A targeted screening for diabetes mellitus in the companions of the diabetic patients attending outpatient department

https://doi.org/10.53730/ijhs.v6nS6.11475

Authors

  • Sattar Jabar Saadi Consultant physician, University of Warith Al-Anbiyaa | Specialist in family medicine, Authority of health and medical education. Karbala, Iraq

Keywords:

targeted screening, diabetes mellitus, family medicine clinic

Abstract

Background: The world prevalence of diabetes in 2010 among adults aged 20-79 years is estimated to 6.4%. Epidemiological studies showed increasing prevalence of diabetes mellitus over the past few decades, and around 50% of cases of type 2 are asymptomatic.  We have conducted a targeted screening to study the prevalence of Type 2 diabetes mellitus in the companions of diabetic patients and screen for asymptomatic cases and to identify risk factors associated with their diabetes in outpatient clinic. METHODS: A cross sectional descriptive study investigating 347 adults aged 18-60 years determined the diabetes status in a random sample of companions of diabetic patients. A standard questionnaire, a simple clinical examination and laboratory tests assessed blood sugar, blood pressure, body mass index (BMI) and other risk factors for diabetes. RESULTS: The prevalence of Type 2 diabetes in the companions of diabetic patients was 9.5%. Around half (45.45%) of cases were new and asymptomatic, the rest (54,54%) were already diabetics on treatment. The mean age of diabetics was 44.25 ±4 years while that of non-diabetics was 27.8 ±8.31 years. The prevalence of overweight was 44%, it was higher in diabetics than in non-diabetics. 

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References

[Guideline] Diagnosis and classification of diabetes mellitus. Diabetes Care. Jan 2010;33 Suppl 1:S62-9.

American Diabetes Association. Standards of medical care in diabetes-2013. Diabetes Care. 2013; (suppl 1):S11-S66.

Annis AM, Caulder MS, Cook ML, Duquette D. Family history, diabetes, and other demographic and risk factors among participants of the National Health and Nutrition Examination Survey 1999-2002. Preventing Chronic Disease: Public Health Research, Practice, and Policy 2005;2:1–12.

Arauz-Pacheco C et al. Treatment of hypertension in adults with diabetes. Diabetes Care 2003;26 (Suppl 1): S80–S82

Basile F. The increasing prevalence of diabetes and its economic burden. Am-J-Manag-Care. 2000 Nov; 6(21 Suppl): S1077-81

Chan JC, Malik V, Jia W, Kadowaki T, Yajnik CS, Yoon KH, et al. Diabetes in Asia: epidemiology, risk factors, and pathophysiology. JAMA 2009; 301:2129-40.

Chan JC, Malik V, Jia W, et al . Diabetes in Asia: epidemiology, risk factors, and pathophysiology. JAMA 2009;301:2129–2140

Cho NH, Chan JC, Jang HC, Lim S, Kim HL, Choi SH. Cigarette smoking is an independent risk factor for type 2 diabetes: a four-year community-based prospective study. Clin Endocrinol (Oxf) 2009;71:679–685.

Eckel RH, Kahn SE, Ferrannini E, et al. Obesity and type 2 diabetes: what can be unified and what needs to be individualized? Diabetes Care 2011;34(6):1424-30.

Harrison TA, Hindorff LA, Kim H, Wines RC, Bowen DJ, McGrath BB, Edwards KL. Family history of diabetes as a potential public health tool. Am J Prev Med 2003;24:152–159.

Herman, H., Ardani, I. G. A. I., Aryani, L. N. A., Windiani, I. G. A. T., Adnyana, I. G. N. S., & Setiawati, Y. (2022). Signs and symptoms of depression in children and adolescents with type 1 diabetes mellitus: A case report. International Journal of Health & Medical Sciences, 5(1), 150-153. https://doi.org/10.21744/ijhms.v5n1.1861

International Diabetes Federation. Diabetes Atlas. 4th edition. Brussels: International Diabetes Federation, 2009.

International diabetes federation. Diabetes Atlas. Sixth edition. Brussels: International Diabetes Federation, 2013.

Kelly T, Yang W, Chen CS, Reynolds K, He J . Global burden of obesity in 2005 and projections to 2030. Int J Obes (Lond) 2008;32:1431–1437

M. Abdul Basith Khan et al. Journal of Epidemiology and Global Health. Journal of Epidemiology and Global Health Vol. 10(1); March (2020), pp. 107–111

Matsuoka K. Genetic and environmental interaction in Japanese type 2 diabetics.Diabetes-Res-Clin-Pract. 2000 Oct; 50 (Suppl 2)S17-22

Narayan KM, Imperatore G, Benjamin SM, Engelgau MM. Targeting people with pre-diabetes. BMJ 2002;325:403–404.

Paul A. James et al. 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults. Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-520

Rodrigo M Lago, Premranjan P Singh and Richard W Nesto, Diabetes and hypertension. Nature Clinical Practice Endocrinology & Metabolism 2007; 3: 667.

Sargeant LA, Wareham NJ, Khaw KT. Family history of diabetes identifies a group at increased risk for the metabolic consequences of obesity and physical inactivity in EPIC-Norfolk: a population-based study. The European Prospective Investigation into Cancer. Int-J-Obes-Relat-Metab-Disord. 2000 Oct; 24(10): 1333-9

Scheuner MT, Wang SJ, Raffel LJ, Larabell SK, Rotter JI. Family history: a comprehensive genetic risk assessment method for the chronic conditions of adulthood. Am J Med Genet 1997;71:315–324.

Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 2010; 87(1):4-14.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). The COVID-19 pandemic. International Journal of Health Sciences, 5(2), vi-ix. https://doi.org/10.53730/ijhs.v5n2.2937

Targher G, Alberiche M, Zenere MB, Bonadonna RC, Muggeo M, Bonora E. Cigarette smoking and insulin resistance in patients with noninsulin-dependent diabetes mellitus. J Clin Endocrinol Metab. 1997;82:3619–3624.

United Kingdom prospective diabetes study group. Tight blood pressure control and risk of macrovascular and microvascular complication in type II diabetes ( UKPDS 38). Brit Med j 1998; 317:703-13.

Wang TJ, Larson MG, Vasan RS, Cheng S, Rhee EP, McCabe E, et al. Metabolite profiles and the risk of developing diabetes. Nat Med. Apr 2011;17(4):448-53.

Wannamethee SG, Shaper AG, Perry IJ. British Regional Heart Study. Smoking as a modifiable risk factor for type 2 diabetes in middle-aged men. Diabetes Care. 2001;24:1590–1595.

WHO expert consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet, 2004; 157-163.

Williamson DF, Vinicor F, Bowman BA. Primary prevention of type 2 diabetes mellitus by lifestyle intervention: implications for health policy. Ann Intern Med 2004;140:951–957.

World Health Organization. Fact Sheet: What is Diabetes? available at: Http:// www.who.iny/mediacentre/factsheets/fs312/en/ Accessed on: June 10, 2022.

World Health Organization. Fact Sheet: What is Diabetes? available at: Http:// www.who.iny/mediacentre/factsheets/fs312/en/ Accessed on: June 10, 2022.

Yoon KH, Lee JH, Kim JW,et al . Epidemic obesity and type 2 diabetes in Asia. Lancet 2006;368:1681–1688.

Published

02-08-2022

How to Cite

Saadi, S. J. (2022). A targeted screening for diabetes mellitus in the companions of the diabetic patients attending outpatient department. International Journal of Health Sciences, 6(S6), 4989–4997. https://doi.org/10.53730/ijhs.v6nS6.11475

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