Abstract

Diabetes is a health problem on the rise in developing countries like Nepal. Often in the suburban and rural areas, patients are diagnosed in the late stages with complications. The aim of this study is to find out the prevalence of diabetes type 2 in a community hospital of Nepal. This is a descriptive cross-sectional study done in a community hospital from January to March of 2019 after ethical clearance (Registration number: 150320192) from the institutional review committee of Kathmandu Medical College. Convenient sampling technique was used. Glucometer using glucose sticks is used to measure random blood sugar level and relevant questions were asked in a short interview. The data were analyzed using the Statistical Package for the Social Sciences 20 version. Out of a total of 114 people, the prevalence of type 2 diabetes mellitus was 5 (4.38%). Among those 5 (4.385%) people with type 2 diabetes mellitus, 2 (1.75%) were female and 3 (2.63%) were male. The minimum age of the patient was 17 years and the maximum age was 92 years. Five out of 95 patients with mild physical activity had random blood sugar more than 200 mg/dl and five out of 46 alcoholic patients had random blood sugar levels more than 200 mg/dl. Only 1 out of 26 smokers had a random blood sugar level of more than 200 mg/dl. Prevalence of diabetes mellitus type 2 in our study population is quite high. Early detection of diabetes mellitus type 2 can be a good screening tool for early treatment and prevention of complications.

Highlights

  • Diabetes is a health problem on the rise in developing countries like Nepal

  • Ganesh SA, et al study showed that the prevalence of diabetes in Southern part of Chennai was 11.8% which was higher than the existing prevalence of 10.4% and concluded that more awareness creation, screening, and preventive measures need to be targeted in the population to reduce the disease burden.[2]

  • The study conducted in Nepal in 2015 by Gyawali B, et al result showed that type 2 diabetes is currently a high-burden disease in Nepal, suggesting a possible area of deliberately expanding preventive interventions as well as efforts to control the disease over weight, patients were found to be more prone to develop diabetes mellitus in comparison to non-obese patients which is indicated in the other studies

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Summary

Introduction

Diabetes is a health problem on the rise in developing countries like Nepal. The aim of this study is to find out the prevalence of diabetes type 2 in a community hospital of Nepal. WHO states that global prevalence is about 9% of the adult population in 2014.1,2 More than 80% diabetic-related death occurs in low and middle-income countries.[3] The international diabetic federation estimates that one-fifth of all diabetic in the world live in South East Asia. DM screening is infrequent in rural areas increasing the burden of undetected cases. Intervention of these cases could decrease diabetesrelated complications

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