The burden of diabetes mellitus and impaired fasting glucose in an urban population of Sri Lanka

Pinidiyapathirage, M. J. and Kasturiratne, A. and Ranawake, U. K. and Gunasekara, D. and Wijekoon, N. and Medagoda, K. and Perera, S. and Takeuchi, F. and Kato, N. and Warnakulasuriya, T. and Wickremasinghe, A. R. (2013) The burden of diabetes mellitus and impaired fasting glucose in an urban population of Sri Lanka. Diabetic Medicine , 30 (3). pp. 326-332. ISSN 0742-3071

Abstract

Aims
To describe the burden of diabetes mellitus and impaired fasting glucose in middle-aged residents (35–64 years) in an urban area of Sri Lanka.

Methods
A cross-sectional survey was conducted in the Ragama Medical Officer of Health area, from which 2986 participants (1349 men and 1637 women) were randomly selected from the electoral registry between January and December 2007. The participants underwent a physical examination and had their height, weight, waist and hip circumferences and blood pressure measured by trained personnel. Fasting blood samples were taken for measurement of glucose, HbA1c and lipids. The prevalence of diabetes (fasting plasma glucose > 7 mmol/l) and impaired fasting glycaemia (fasting plasma glucose 5.6–6.9 mmol/l) and major predictors of diabetes in Sri Lanka were estimated from the population-based data.

Results
Age-adjusted prevalence of diabetes mellitus in this urban population was 20.3% in men and 19.8% in women. Through the present screening, 263 patients with diabetes and 1262 with impaired fasting glucose levels were identified. The prevalence of newly detected diabetes was 35.7% of all patients with diabetes. Among patients with diabetes, only 23.8% were optimally controlled. In the regression models, high BMI, high waist circumference, high blood pressure and hypercholesterolaemia increased the fasting plasma glucose concentration, independent of age, sex and a family history of diabetes.

Conclusions
Our data demonstrate the heavy burden of diabetes in this urban population. Short- and long-term control strategies are required, not only for optimal therapy among those affected, but also for nationwide primary prevention of diabetes.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version, in accordance with the copyright policy of the publisher.
Faculty / Department / School: Current - Institute for Agriculture and the Environment
Date Deposited: 19 Apr 2016 04:49
Last Modified: 27 Mar 2017 05:41
Uncontrolled Keywords: diabetes mellitus, urban, Sri Lanka
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111706 Epidemiology
Socio-Economic Objective: C Society > 92 Health > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920104 Diabetes
Identification Number or DOI: 10.1111/dme.12013
URI: http://eprints.usq.edu.au/id/eprint/28843

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