Does the people in Bangladesh aware of “Diabetes Mellitus: the Disease of Prosperity” health care management

Abstract

Introduction: Diabetes mellitus is an increasing threat to the world, which is also considered a “disease of prosperity”. The manifests of demographic changes, cultural transition, modernization, and population aging, etc. make it a “developing countries problem”. The incidence of type 2 diabetes mellitus is increasing so rapidly and it is estimated by 2030 this number will almost double. Around 387 million people have diabetes which is equal to 8.3% people. It is projected that there will be a 42% increase in the number of individuals with diabetes, from 51 to 72 million in the developed countries and 170% increase, from 84 to 228 million, in the developing countries. Diabetes mellitus is a chronic disease once thought to be uncommon in Bangladesh, but now it has emerged as an important public health problem. About 3.6 million people are affected throughout the country. In Bangladesh around 4% adults aged 25 years or more had type 2 diabetes mellitus, and 80 lakh people in Bangladesh suffer from diabetes. It causes 6.4 percent of total deaths in the country. Awareness of diabetes is not up to the mark due to health education about diabetic, announcement, and overall lack of awareness of the disease and its effectiveness make it more complicated to management. Objectives: This study aimed to assess the knowledge and awareness status on health care management of type 2 diabetes mellitus in Bangladesh. Methods: This is a cross sectional study followed mixed method in design among Dhaka and Manikgonj districts. A close ended questioner was followed for quantitative data collection among 800 participants. For qualitative data collection in-depth informant interview conducted with 25 patients and 8 informal interviews was conducted with the physicians. Results: Findings reveal that very significant relation exist with compliances and complication. That compliances influence by various factors like sex, education, occupation, treatment facilitates etc. But who follow the proper compliances faced fewer complications. Also in addition to anti diabetic’s medication and other method of compliances to herbal method which were familiar to diabetic patients. Most compliance the respondents preferred are: diet, exercise, weight control than the medication. Conclusion: Overall a positive outcome blowing that the patients of type 2 diabetics who maintained proper compliances faced less complication than who didn’t follow them properly.