2–5 each contributing to the hyperglycemic state. The prevalence of T2DM is 11% in urban areas while it is 3–9% in rural areas1. There is also a corresponding increasing in the diabetic related complication for example neuropathy, retinopathy and nephropathy.6 In India, Thirty five million people have diabetes—a number expected to more than double by 2025, disproportionately affecting working age people the economic impact of this increase could be devastating to India’s emerging economy studies in India estimate that. It is believed that patient’s knowledge of the self–care is the key to achieve therapeutic goals in ambulatory care. Being aware of various aspects of the disease is the first step for the primary and secondary prevention. If the health care providers are aware in community they can plan their preventive measures accordingly.7–8 Aims and Objectives: To study diabetes mellitus awareness in diabetic patient, prevalence of diabetes in adult patients in and around Rewa, to reiterate pointers to early diagnosis, and therefore decrease morbidity associated with diabetes and factors affecting the awareness level in patient. Material and Methods: The present study was conducted in the Department of Medicine S.S. Medical College and associated S.G.M. Hospital, Rewa from April 2017 to March 2018. Patients with known signs and symptoms of Diabetes Mellitus included and patients not having diabetes excluded. Inclusion Criteria: Patients with known Diabetes Mellitus, signs and symptoms of Diabetes Mellitus. Exclusion Criteria: Patients not having diabetes.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

DIABETES AWARENESS IN PATIENTS IN AND AROUND REWA MADHYA PRADESH, Dr Pradeep Nigam, Dr Beerbhan Singh, Dr Santosh Patel INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-2 | February-2019

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