Basavareddy Asha, Dass Ashwitha Shruti, Narayana Sarala
Associate Professor, Department of Pharmacology, Sri Devaraj Urs Academy of Higher Education and Research , Tamaka, Kolar, Karnataka, India .
Post Graduate Student, Department of Pharmacology, Sri Devaraj Urs Academy of Higher Education and Research , Tamaka, Kolar, Karnataka, India .
J Clin Diagn Res. 2015 Aug;9(8):FC01-3. doi: 10.7860/JCDR/2015/13391.6290. Epub 2015 Aug 1.
Prediabetes is an intermediate state between diabetes and normoglycaemia, where the glucose levels are higher than normal but not significant to be diagnosed as diabetes mellitus. Guidelines from various associations suggest different types of management in this situation.
To assess knowledge and attitude of the doctors regarding prediabetes using questionnaire.
A cross-sectional questionnaire based study was conducted to assess the knowledge, attitude and practice among doctors regarding prediabetes treatment. One hundred twenty two (of 150) filled questionnaires were received from general practitioners, post graduates (PGs), physicians and super specialists in and around Kolar and Bangalore. Data was analysed using descriptive statistics and expressed as percentage.
A total of 81.3% responded to the questionnaire, of which 14 were general practitioners (MBBS), 48 PGs in General Medicine, 46 physicians (MD General Medicine), and 14 super specialists (DM). Knowledge response was 85.7% (definition - 100%, prevalence - 50.8%, approved drug- 45.2%, progression- 86.2%). Screening for prediabetes was done by 71% of the general practitioners and physicians, but specialists would screen all. 100% general practitioners, 97.9% post graduates, 91.3% of physicians and 64.2 % specialist preferred diet and exercise and rest of them opted for oral antidiabetic drug (OAD) along with diet and exercise, but none of the doctors considered OAD alone for prediabetes. Among OADs metformin (77.45%) was the most preferred followed by voglibose (20.6%) and sitagliptin (1.9%).
All doctors had awareness of prediabetes and most of them would regularly screen and treat prediabetes. Majority considered diet and exercise as first modality of treatment. The OAD opted commonly was metformin.
糖尿病前期是糖尿病和正常血糖之间的中间状态，此时血糖水平高于正常，但尚未达到可诊断为糖尿病的程度。各协会的指南针对这种情况提出了不同类型的管理建议。
通过问卷调查评估医生对糖尿病前期的认知和态度。
开展了一项基于横断面问卷的研究，以评估医生在糖尿病前期治疗方面的知识、态度和实践情况。从科拉尔和班加罗尔及其周边地区的全科医生、研究生、内科医生和超级专家中收到了150份问卷中的122份已填写问卷。使用描述性统计方法对数据进行分析，并以百分比表示。
共有81.3%的人回复了问卷，其中14人为全科医生（医学学士），48名普通内科研究生，46名内科医生（医学博士，普通内科），14名超级专家（医学博士）。知识回答率为85.7%（定义 - 100%，患病率 - 50.8%，获批药物 - 45.2%，病情进展 - 86.2%）。71%的全科医生和内科医生会对糖尿病前期进行筛查，但专家会对所有人进行筛查。100%的全科医生、97.9%的研究生、91.3%的内科医生和64.2%的专家更倾向于饮食和运动，其余的人选择口服抗糖尿病药物（OAD）并结合饮食和运动，但没有医生仅考虑使用OAD治疗糖尿病前期。在OAD中，二甲双胍（77.45%）是最受欢迎的，其次是伏格列波糖（20.6%）和西他列汀（1.9%）。
所有医生都了解糖尿病前期，并且大多数人会定期对糖尿病前期进行筛查和治疗。大多数人认为饮食和运动是首要治疗方式。常用的OAD是二甲双胍。
