Kumar Suresh P, Sandhya A M
Suresh Kumar P, Dr. Suresh's DiabCare India, Kozhikode, Kerala, 673011, India.
Sandhya A M, Research Scholar,Little Flower Medical Research center, Angamaly, Kerala, India.
Indian Heart J. 2018 Jul-Aug;70(4):482-485. doi: 10.1016/j.ihj.2017.10.007. Epub 2017 Oct 12.
The aim of the study was to detect the level of comprehensive diabetes control among the diabetic patients of Kerala, India.
Patients (1200) were randomly selected from a diabetes care center. Their blood sugar, biochemical and anthropometric measurements were done and statistically analyzed.
Only 28.3% had their HbA1c at or below 7% and 45% above 9%. One-third of the female and one-fifth of the male patients had coronary artery disease. The prevalence of hypertension was almost equal in both sexes. However, there was a statistically significant higher systolic blood pressure (mean 162.12mmHg vs 147.49mmHg, p=0.01044) among females. The total cholesterol was above 200mg/dl in 42.1% of males and 45.61% of females. The triglyceride was >150mg/dl in 38.6% males and 50.88% females. Low high density lipoprotein (HDL) cholesterol levels were found in 20.07% of males and 41.12% of females (p=0.0445). The mean low density lipoprotein (LDL) was 121.75 (±32.29) CONCLUSION: The mean blood sugar values are found to be high, which will lead to a predictable increase in vascular disease, which in turn will affect the quality of health and productivity of the individual and the economic growth of the society as a whole. Studies suggest that therapeutic interventions to improve glycemic control may reduce the risk of cardiovascular disease and microvascular disease. This study shows that the level of diabetes control in Kerala is unsatisfactory. We need more medications, better strategies and more emphasis on glycemic management than we are currently able to apply.
本研究旨在检测印度喀拉拉邦糖尿病患者的综合糖尿病控制水平。
从一家糖尿病护理中心随机选取1200名患者。对他们进行血糖、生化和人体测量，并进行统计分析。
仅28.3%的患者糖化血红蛋白（HbA1c）处于或低于7%，45%的患者高于9%。三分之一的女性患者和五分之一的男性患者患有冠状动脉疾病。高血压患病率在两性中几乎相等。然而，女性的收缩压在统计学上显著更高（平均162.12mmHg对147.49mmHg，p = 0.01044）。42.1%的男性和45.61%的女性总胆固醇高于200mg/dl。38.6%的男性和50.88%的女性甘油三酯>150mg/dl。20.07%的男性和41.12%的女性高密度脂蛋白（HDL）胆固醇水平较低（p = 0.0445）。低密度脂蛋白（LDL）的平均值为121.75（±32.29）。结论：发现平均血糖值较高，这将导致血管疾病可预测地增加，进而影响个人的健康质量和生产力以及整个社会的经济增长。研究表明，改善血糖控制的治疗干预措施可能降低心血管疾病和微血管疾病的风险。本研究表明喀拉拉邦的糖尿病控制水平不令人满意。我们需要比目前所能应用的更多药物、更好的策略以及对血糖管理给予更多重视。
