Mokta Jatinder, Mokta Kiran, Ranjan Asha, Garg Mehak
Professor.
Associate Professor.
J Assoc Physicians India. 2017 Feb;65(2):48-52.
To determine the prevalence of modifiable cardiovascular risk factors among adults with diabetes in the remote Himalayan areas, at elevation range from 350 meters (1,148ft) to 6900 meters (22,966ft) above sea level, in the Indian state of Himachal Pradesh.
Study was conducted in 21 rural areas of Himachal Pradesh situated at 2200 to 10,000 feet altitude. Non-pregnant diabetic adults (>18years) were surveyed, through 32 diabetic camps. The date and place of the camp was decided one month in advance and advertised. Detailed history including smoking status, weight, height, waist circumference, body mass index recorded. Fasting or random blood glucose, glycated hemoglobin, lipid profile measured and blood pressure recorded.
Total 909 eligible adult diabetics were surveyed (59.73% male) with a mean duration of disease 38.14±4.56 months.35.54% adults were smoker and 67.55% were either overweight or obese 54.04% males and 77.53% females had waist circumference above Indian standards. 78.35% had A1C >7% and 61.50% had blood pressure measurements above target (>140/80mmhg). 56.74% had elevated LDL and only 6.32% had all blood glucose, blood pressure and cholesterol at recommended levels.
High prevalence of modifiable cardiovascular risk factors in addition to uncontrolled blood glucose is widespread, placing diabetics at higher risk for cardiovascular disease. Improved disease management system in addition to public awareness campaign is needed for people with diabetes in this region of the country.
为了确定印度喜马偕尔邦海拔350米（1,148英尺）至6,900米（22,966英尺）的偏远喜马拉雅地区成年糖尿病患者中可改变的心血管危险因素的患病率。
研究在喜马偕尔邦海拔2,200至10,000英尺的21个农村地区进行。通过32个糖尿病营地对非妊娠成年糖尿病患者（>18岁）进行调查。营地的日期和地点提前一个月确定并公布。记录详细病史，包括吸烟状况、体重、身高、腰围、体重指数。测量空腹或随机血糖、糖化血红蛋白、血脂谱并记录血压。
共调查了909名符合条件的成年糖尿病患者（男性占59.73%），平均病程为38.14±4.56个月。35.54%的成年人吸烟，67.55%超重或肥胖，54.04%的男性和77.53%的女性腰围超过印度标准。78.35%的患者糖化血红蛋白>7%，61.50%的患者血压测量值高于目标值（>140/80mmHg）。56.74%的患者低密度脂蛋白升高，只有6.32%的患者血糖、血压和胆固醇均处于推荐水平。
除血糖控制不佳外，可改变的心血管危险因素普遍存在，使糖尿病患者患心血管疾病的风险更高。该国该地区的糖尿病患者需要改善疾病管理系统并开展公众宣传活动。
