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Diabetics in India at risk of developing Diabetes related complications: Metropolis Healthcare Study 43% of samples tested shows high risk  

 

 

Type 2 Diabetes is a major health problem in India and the prevalence has only been escalating in the past few decades. One of the most important tests for diabetics is the HbA1C test. The HbA1C test gives an indication of the average blood glucose levels for over a three month period. The higher the HbA1C test value, the greater risk for diabetics for chronic illnesses. A high HbA1C value also means that blood sugar levels have been high.

Ideal HbA1c value should be below 6.4%. For diabetics though, the number is generally greater than 6.5%. Diabetics should maintain HbA1c levels below 7 for optimal health and to lower risk of illnesses related to diabetics.

Improving HbA1c by 1% (or 11 mmol/mol) for people with type 1 diabetes or type 2 diabetes cuts the risk of microvascular complications by 25%.

Microvascular complications include:

  • Retinopathy
  • Neuropathy
  • Diabetic nephropathy (kidney disease)

Research has also shown that people with type 2 diabetes who reduce their HbA1c level by 1% are:

  • 19% less likely to suffer cataracts
  • 16% less likely to suffer heart failure
  • 43% less likely to suffer amputation or death due to peripheral vascular disease

Elaborating on the study, Dr Kirti Chadha, Head of Laboratory Services, Metropolis Global Reference Laboratory said “It is important to increase awareness about the HbA1c test among diabetics. Inadequate blood glucose control which is reflected in elevated HbA1c  levels increases the risk of late diabetes complications such as diabetic eye and kidney disease.”

Metropolis study findings among diabetics

Row Labels High Risk Low Risk Total High Risk % Low Risk%
F 92797 136825 229622 40.41 59.59
M 106835 118936 225771 47.32 52.68

 

Amongst females, 40% diabetics are under high risk of developing diabetes related complications and in males about 47%

Age wise pattern shows gradual increase in risk as there is a progression in age. About 50% of samples tested in 50-70 age group showed high risk of developing diabetes related complications

 

Row Labels High Risk Low Risk Total High Risk % Low Risk%
20 to 30 10923 35233 46156 23.67 76.33
30 to 40 23114 52966 76080 30.38 69.62
40 to 50 38450 49519 87969 43.71 56.29
50 to 60 53783 47913 101696 52.89 47.11
60 to 70 47738 42755 90493 52.75 47.25
70 to 80 19340 19966 39306 49.20 50.80
Above 80 4227 5211 9438 44.79 55.21

 

Row Labels % High Risk % Low Risk
Delhi 36.18 63.82
Pune 41.85 58.15
Bangalore 42.82 57.18
Chennai 45.29 54.71
Kerala 49.76 50.24
Mumbai 51.93 48.07

 

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