Rajagiri College of Social Sciences (Autonomous), Kochi, Kerala, India.
Rajagiri International Centre for Consortium Research in Social Care (ICRS), Kochi, Kerala, India.
Public Health Nurs. 2022 Sep;39(5):933-939. doi: 10.1111/phn.13073. Epub 2022 Mar 28.
Diabetes is a significant public health concern in India, with Kerala being labeled as the diabetes capital of the country. The study aims to evaluate the prevalence, treatment, and management of diabetes to examine the unmet need for care to propose cost-effective strategies.
A cross-sectional study was conducted on a geographically defined cohort population in Ernakulam.
This paper presents diabetes data of adults ≥30 years enrolled from the community cohort. The interviews were conducted with 997 participants at their residence.
Random blood glucose was assessed for each participant using a finger prick test.
The overall prevalence of diabetes was 30.1%, of which 4.1% of participants had undiagnosed diabetes. Among those with diabetes, 86.3% were aware of their diagnosis; among those aware, 86.5% were on treatment. Among those on treatment for diabetes, 54% achieved controlled blood sugar.
The challenge in diabetes management is controlling the blood glucose levels of people who adhere to treatment. Younger employed females from lower-income quartiles have the highest risk. The study also raises questions about quality and strategies for medication compliance. The findings inspire future research on care needs, policies, and program responses to reduce the diabetes disease burden.
糖尿病是印度一个重大的公共卫生问题，喀拉拉邦被称为该国的“糖尿病之都”。本研究旨在评估糖尿病的流行情况、治疗和管理，以检查未满足的护理需求，并提出具有成本效益的策略。
在埃纳库拉姆进行了一项基于地理定义的队列人群的横断面研究。
本文呈现了来自社区队列的≥30 岁成年人的糖尿病数据。对 997 名参与者在其住所进行了访谈。
使用指尖采血试验对每位参与者进行随机血糖评估。
糖尿病的总体患病率为 30.1%，其中 4.1%的参与者患有未确诊的糖尿病。在糖尿病患者中，86.3%知晓自己的诊断；在知晓的患者中，86.5%接受了治疗。在接受糖尿病治疗的患者中，54%的患者血糖得到了控制。
糖尿病管理的挑战在于控制接受治疗的患者的血糖水平。来自低收入四分位数的年轻就业女性风险最高。该研究还提出了关于药物依从性的质量和策略问题。这些发现激发了未来关于护理需求、政策和方案应对措施的研究，以减轻糖尿病的疾病负担。
