Dr Md Hafizur Rahman, Public Health Specialist & Diabetologist, Narayanganj Diabetic Hospital, Narayangnaj, Bangladesh; E-mail:
Mymensingh Med J. 2021 Apr;30(2):432-441.
Diabetes Mellitus (DM) represents one of the biggest challenges in our country affecting hundred millions of people worldwide, both in developed countries and in developing ones. The objectives of the study were to assess the proportion of diagnosed and undiagnosed cases of diabetes mellitus among above 40 years old population in a selected rural area in Jamalpur, Bangladesh. A descriptive type of cross sectional study was conducted from September 2018 to December 2018. The respondents of the study were taken purposively. Using semi-structured questionnaire data were derived from face to face interview. The data were analyzed by using statistical for social science package (SPSS) 25.0 version for data entry and analysis. 53.4% of the respondents were aged between 40-50 years and 60.6% were female, 98.3% were Muslim, 57.2% were housewife. The study revealed that nearly half of the respondents (44.9%) had no formal education, 27.1% had primary, 14.8% had secondary, 8.9% had graduate and above and 4.2% had higher secondary education. 43.6% of the respondents' monthly family income had <10000 BDT. 27.5% had family history of diabetes. 33.5% of the respondents had body weight of 51-60 kg and 20.8% were overweight and only 2.1% were obese. Active respondents were 35.6%, 28.8% were moderately active, 24.6% were mildly active and 11% were sedentary in their life style. Majority of the respondents (72.5%) did not perform regular exercise. Excessive sweet or sugar regularly has taken 32.6% of the respondents. About diabetes knew 91.5% of the respondents and only 8.5% did not know about diabetes. Majority of the respondents (72.9%) did not know how diabetes & its complications can be prevented. This study found that 54.1% of the respondents continued oral drugs/insulin regularly for treatment of diabetes mellitus. Most of the respondents (88.1%) did not monitor blood glucose level regularly. 97.5% of the respondents did not attend any diabetes awareness program. The prevalence of diabetes was 22.88%. The proportion of diagnosed diabetic cases was 15.7% and the proportion of undiagnosed diabetic was 7.2% according to their fasting blood sugar. A relatively high proportion of diabetic cases were observed in that rural Bangladeshi population. The study found that about one third of the diabetic cases were undiagnosed and untreated which was significant and alarming. The study showed that the association between education of the respondents and status of diabetes was statistically strongly significant (p<0.001). The study revealed that there was strong association between family history of diabetes of the respondents and status of diabetes (p=0.006).
糖尿病（DM）是我国面临的最大挑战之一，影响着全球数以亿计的人口，无论是在发达国家还是发展中国家。本研究的目的是评估孟加拉国杰马勒布尔县一个选定农村地区 40 岁以上人群中已确诊和未确诊的糖尿病病例比例。本研究采用描述性的横断面研究方法，于 2018 年 9 月至 12 月进行。研究对象采用目的性抽样。使用半结构式问卷，通过面对面访谈获取数据。使用社会科学统计软件包（SPSS）25.0 版本进行数据分析。研究对象中，53.4%的年龄在 40-50 岁之间，60.6%为女性，98.3%为穆斯林，57.2%为家庭主妇。研究表明，近一半的受访者（44.9%）没有接受过正规教育，27.1%接受过小学教育，14.8%接受过中学教育，8.9%接受过大学及以上教育，4.2%接受过高中教育。43.6%的受访者家庭月收入<10000 孟加拉塔卡。27.5%的受访者有糖尿病家族史。33.5%的受访者体重为 51-60 公斤，20.8%超重，只有 2.1%肥胖。活跃的受访者占 35.6%，28.8%适度活跃，24.6%轻度活跃，11%久坐不动。大多数受访者（72.5%）没有定期锻炼。32.6%的受访者经常食用过量的甜食或糖。91.5%的受访者了解糖尿病，只有 8.5%的受访者不了解糖尿病。大多数受访者（72.9%）不知道如何预防糖尿病及其并发症。本研究发现，54.1%的受访者定期服用口服药物/胰岛素治疗糖尿病。大多数受访者（88.1%）没有定期监测血糖水平。97.5%的受访者没有参加任何糖尿病意识项目。糖尿病患病率为 22.88%。根据空腹血糖值，已确诊的糖尿病患者比例为 15.7%，未确诊的糖尿病患者比例为 7.2%。在孟加拉国农村地区，糖尿病患者的比例相对较高。研究发现，约三分之一的糖尿病患者未被诊断和未接受治疗，这一比例令人担忧。研究表明，受访者的教育程度与糖尿病状况之间存在统计学上的显著关联（p<0.001）。研究还表明，受访者的糖尿病家族史与糖尿病状况之间存在很强的关联（p=0.006）。
