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Title: Comparison of urban diabetics with optimal and suboptimal control
Authors: Pinidiyapathirage, J.
Warnakulasuriya, T.
Kasturiratne, A.
Ranawaka, U.
Gunasekara, D.
Wijekoon, N.
Medagoda, K.
Perera, S.
Takeuchi, F.
Kato, N.
Wickremasinghe, A.R.
Keywords: Diabetics
Issue Date: 2011
Publisher: BMJ Publishing Group
Citation: Journal of Epidemiology and Community Health. 2011;65(Supl 1): A312
Abstract: INTRODUCTION: The prevalence of Diabetes Mellitus in Sri Lanka is increasing. We describe the characteristics of patients with optimal and suboptimal control of diabetes among known diabetics in a 35–64-year-old urban population resident in the Ragama Medical Officer of Health (Ragama MOH) area of Sri Lanka. METHODS: A cross sectional study was conducted among 2986 randomly selected 35–64 year olds in the Ragama MOH area from January to September 2007. A detailed history was taken and participants were subjected to a physical examination and assay of fasting blood glucose and HbA1C. A HBA1C <6.5 was taken as evidence of optimal control. RESULTS: There were 474 persons (194 males and 280 females) who gave a past history of diabetes. 9 males and 9 females were not on any treatment. 27 persons (9 males and 18 females) were on insulin. Of the 474 diabetics, 113 (48 males and 65 females) had a HbA1c <6.5. The average fasting blood glucose of diabetics with optimal control was 120+21 mg/dl. The mean fasting blood glucose level of the 361 subjects with sub optimal control was 190+70 mg/dl. Optimal glycaemic control was not associated with alcohol intake, smoking, obesity, central obesity and low physical activity levels. CONCLUSIONS: Most known diabetics had access to treatment but only approximately 25% were optimally treated. The need to optimally manage these patients is highlighted.
Description: Abstract of the Poster session 2,Chronic disease (P2-326), xix IEA World Congress of Epidemiology, August 7–11, 2011, Edinburgh, Scotland
ISSN: 1470-2738
Appears in Collections:Conference Papers

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