Lifestyle, dietary and treatment adherence pattern of uncontrolled diabetics in coastal Karnataka, India

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DOI:

https://doi.org/10.47203/IJCH.2021.v33i03.007

Keywords:

Lifestyle, Glycaemic Control, Rural, Diabetes, Surveys and Questionnaires, Tobacco Use

Abstract

Background: Diabetes Mellitus shows a rising trend in India, driven by a combination of factors like sedentary lifestyle, unhealthy diet and tobacco use. The cornerstone for interventions to reduce this is lifestyle modification. Aim & Objective: This study aims to determine lifestyle behaviours among uncontrolled diabetics in rural South India. Settings and Design: This is a pilot study conducted as part of a community trial which enrolled uncontrolled diabetics (Glycosylated haemoglobin, HbA1C of 7% or more) selected from baseline survey of 2 RBS readings. Methods and Material: The sociodemographic details, lifestyle habits and treatment adherence of eligible participants were recorded with a validated questionnaire. Statistical analysis used: Data was compared among 2 groups of poor glycaemic control using Chi square test. Results: There was no significant association of age or gender with HbA1C levels. Majority were non-smokers, non-alcoholics and did not exercise. Higher proportions of those with hospital admissions, longer duration of disease and less frequent check-ups had poor control; but these were not statistically significant. Dietary control was inadequate. However, there were no significant association of dietary habits with poor control. Conclusions: Although overall adherence to medication and follow up was satisfactory, lifestyle modification is not being sufficiently followed.

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References

Non communicable diseases [Internet]. [Accessed on08/10/20]. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

Tandon N, Anjana RM, Mohan V, Kaur T, Afshin A, Ong K, et al. The increasing burden of diabetes and variations among the states of India: The Global Burden of Disease Study 1990–2016. The Lancet Global Health. 2018;6(12): e1352–62.

WHO | Do lifestyle interventions work in developing countries? Findings from the Isfahan Healthy Heart Program in the Islamic Republic of Iran [Internet]. World Health Organization; [Accessed on25/09/20]. Available from: https://www.who.int/bulletin/volumes/87/1/07-049841/en/

Lifestyle Management: Standards of Medical Care in Diabetes- The American Diabetes Association. Diabetes Care. 2019;42(Supplement 1): S46–60.

Borgharkar SS, Das SS. Real-world evidence of glycaemic control among patients with type 2 diabetes mellitus in India: the TIGHT study. BMJ Open Diabetes Res Care. 2019;7(1): e000654.

Muliyil DE, Vellaiputhiyavan K, Alex R, Mohan VR. Compliance to treatment among type 2 diabetics receiving care at peripheral mobile clinics in a rural block of Vellore District, Southern India. J Family Med Prim Care. 2017;6(2):330–5.

Kumar SP, Sandhya A. A study on the glycaemic, lipid and blood pressure control among the type 2 diabetes patients of north Kerala, India. Indian Heart Journal. 2018;70(4):482–5.

Pan T, Dasgupta A, Suman S, Paul B, Banerjee R, Burman J. Assessment of glycaemic control in patients with type 2 diabetes: a clinic-based study in a slum of Kolkata. International Journal of Community Medicine and Public Health. 2018;5(11):4768–72.

Rathi A, Saha K, Ramalingam A. Correlates of poor glycaemic control among diabetic patients who attended 2 diabetic clinics in Delhi. J Bio Innov. 2017;6(2):165–75.

Goyal J, Kumar N, Sharma M, Raghav S, Bhatia PS. Factors Affecting Glycaemic Control among Patients with Type 2 Diabetes at a Tertiary Health Care Centre of Western UP region: A Cross-Sectional Study. Int J Health Sci Res. 2019;9(3):12–20.

Paulin G, Subramanian R. Physical Inactivity among Diabetic Patients in Urban Tamil Nadu: A Community-Based Study. J Community Med Health Educ 2019;9(2):1–5. Check

Newtonraj A, Vincent A, Gowtham P, Haritha S, Ilaveyini S. Level of insufficient physical activity among adults in a rural area of South India: A population-based cross-sectional study. J Curr Res Sci Med. 2019;5(2):105-9.

Devamani CS, Oommen AM, Mini G, Abraham VJ, George K. Levels of Physical Inactivity in Rural and Urban Tamil Nadu, India: A Cross?Sectional Study. Journal of Clinical and Preventive Cardiology 2019;8(1):13–7.

Sekhar CC, Babu DS, Krishna GA, Deepthi CS, Kalluri JB. A Study on Assessment of Level of Self-Care Practices among Known Type 2 Diabetes Patients in Rural Field Practice Area of South India. International Journal of Medicine and Public Health 2020; 10 (1):5.

De P, Banu S, Muthukumar D. Predictors of poor glycaemic control in type 2 diabetic patients in South Indian population. International Journal of Research in Medical Sciences. 2018;6(2):545–50.

Suguna A, Magal AS, Stany A, Sulekha T, Prethesh K. Suguna A, Magal AS, Stany A, Sulekha T, Prethesh K. Evaluation of self-care practices among diabetic patients in a rural area of Bangalore district, India. Int J Curr Res Aca Rev 2015; 3(6):415-22

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Published

2021-09-30

How to Cite

1.
Kundapur R, Modi B, Mary LT, Sathyanath SM, Poojary N S, Saxena D. Lifestyle, dietary and treatment adherence pattern of uncontrolled diabetics in coastal Karnataka, India. Indian J Community Health [Internet]. 2021 Sep. 30 [cited 2024 Feb. 22];33(3):446-50. Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/2195

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