Abstract

BackgroundPreventing type 2 diabetes (T2DM) is one of the biggest health challenges currently facing the UK, with the NHS spending £14 billion each year on treating the disease and associated symptoms.AimsThe aim of this study was to determine the public’s awareness about the symptoms, risk factors and lifestyle choices, commonly associated with T2DM. This study also aimed to determine whether the level of awareness varies if the questions are asked in different languages, primarily those spoken by ethnic minorities.MethodsThis was a cross sectional, multisite study conducted in London, UK, involving 399 participants, who were non-diabetic, aged between 25 and 74 years old and living in one of four selected London boroughs. Descriptive statistics, Chi square and Fisher’s Exact Tests were used to highlight and summarise the key findings of this study.ResultsA response rate of 23.7% (n = 399/1683) for the English questionnaire was achieved. Overall, 59.4% (n = 237/399) of the cohort were able to identify a minimum of three T2DM symptoms and thus, were considered to have adequate or good awareness. Whereas, 60.6% (n = 242/399) were able to identify a minimum of six T2DM risk factors and were considered to have adequate or good awareness. More participants could correctly identify that obesity was a risk factor of T2DM when they were asked the question in their spoken language, rather than English (p < 0.01). When participants were asked about their current lifestyle choices, there were high levels of inactivity, smoking and alcohol consumption reported.ConclusionDespite approximately half of participants demonstrating adequate or good awareness about the symptoms, risk factors and lifestyle choices commonly associated with T2DM, yet the study still highlights gaps in awareness among the remaining proportion of participants. Future prevention interventions should be tailored to address these existing gaps in awareness.

Highlights

  • Preventing type 2 diabetes (T2DM) is one of the biggest health challenges currently facing the United Kingdom (UK), with the National Health Service (NHS) spending £14 billion each year on treating the disease and associated symptoms

  • Symptoms awareness Most participants, 68.4% (n = 273/399) and 65.2% (n = 260/399) respectively, could recognise that increased thirst and polyuria were both symptoms of Type 2 diabetes mellitus (T2DM); only 45.6% (n = 182/399), 48.9% (n = 195/399) and 57.6% (n = 230/399) of the cohort respectively could correctly identify that weight loss, blurred vision and lethargy were other common symptoms

  • More females had an adequate (n = 47/221) or good (n = 101/221) awareness of T2DM symptoms compared to males (n = 40/178 adequate awareness, (n = 49/178 good awareness), (p < 0.01)

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Summary

Introduction

Preventing type 2 diabetes (T2DM) is one of the biggest health challenges currently facing the UK, with the NHS spending £14 billion each year on treating the disease and associated symptoms. The number of individuals with diabetes has risen by 59.8% in the United Kingdom (UK) and currently there are over 4 million individuals living with the condition. Diabetes is a condition characterised by either an absence of, or resistance to insulin, an endogenous protein that is responsible primarily for controlling blood sugar levels. Type 1 diabetes mellitus is prevalent in younger populations with an inability to produce insulin from the pancreas, the organ responsible for insulin secretion and blood sugar regulation. Type 2 diabetes mellitus (T2DM) refers to the latter mechanism whereby despite insulin production, the body’s response is diminished, and adequate control of blood sugar is not achieved. Without appropriate diagnosis and treatment, diabetes increases the risk of serious complications such as coronary heart disease and stroke

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