Screening for risk of diabetes in OP setting in non-diabetic patients in an urban city in South India

Abstract:

Background: The prevalence of T2DM is increasing with India in the second place all over the world.

Objective: To check the risk score of Type 2 Diabetes in the next ten years for the population without a current diagnosis of diabetes visiting the OPD of the Diabetology/Endocrinology Clinic using the online diabetes risk assessment namely “TEST2PREVENT Know your risk of Type 2 Diabetes”

Materials & Methods: 115 nondiabetic patients visiting the OPD with consent to undertake the risk assessment tool in English. 21 were male and 94 were female with mean age of 42.25±11.8 and 38.8±12.1years respectively. The 8-step questionnaire was answered.

Results & Discussion: 77(66.96%) were under 45 years of age, 24(20.87%) were 45-54 years, 8(6.96%) were 55-64 years, 6(5.22%) were over 64 years. 37(32.17%) had BMI Lower than 25kg/m2, 40(34.78%) had BMI 25-30Kg/m2 and 38(33.04%) had BMI >30kg/m2. Mean weight was 70.48±11.8, mean BMI 27.7±4.57. Waist Circumference for males was 99.2±11.4cms and 95.19±11.4 cms for females. 88(76.52%) people were physically active. 100 (86.96%) people took veggies or fruits or berries on daily basis. 13(11.3%) people took medication for BP on a regular basis.16(13.91%) were found to have high blood glucose. As for heredity, 45 (39.13%) people didn’t have any family history of diabetes, 23(20.0%) people had positive family history of grandparent, aunt, uncle or first cousin, while 47(40.87%) had positive immediate family history as in parent, brother, sister or own child.

Pearsons’ Correlation between Risk Score and Age was 0.4219(p<0.0001), with BMI 0.7014(p<0.0001), Weight 0.519(p<0.0001), and Waist Circumference 0.6527(p<0.0001). It was a positive significant correlation with all these parameters.

The Risk Score was calculated for 115 participants. It was found that 34(29.57%) had Low Risk Score, 40(34.78%) had Slightly Elevated Score, 25(21.74%) had Moderate Score, 15(13.04%) had High Risk Score and 1(0.87%) had Very High Risk Score.

Conclusion: It can be concluded that TEST2PREVENT is an online, easy to use, efficient tool to study the diabetes risk assessment in nondiabetic patients visiting the OPD Clinic. There was positive significant correlation between the Risk Score and Age, Weight, BMI, Waist Circumference. Hence the predictive nature of the tool to predict the onset of diabetes in 10 years will help the nondiabetic take measures to avert such an onset by including physical activity, and diet with lifestyle modification.

Organizer: DiabEndoIndia

Event website: www.diabendoindia.com

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