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Indian Diabetes Risk Score Idrs Validation Study

Validation Of The Mdrf-indian Diabetes Risk Score (idrs) In Another South Indian Population Through The Boloor Diabetes Study (bds).

Validation Of The Mdrf-indian Diabetes Risk Score (idrs) In Another South Indian Population Through The Boloor Diabetes Study (bds).

Validation of the MDRF-Indian Diabetes Risk Score (IDRS) in another south Indian population through the Boloor Diabetes Study (BDS). Selection Grade Lecturer in Biostatistics, Kasturba Medical College, Mangalore 575001. To validate the MDRF-Indian Diabetes Risk Score (IDRS) in a south Indian population in coastal Karnataka. The study was conducted at Boloor locality in Mangalore on adults aged 20 years or more. The study group comprised 551 participants (68.9% response rate). The OGTT was performed using 75 gms of glucose. The MDRF-IDRS was calculated using age, family history of diabetes, physical activity and waist measurement. ROC curves were constructed to identify the optimum value (> or = 60%) of IDRS for determining diabetes as diagnosed using WHO consulting group criteria. We found that 71 of the study individuals were known diabetic subjects (KD) while 45 subjects were diagnosed to have newly diagnosed diabetes (NDD). An IDRS score of > or =60 had the best sensitivity (62.2%) and specificity of (73.7%) for detecting undiagnosed diabetes in this community. Our study confirms and validates the MDRF-IDRS as being a valid simple and reliable screening tool to identify undiagnosed diabetes in the community. The MDRF-IDRS score > or =60 had the highest sensitivity and specificity to identify undiagnosed diabetes. Continue reading >>

Evaluation Of Indian Diabetic Risk Score For Screening Undiagnosed Diabetes Subjects In The Community | Lanord Stanley | Indian Journal Of Science And Technology

Evaluation Of Indian Diabetic Risk Score For Screening Undiagnosed Diabetes Subjects In The Community | Lanord Stanley | Indian Journal Of Science And Technology

Evaluation of Indian Diabetic Risk Score for Screening Undiagnosed Diabetes Subjects in the Community Department of Medicine, Tagore Medical College and Hospital, Chennai-600048, India Alliance University, Bangalore-562106, India GLR Laboratories Pvt Ltd, Chennai-600060, India A diabetic screening camp was conducted in villages around Tagore Medical College medical college, Chennai in India. Four simple questions along with one measurement for waist circumference and fasting capillary blood sugar and/or post prandial blood sugar tests in individuals with Indian Diabetic Risk Score (IDRS) 60 were employed. Results indicated that IDRS (consisting of factors like age, abdominal obesity, physical activity and family history) predicted the risk of diabetes mellitus with sensitivity of 100% and specificity of 17.6% in individuals with score 60 and can be used as an effective tool for screening undiagnosed diabetics in the community. IDRS, Screening Tool, Undiagnosed Diabetes Mellitus, India Deepa M, Deepa R, Shanthirani CS, Manjula Dutta, Unwin NC, Kapur A and Mohan V (2005) Awareness and knowledge of Diabetes in Chennai- The Chennai Urban Rural Epidemiology Study (CURES-9). J. Assoc. Physicians of India. 53, 283-287. Mohan V, Deepa R, Deepa M,Somannavar S and Datta M (2005) A simplified Indian diabetic risk score for screening undiagnosed diabetic subjects. J. Assoc. Physicians of India. 53,759-763. Nandeshwar S, Vishal Jamra and Pal DK (2010) Indian diabetes risk score for screening of undiagnosed diabetic subjects of Bhopal city. National J.Community Med. 1(2), 176-177. Prabha Adhikari, Rahul Pathak and Shashidhar Kotian (2010) Validation of the MDRF - Indian Diabetes Risk Score (IDRS) in another South Indian Population through the Boloor Diabetes Study (BDS). JAPI, 50, 4 Continue reading >>

Indian Diabetic Risk Score (idrs), A Screening Tool For Detecting Undiagnosed Diabetes

Indian Diabetic Risk Score (idrs), A Screening Tool For Detecting Undiagnosed Diabetes

The results of this study indicate that a simple diabetes risk score, the IDRS has a high degree of sensitivity and specificity, accuracy for detecting undiagnosed diabetes in a community. This study shows that if the IDRS is applied in our population and a score > 60 is used, by screening 29.7% (i.e., near 1/3) of population, 62.2% of the people with undiagnosed diabetes in a population can be detected with a specificity of 73.7%. The IDRS is easy to administer and tabulate since all the points are in tens or multiples of tens. Thus it could be administered easily even in an epidemiological setting by a non-physician since it just involves collection of data on age, family history, physical activity and a single measurement of waist circumference. Its ease of administration and its accuracy makes it a useful screening test for diabetes. India has a population of nearly one billion with nearly 41 million people already having diabetes of whom almost half do not even know that they have diabetes. IDRS could thus be used as a good screening tool prior to doing blood sugar testing in our population. This could help reduce the costs of screening for diabetes by nearly 50% [3]. IDRS could also help to detect people at risk of having pre diabetes [4]. Moreover it could help people motivate for undergoing blood sugar testing. There are several other diabetes risk scores which have been found to be reliable in predicting diabetes mellitus and the Finnish Diabetes Risk Score [5], German Diabetes Risk Score [6], Dutch Diabetes Risk Score [7]and Diabetes Risk Score of Oman [8] are some of them. Various diabetes risk scores have incorporated parameters such as age, previously abnormal blood sugar, height, diabetes in family, physical activity, body weight, waist circumference food Continue reading >>

Preventing Chronic Disease | Screening Performance Of Diabetes Risk Scores Among Asians And Whites In Rural Kerala, India - Cdc

Preventing Chronic Disease | Screening Performance Of Diabetes Risk Scores Among Asians And Whites In Rural Kerala, India - Cdc

Screening Performance of Diabetes Risk Scores Among Asians and Whites in Rural Kerala, India This page was updated on July 11, 2013, to incorporate the corrections in Vol. 10 Thirunavukkarasu Sathish, MBBS, MPH; Srinivasan Kannan, PhD; Sankara P. Sarma, PhD; Kavumpurathu Raman Thankappan, MD, MPH Suggested citation for this article: Sathish T, Kannan S, Sarma SP, Thankappan KR. Screening Performance of Diabetes Risk Scores Among Asians and Whites in Rural Kerala, India. [Erratum appears in Prev Chronic Dis 2013;10. .] Prev Chronic Dis 2012;10:120131. DOI: . We compared the screening performance of risk scores for Asians and whites for diabetes, dysglycemia, and metabolic syndrome. Our subjects were 451 people aged 15 to 64 years who participated in a cohort study from May 2003 through September 2010 in a rural area of the Thiruvananthapuram district of Kerala, India. All outcome measures showed overlap in the range of area under the receiver operating characteristic curves of Asian and white diabetes risk scores (DRSs). Asian and white DRSs performed similarly in rural India. Although mass screening for diabetes is not practical or recommended, selective screening through risk scores is feasible, convenient, and cost effective. Most diabetes risk scores (DRSs) have been developed and validated among whites (17); evidence on their screening performance in Asians is limited (8,9). We compared the screening performance of Asian and white DRSs for diabetes, dysglycemia, and metabolic syndrome in rural India. In 2003, a large-scale cross-sectional survey on risk factors for noncommunicable diseases was conducted among 7,449 people aged 15 to 64 years in urban, slum, and rural areas of the Thiruvananthapuram district of Kerala, India (10). From the rural sample of the survey Continue reading >>

A Simplified Indian Diabetes Risk Score For Screening For Undiagnosed Diabeticsubjects.

A Simplified Indian Diabetes Risk Score For Screening For Undiagnosed Diabeticsubjects.

1. J Assoc Physicians India. 2005 Sep;53:759-63. A simplified Indian Diabetes Risk Score for screening for undiagnosed diabeticsubjects. Mohan V(1), Deepa R, Deepa M, Somannavar S, Datta M. (1)Madras Diabetes Research Foundation and Dr MV Diabetes Specialities Centre, Gopalapuram, Chennai, India. AIM: The aim of this study was to develop and validate a simplified IndianDiabetes Risk Score for detecting undiagnosed diabetes in India.METHODS: The risk score was derived from the Chennai Urban Rural EpidemiologyStudy (CURES), an ongoing epidemiological study on a representative population ofChennai. Phase 1 of CURES recruited 26,001 individuals, of whom every tenthsubject was requested to participate in Phase 3 for screening for diabetes using World Health Organization (WHO) 2 hour venous plasma glucose criteria [i.e. > or = 200 mg/dl]. The response rate was 90.4% (2350/2600). The Indian Diabetes RiskScore [IDRS] was developed based on results of multiple logistic regressionanalysis. Internal validation was performed on the same data.RESULTS: IDRS used four risk factors: age, abdominal obesity, family history ofdiabetes and physical activity. Beta co-efficients were derived based on amultiple logistic regression analysis using undiagnosed diabetes as the dependentvariable. The beta co-efficients were modified so as to obtain a maximum possiblescore of 100. Receiver Operating Characteristic [ROC] curves were constructed to identify the optimum value of IDRS for detecting diabetes by WHO consulting groupcriteria. Area under the curve for ROC was 0.698 (95% confidence interval (CI):0.663-0.733). An IDRS value > or = 60 had the optimum sensitivity (72.5%) andspecificity (60.1%) for determining undiagnosed diabetes with a positivepredictive value of 17.0%, negative predictive v Continue reading >>

Screening For Diabetes Using Indian Diabetes Risk Score - - Scopemed.org - Deposit For Medical Articles

Screening For Diabetes Using Indian Diabetes Risk Score - - Scopemed.org - Deposit For Medical Articles

Screening for diabetes using Indian diabetes risk score Saranya Nagalingam, Kavitha Sundaramoorthy, Balaji Arumugam. Background: Prevalence of type 2 diabetes has escalated to beyond the projected values in many countries like India, so it becomes mandatory to screen the population to recognize the disease early. This study was carried out with the objective of screening the adult population using the pre validated MDRF-IDRS questionnaire. Methods: This study was done among adult population as community based cross sectional study around semi urban population of Chennai near Ponamallee and Avadi. House to house survey was done and the population was randomly selected randomly among adults of more than 20 years of age and not a known diabetic patients. Results: Our study included 304 study participants with the mean age of 41.5 years, majority 55% females, 73% belonging to nuclear family and majority were from class II socio economic status. Around 74% were non vegetarian population with smoking and alcohol habits 20% and 23% respectively. According to IDRS score of MDRF the study population were classified to be low, medium and high risk for developing type 2 diabetes were 18%, 45% and 37% respectively. Conclusion: Our study has described that the majority of the adult population were at medium and high risk of developing type 2 diabetes which is actually a dangerous sign for the community, needing lifestyle changes to be initiated as soon as possible to delay the occurrence of type 2 diabetes. Key words: Type 2 diabetes, Screening, Indian diabetes risk score, BMI, Waist circumference Continue reading >>

Development And Validation Of A Diabetes Risk Score For Screening Undiagnosed Diabetes In Sri Lanka (sldrisk)

Development And Validation Of A Diabetes Risk Score For Screening Undiagnosed Diabetes In Sri Lanka (sldrisk)

Development and validation of a Diabetes Risk Score for screening undiagnosed diabetes in Sri Lanka (SLDRISK) Screening for undiagnosed diabetes is not widely undertaken due to the high costs and invasiveness of blood sampling. Simple non-invasive tools to identify high risk individuals can facilitate screening. The main objectives of this study are to develop and validate a risk score for screening undiagnosed diabetes among Sri Lankan adults and to compare its performance with the Cambridge Risk Score (CRS), the Indian Diabetes Risk Score (IDRS) and three other Asian risk scores. Data were available from a representative sample of 4276 adults without diagnosed diabetes. In a jack-knife approach two thirds of the sample was used for the development of the risk score and the remainder for the validation. Age, waist circumference, BMI, hypertension, balanitis or vulvitis, family history of diabetes, gestational diabetes, physical activity and osmotic symptoms were significantly associated with undiagnosed diabetes (age most to osmotic symptoms least). Individual scores were generated for these factors using the beta coefficient values obtained in multiple logistic regression. A cut-off value of sum = 31 was determined by ROC curve analysis. The area under the ROC curve of the risk score for prevalent diabetes was 0.78 (CI 0.730.82). In the sample 36.3% were above the cut-off of 31. A risk score above 31 gave a sensitivity, specificity, positive predictive value and negative predictive value of 77.9, 65.6, 9.4 and 98.3% respectively. For Sri Lankans the AUC for the CRS and IDRS were 0.72 and 0.66 repectively. This simple non-invasive screening tool can identify 80% of undiagnosed diabetes by selecting 40% of Sri Lankan adults for confirmatory blood investigations. Diabet Continue reading >>

Validation Of Indian Diabetic Risk Score For Detecting Undiagnosed Diabetics In A Semi-urban Population Of Mangalore-south India

Validation Of Indian Diabetic Risk Score For Detecting Undiagnosed Diabetics In A Semi-urban Population Of Mangalore-south India

Validation of Indian Diabetic Risk Score for detecting Undiagnosed Diabetics in A Semi-Urban Population of Mangalore-South India Usha Rani S Padmanabha Assistant Professor, Department of Community Medicine, Sapthagiri Institute of Medical Sciences and Research Centre, Bangalore Rashmi Kundapur Professor, Department of Community Medicine, K. S. Hegde Medical Academy, Deralakatte, Mangalore Puneeth N Consultant Anaesthetist, Sapthagiri Institute of Medical Sciences and Research Centre, Bangalore Nalam Udayakiran Professor, Department of Community Medicine, Mahavir Institute of Medical sciences- Vikarabad, Telangana Background: Diabetes is considered as an "iceberg disease". According to latest WHO estimates the number of people with diabetes worldwide in 2000 is 171 million which is likely to increase to at least 366 million by 2030.Indian Diabetes Risk Score is useful for identifying undiagnosed diabetic subjects in India and includes four risk factors: Age, Abdominal obesity, Family history of diabetes and Physical activity in predicting diabetes. Objectives: To Validate the Indian Diabetic Risk score for detecting undiagnosed diabetics in a Semi urban population. Material and Methodology: The study was a validation study conducted in the field practice area of K.S. Hegde Medical Academy, Mangalore in 2015. Universal sampling was done among 80 households to obtain a minimum sample size of 160 participants. Two from each household one being the highest age and one being the middle age among the households were enrolled. Individuals aged 20 years and above were included to validate the Indian Diabetic Risk score. Informed consent was taken before introducing the participants to the study and two Random blood sugars were checked. Results: Out of 160 participants 31.9% wer Continue reading >>

Quality Of Life And Indian Diabetes Risk Score Are Linked To Heart Rate Variability In Young Individuals With Prediabetes And Diabetes In India Keerthi Gs, Pal P, Pal Gk, Sahoo Jp, Sridhar Mg, Balachander J - Int J Clin Exp Physiol

Quality Of Life And Indian Diabetes Risk Score Are Linked To Heart Rate Variability In Young Individuals With Prediabetes And Diabetes In India Keerthi Gs, Pal P, Pal Gk, Sahoo Jp, Sridhar Mg, Balachander J - Int J Clin Exp Physiol

Background and Aim: Although diabetes is known to be associated with cardiac autonomic neuropathy and depressed quality of life (QoL) in terms of physical and psychological domains due to the disease duration and complications, till date no reports are available to show the link between QoL and Indian Diabetes Risk Score (IDRS) with cardiac autonomic neuropathy assessed with heart rate variability (HRV) in newly diagnosed type 2 diabetes mellitus and prediabetes without comorbidities. IDRS is known to predict cardiometabolic risks, neuropathy and future diabetes risk even in normoglycemic subjects. Hence, in this study, we have planned to assess the plausible link between QoL scale and IDRS with HRV in young Indian individuals with newly diagnosed diabetes and prediabetes. Methods: Among 328 (1845 years) age-matched individuals, 78 were included as controls, 126 in prediabetes group, and 124 in newly diagnosed diabetes group. Subject's QoL and IDRS were assessed by questionnaires, and resting HRV were recorded. Fasting blood glucose (FBG) and fasting insulin was estimated, and homeostatic model assessment of insulin resistance (HOMA-IR) was calculated. Independent association of ratio of low-frequency to high-frequency power (LF: HF ratio) with other variables was analyzed by multiple regression analysis. Results: HRV and QoL were significantly decreased; IDRS, FBG, fasting insulin, and HOMA-IR were significantly increased in prediabetes and diabetes group compared to controls with an equal level of significance. Furthermore, these parameters showed significant difference that was more intense in diabetes group compared with prediabetes group. Conclusion: The association of sympathovagal imbalance in terms of LF: HF ratio with QoL and IDRS was found in Indian adults wi Continue reading >>

Diabetes Mellitus Type Ii In School Children: Risk Evaluation And Its Genetic Correlation Mahajan S, Kaur P - Int J Oral Health Sci

Diabetes Mellitus Type Ii In School Children: Risk Evaluation And Its Genetic Correlation Mahajan S, Kaur P - Int J Oral Health Sci

Introduction: Diabetes mellitus type II (T2DM) is the leading cause of morbidity and mortality globally, with its increasing prevalence in children worldwide and is associated with their eating habits, sedentary lifestyle, obesity, and family history of the disease. Aim: The present study was an attempt to screen the school children at risk of developing T2DM in their near future and to comprehend the cause of disease. Materials and Methods: A total of 71 students (45 boys and 26 girls) of the age (mean standard deviation) 12.8 2.1 years of Bhartiya Vidya Mandir School, Ludhiana, were scored using Indian diabetes risk score (IDRS), a questionnaire that is simple, validated, and had proven to be highly effective in the previous studies. Results: The present study revealed that out of 71 children, 7%, 63%, and 30% of the children were in high-, moderate-, and low-risk groups, respectively. The study reflected that the boys would be at higher risk of developing T2DM in their near future than girls due to more pronounced diabetic history in their family (a nonmodifiable factor) than in girls and the presence of acanthosis nigricans (the marker of insulin resistance) only in the boys. Girls were at risk mainly because of their less physical activity and more abdominal waist (the modifiable factors). Conclusions: IDRS provided a useful tool for identifying the cause for the risk of disease in children. Fathers might be responsible for the transmission of T2DM more to their sons. T2DM in childhood can be prevented to large extent by increasing physical activity periods in school, promoting healthy eating habits, and regular screening programs to identify the at-risk cases for early treatment and to control the long-term effects of the disease. Keywords:Acanthosis nigricans, I Continue reading >>

Performance Of Diabetes Risk Scores With Or Without Point Of Care Blood Glucose Estimation Appajigol Js, Somannavar Ms, Araganji Rr - J Sci Soc

Performance Of Diabetes Risk Scores With Or Without Point Of Care Blood Glucose Estimation Appajigol Js, Somannavar Ms, Araganji Rr - J Sci Soc

Context: Early detection and optimal treatment of type 2 diabetes mellitus (T2DM) are shown to prevent or delay the complications of the disease. In resource poor settings we need sensitive, specific and inexpensive screening tool to detect people with T2DM. Tools involving point of care blood glucose testing have shown the superiority over others where only history and anthropometry were used. Aims: This study aims to compare the specificity and sensitivity of Indian diabetes risk score (IDRS) and Tabaei and Herman equation based risk score model in a rural community of Northern Karnataka. Materials and Methods: Diabetes prevalence study conducted in rural North Karnataka is used for the present study. All the variables required for calculating IDRS and Tabaei and Herman equation are available from the prevalence study. Instead of random capillary blood glucose, 2 h post 75 g plasma glucose value is used in the equation. And self-reported postprandial time is taken as 2 h. Statistical Analysis: The MedCalc-version 11.3.0 is used for the statistical calculations. DeLong method used to compare the area under receiver operating characteristics (ROCs) of the two risk scores. Results: Three hundred and eighteen participants completed the study and were considered for analysis. In this study optimal, cut-off value for IDRS found to be 40 and for Tabaei et al. equation 0.09. Area under ROC for IDRS was 0.755 (95% CI: 0.680-0.819), and for Tabaei et al. equation it was 0.979 (95% CI: 0.943-0.995). Conclusion: Sensitivity and specificity of T2DM screening tool can be improved by including a point of care blood glucose testing. Keywords:Diabetes risk score, point of care blood glucose, Tabaei and Herman equation Appajigol JS, Somannavar MS, Araganji RR. Performance of diabetes Continue reading >>

Expanding Role Of The Madras Diabetes Research Foundation - Indian Diabetes Risk Score In Clinical Practice Mohan V, Anbalagan Vp - Indian J Endocr Metab

Expanding Role Of The Madras Diabetes Research Foundation - Indian Diabetes Risk Score In Clinical Practice Mohan V, Anbalagan Vp - Indian J Endocr Metab

According to the Indian Council of Medical Research-Indian Diabetes study (ICMR-INDIAB), a national diabetes study, India currently has 62.4 million people with diabetes. [1] This is set to increase to over 100 million by 2030. [2] The majority of people with diabetes (>90%) have Type 2 diabetes (T2DM). While T2DM predominantly affects older individuals in developed countries, in developing nations like India, it affects the younger population in the prime of their working lives and thus poses an even greater threat to the health of these individuals. [1] , [3] This epidemic of diabetes is unfortunately paralleled by a corresponding increase in the prevalence of its complications, both microvascular and macrovascular, which account for much of the premature morbidity and mortality due to diabetes in India. [4] , [5] , [6] , [7] , [8] Given the rapid escalation of the diabetes epidemic, all levels of prevention (primary, secondary and tertiary diabetes prevention) need to be put into action simultaneously. Unfortunately, more than 50% of people with T2DM remain undiagnosed. [9] Thus the priority is to screen, diagnose and treat as many people with T2DM as possible. In a hugely populated country like India with over 1.2 billion people with diverse cultures, the screening and diagnosing methods for diabetes should be simple, cost-effective and less time-consuming and should also take into consideration the unique risk factors for, and increased susceptibility to, T2DM that the Asian Indians have. The latter is referred to as the "Asian Indian Phenotype". [9] , [10] The Indian Diabetes Risk Score (IDRS) was initially developed by us at the Madras Diabetes Research Foundation (MDRF, Chennai) as a simple tool to help detect undiagnosed T2DM in the community. [11] Others in I Continue reading >>

A Community Based Study To Assess The Validity Of Indian Diabetic Risk Score, Among Urban Population Of North Central India | Agarwal | International Journal Of Community Medicine And Public Health

A Community Based Study To Assess The Validity Of Indian Diabetic Risk Score, Among Urban Population Of North Central India | Agarwal | International Journal Of Community Medicine And Public Health

DOI: A community based study to assess the validity of Indian diabetic risk score, among urban population of North Central India Anil Kumar Agarwal, Ghanshyam Ahirwar, Priyesh Marskole, A. K. Bhagwat Background: The prevalence of diabetes mellitus is growing rapidly worldwide and India has earned the dubious distinction of being the diabetic capital of the world and had 69.2 million (8.7%) people living with diabetes.1 Unfortunately over half of these people remain undiagnosed as diabetes. IDRS is a cost effective and simple tool for screening of undiagnosed diabetic individuals in the community. The objective of the study was to estimate prevalence of undiagnosed high risk subjects of diabetes mellitus to validate IDRS as effective tool for diagnosis of diabetes in urban areas of Gwalior City. Methods: In community based cross-sectional observational study house to house survey was conducted and face to face interview had done by predesigned questionnaire, which was based on IDRS variables for those persons of age more than 20 and not known to diabetes previously. Results: In present study 55 (8.94%) out of 615 respondents were diagnosed as a newly diabetic cases. We found that at IDRS score of 60 has a sensitivity of 45.5% and specificity of 88.0%. Conclusions: This study provides a use of Indian diabetes risk score for identifying undiagnosed high risk for patients with diabetes in Indian population and could make screening programmes more cost effective. World Health Day (WHO). Available at: Accessed on 10 March 2017. Global report on diabetes, World Health Organization, Geneva, 2016 Available at: http:// apps.who.int/iris/bitstream/10665/204871/1/ 9789241565257_eng.pdf. Accessed on 10 March 2017. Developed under the Government of India WHO Collaborative Programme Continue reading >>

::welcome To Mdrf::

::welcome To Mdrf::

The Department of Epidemiology supervised by Dr. M. Deepa was started in 1996 with the objective of studying the distribution and determinants of diabetes in the population. The first study, the Chennai Urban Population Study (CUPS) looked at Intra urban differences in diabetes with respect to socioeconomic status. This resulted in 34 publications and three PhD. This was later followed by the CURES, the Chennai Urban Rural Epidemiology Study, which was a sample survey for diabetes in Chennai city. Several national and international publications evolved from this study, which also bought in recognition and collaboration with renowned universities, both within India and abroad. This study also saw the section maturing into a department and was followed by several other national and international studies which are described below. To work towards developing a strong data base on the epidemiology of diabetes and to develop methods for population based management of the disease. Portfolio of Current Activities of the Department This was the first epidemiological study carried out by MDRF between 1996 and 1998 to look at the intra urban differences in the prevalence of metabolic syndrome. This study reported on the prevalence of diabetes, impaired glucose tolerance (IGT) and other features of the metabolic syndrome like insulin resistance, hyperlipidemia, hypertension and obesity in two socio economically different sections of society within an urban environment and also reported on the differences in risk factor profiles within these two strata of society. Two residential colonies were selected in urban Chennai, representing middle income and low income group. This cross-secional field survey was conducted in these two colonies and all individuals aged 20 years residing the Continue reading >>

Journal Of Evolution Of Medical And Dental Sciences

Journal Of Evolution Of Medical And Dental Sciences

ABSTRACT: CONTEXT: The prevalence of Diabetes is on a rise throughout the world. The major task for the community physicians is identification of individuals at risk in order to delay or prevent the onset of Diabetes Mellitus. The present study was conducted to assess the utility of Indian Diabetic Risk score (IDRS) in a rural area. SETTINGS AND DESIGN: A cross-sectional study was conducted during screening camps held at the Rural Maternity and Child Welfare Homes, managed by Department of Community Medicine, Kasturba Medical College, Manipal University, Manipal. MATERIAL AND METHODS: Data was collected with respect to Socio-demographic factors, occupation, physical activity and family history of Diabetes. Anthropometric measurements were done and random blood glucose was estimated using a glucometer. All subjects attending the camp above 25 years of age were eligible to be part of the study except known diabetics. RESULTS: A total of 251 adults reported for the health camps conducted at the rural centres, out of which the data for 209 participants was complete and eligible. Among 209 subjects, majority (78.5%) were females and 21.5% were males. The IDRS Score of 60 was obtained for 115(55%) subjects, moderate risk with score ranging 30 to 50 was seen in 90(43.1%) and 4(1.9%) had low risk. Of the 115 subjects who belonged to high risk group, 21 (18.3%) of them had RBS 140 mg/dl. CONCLUSION: IDRS is a simple useful and cost-effective screening tool for diabetes in resource limited settings. KEYWORDS: Indian Diabetic Risk Score, random blood glucose, body mass index, rural area. Chythra R. Rao, Muralidhar M. Kulkarni, Sathiya Narayanan S, Veena G. Kamath, Asha Kamath, Kirthinath Ballala, Sujatha K. Utility of Indian Diabetic Risk Score (IDRS) in a Rural Area of Coastal K Continue reading >>

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