Incidence of poorly controlled diabetes highest in 50-60 age group, finds Metropolis’ study

By / 2 months ago / News Update / 31 Comments
Incidence of poorly controlled diabetes highest in 50-60 age group, finds Metropolis’ study

Women fare better than men in keeping diabetes in control

Out of the total of 532182 samples tested for HbA1c over the last five years in Mumbai by Metropolis Healthcare, as many as 25% were found to be suffering from poorly controlled diabetes.

The incidence of poorly controlled diabetes was found to be the highest in the age group of 50-60 years (about 32%), followed by 60-70 years (about 29%) and 40-50 years (27.6%). The incidence was the lowest in the age group of 20-30 years (10%) but increased steadily to peak in the age group of 50-60 years. It thereafter showed a steady decline in the older age groups.

Interestingly, 22.7% of all females tested were found to suffer from poorly controlled diabetes, compared to 28% for males.

Out of the more than half a million samples tested at the company’s global reference laboratory in Mumbai, almost 23% were found to be in pre-diabetic stage, about 29% were found to be diabetic, while 22.6% tested non-diabetic. 

About 25% of samples tested for HbA1c reported levels greater than 8%, which means that their blood glucose levels are not controlled. Prolonged high blood glucose levels put diabetic patients under risk to develop diabetes-related complications.

(Please see figures in the table below.) 

Analysis of 532182 samples tested for HbA1c in Mumbai 
Age GroupNormalPre-DiabeticDiabeticPoorly controlled diabetes
20 to 3065.0717.497.4110.03
30 to 4042.3323.9216.0017.75
40 to 5021.6824.3626.3327.63
50 to 6011.3322.6034.0532.02
60 to 708.8222.0839.8529.25
70 to 809.3524.7842.1723.70
Above 8013.0529.6139.5117.84
GenderNormalPre-DiabeticDiabeticDiabetic with Poor Control

Commenting on the study, Dr. Mayur Nigalye, Deputy Chief of Lab, Metropolis Healthcare Ltd., said: “Diabetes is a growing challenge in India with estimated 8.7% diabetic population in the age group of 20 and 70 years. The rising prevalence of diabetes and other non-communicable diseases is driven by a combination of factors – rapid urbanization, sedentary lifestyles, unhealthy diets, uncontrolled use of alcohol and tobacco. Lifestyle interventions2 (sleep, exercise and diet modifications) along with regular monitoring is a must for Diabetes Management.” 

For the purpose of this data analysis: 

  1. Data for samples tested for HbA1c was collated for over a period of five years 
  2. Sample data of repetitive patients were removed and only one single reading from a patient was used for the study 
  3. Sample was analysed by applying the reference range from 2019 ADA Guidelines 

ADA 2019 Reference Range for HbA1c 

Image result for ada guidelines 2019 hba1c target

Result ranges below 5.7% – Normal
Result ranges between 5.7% and 6.5% – Prediabetes
Result ranges greater than 6.5% and below 8% – Diabetes
Result ranges above 8% – Poorly controlled diabetes

A1C Testing – Recommendations

  • Perform the A1C test at least two times a year in patients who are meeting treatment goals (and who have stable glycemic control). 
  • Perform the A1C test quarterly in patients whose therapy has changed or who are not meeting glycemic goals. 
  • Point-of-care testing for A1C provides the opportunity for more timely treatment changes
  • 1 United Kingdom Prospective Diabetes Study Group: Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 352: 837–853, 1998
  • 2 Nutrition and lifestyle intervention in type 2 diabetes: pilot study in the Netherlands showing improved glucose control and reduction in glucose lowering medication (Pot GK, et al. bmjnph 2019;0:1–8.). British Medical Journal, Prevention and Health

Type 2 diabetes is a form of diabetes that is characterized by high blood sugar levels, presence of insulin resistance and relative lack of insulin secretion. The symptoms of type 2 diabetes develop over years and it is possible to entirely miss a diagnosis if periodic testing or monitoring is not done. In many cases, the disease is diagnosed several years after onset or once complications have already set in.

Type 2 Diabetes Complications

With type 2 diabetes it is important to control blood glucose levels in order to avoid associated complications. A well-planned diet in consultation with your dietician/doctor, regular physical activity, prescribed medications and regular periodic testing may help prevent complications. These complications develop over many years and is directly related to increased blood glucose levels causing damage to blood vessels. While damage to tiny blood vessels causes micro-vascular complications, damage to large vessels causes macro-vascular complications.

Microvascular Complications: Related to Eye, Kidney and Nerves

Eyes: Abnormal Blood glucose levels for a long duration causes cataracts and/or retinopathy which may eventually lead to diminished or loss of vision. It is important to monitor blood glucose levels and do a yearly eye check-up with an ophthalmologist. 

Kidneys: Abnormal Blood glucose levels for a long duration can lead to Diabetic Nephropathy and if untreated leads to impaired kidney function resulting in long term dialysis and/or kidney transplant. To prevent diabetic nephropathy, it is important to test for mirco-albuminuria along with regular blood sugar monitoring. With medications, it is possible to prevent or restrict further kidney damage.

Nerves: Long term diabetes can lead to condition affecting nerve cells called as Diabetic Neuropathy (peripheral, autonomic, proximal, and focal neuropathies). Peripheral neuropathy is the most common form of nerve damage, and it most often affects the nerves related to the hands and feet. One serious complication of diabetic peripheral neuropathy to the feet is loss of sensations to the skin resulting in injuries leading to wounds. The wounds may become infected and the infection can spread to the leg and if left untreated, the foot may need to be amputated to keep the infection from spreading.

Macrovascular Complications: Related to Heart, Brain, and Blood Vessels
Type 2 diabetes or increased blood sugar levels can be a risk factor in cardiovascular diseases leading to formation of plaque resulting in a heart attack, stroke or vessel blockage in the legs (DVT). 

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

  • 19% less likely to develop cataracts
  • 16% less likely to have a heart condition
  • 43% less likely to undergo amputation or death due to peripheral vascular disease

What is HbA1c?
The term HbA1c refers to glycated haemoglobin. It develops when haemoglobin, a protein within red blood cells that carries oxygen throughout your body combines with glucose in the blood resulting in ‘glycation of haemoglobin’. By measuring glycated haemoglobin (HbA1c), clinicians can get an overall picture of what average blood sugar levels have been over A1C over approximately 3 months

For people with diabetes this is important as the higher the HbA1c, the greater the risk of developing diabetes-related complications.

Sahil Saini

Sahil Saini

The author didn't add any Information to his profile yet.


  • creare site de prezentare18. Jan, 2020

    WOW just what I was looking for. Came here by searching for

  • Jan, 2020

    I always used to read article in news papers
    but now as I am a user of internet thus from now I am using net for articles, thanks to web.

  • Jan, 2020

    I’m not that much of a internet reader to be honest but your sites really nice, keep it up!
    I’ll go ahead and bookmark your site to come back in the future.

  • sling tv14. Jan, 2020

    Appreciation to my father who told me on the topic of this weblog, this
    website is truly remarkable.

  • sling tv14. Jan, 2020

    you are actually a just right webmaster. The site loading pace is
    amazing. It seems that you’re doing any distinctive trick. Moreover, The contents are masterpiece.

    you have performed a great process in this topic!

  • xbody05. Jan, 2020

    Hello, this weekend is good for me, for the reason that
    this time i am reading this impressive informative article here at my residence.

  • xbody bucuresti05. Jan, 2020

    My spouse and I stumbled over here different web address and thought I may as well check things out.
    I like what I see so i am just following you. Look forward to looking over your web page again.

  • xbody bucuresti05. Jan, 2020

    My brother suggested I might like this blog. He
    used to be entirely right. This put up truly made my day.
    You cann’t imagine simply how much time I had spent for this information! Thank you!

  • xbody05. Jan, 2020

    Hello to every one, for the reason that I am in fact
    keen of reading this weblog’s post to be updated regularly.
    It consists of fastidious data.

  • sling tv04. Jan, 2020

    Do you mind if I quote a couple of your articles as long as I provide
    credit and sources back to your website? My blog is in the exact
    same area of interest as yours and my users would really benefit from a lot
    of the information you provide here. Please let me know if this okay with you.
    Appreciate it!

  • free trial match.com01. Jan, 2020

    Greetings from Idaho! I’m bored to tears at work so I decided to browse
    your site on my iphone during lunch break. I enjoy the info you provide
    here and can’t wait to take a look when I get
    home. I’m amazed at how fast your blog loaded on my
    mobile .. I’m not even using WIFI, just 3G ..
    Anyways, awesome site!

  • web design24. Dec, 2019

    It’s not my first time to pay a visit this web site, i am browsing this site dailly and obtain fastidious data from here daily.

  • coconut oil19. Dec, 2019

    What i do not understood is in fact how you are now not
    really much more smartly-appreciated than you may be right now.
    You are so intelligent. You already know therefore significantly relating to this subject, made me for my part consider it from so many numerous
    angles. Its like women and men aren’t fascinated until it’s
    something to do with Girl gaga! Your individual stuffs
    nice. Always maintain it up!

  • coconut oil17. Dec, 2019

    Good web site you’ve got here.. It’s difficult to find high-quality writing like yours nowadays.
    I honestly appreciate people like you! Take care!!

  • coconut oil16. Dec, 2019

    Can you tell us more about this? I’d love to find out more details.

  • ps4 games14. Dec, 2019

    Write more, thats all I have to say. Literally, it seems as
    though you relied on the video to make your point. You definitely know what youre talking about, why throw away your intelligence on just posting videos to your weblog when you could be giving us something informative to read?

  • quest bars cheap10. Dec, 2019

    Hey! I just wanted to ask if you ever have any problems with hackers?
    My last blog (wordpress) was hacked and I ended up losing months of hard
    work due to no data backup. Do you have any solutions
    to prevent hackers?

  • quest bars cheap07. Dec, 2019

    I’ll right away seize your rss as I can’t to find your e-mail subscription hyperlink or newsletter
    service. Do you’ve any? Please let me realize
    so that I may just subscribe. Thanks.

  • quest bars cheap03. Dec, 2019

    Every weekend i used to pay a quick visit this web page, as i want enjoyment, since this this
    web page conations actually good funny information too.

  • wormateio hacks02. Dec, 2019

    Quality articles is the key to invite the people to go to see the web site, that’s what this site is providing.

  • ps4 games01. Dec, 2019

    Great beat ! I would like to apprentice while you amend your website, how could i subscribe for a
    blog web site? The account aided me a acceptable deal.
    I had been a little bit acquainted of this your broadcast offered bright clear idea

  • какие документы надо чтоб взять в кредит29. Nov, 2019

    Why YouTube video lessons are shared everywhere? I think one reason is that these are effortless to obtain embed code and paste that code somewhere you want.

  • л.а.александрова самостоятельные работы решебник онлайн29. Nov, 2019

    Every weekend i used to visit this web page, for the reason that i wish for enjoyment, since this this website conations genuinely good funny data too.

  • vulus27. Nov, 2019

    Any evidence of its purported beneficial effects are none scientific and there are no proofs that it does any good and some hepatologists say it can actually cause harm.

    Research has proven that Siberian Ginseng may generate significant improvements in individuals’ adaptogenic response to such stresses as high temperature, cold, excessive noise and stoГџ, physical exhaustion, viruses and bacterias, chemicals and pollution.

    [url=]generic cialis available in usa[/url]

    Currently there is a lot of research taking place to find a cure for Alzheimer’s condition.

    Ketorolac comes as a tablet to take by mouth.

    John’s Wort while on a Selective Serotonin Re-uptake Inhibiting (SSRI) anti-depressant end up with varying blood levels of drugs.

  • plenty of fish dating site26. Nov, 2019

    Pretty! This was a really wonderful article.
    Many thanks for providing these details.

  • PeterArify25. Nov, 2019

    [url=]vavada реклама[/url] – сайт вавада казань, vavada бонус

  • or coconut oil25. Nov, 2019

    Very rapidly this web page will be famous amid all blogging and site-building visitors,
    due to it’s pleasant posts

  • tinyurl.com24. Nov, 2019

    I am regular reader, how are you everybody? This paragraph posted at this site is in fact nice.

  • Dorothyleply23. Nov, 2019

    [url=]Spegra (Долутеглавир / Тенофовир алафенамид / Эмтрицитабин) – Спегра (Dolutegravir/ Taf / Emtricitabine)[/url] – это лекарство для лечения людей, которые столкнулись с ВИЧ-1 инфекцией. Симптомы заболевания быстро исчезнут, и уже через некоторое время Ваше общее самочувствие значительно улучшится: Вы забудете о том, что такое боли и дискомфорт. Благодаря данному лекарству можно исключить риск летального исхода.

    Вы можете [url=]Spegra (Долутеглавир / Тенофовир алафенамид / Эмтрицитабин) – Спегра (Dolutegravir/ Taf / Emtricitabine) купить[/url] в нашей аптеке на выгодных условиях. Специалисты говорят о том, что перед началом лечения необходимо обязательно обратиться в больницу. Вы сдадите назначенные анализы и пройдете диагностику организма. Доктора разработают для Вас индивидуальную схему терапии,
    которая даст возможность получить максимальный эффект.

    Показания к применению

    Препарат содержит в составе три активных компонента,
    выполняющих антиретровирусные функции.
    Лекарство воздействует на организм комплексно,
    поэтому Вы совсем скоро почувствуете себя лучше и
    сможете справиться с опасной ВИЧ-1 инфекцией,
    которая нередко приводит к летальному исходу.
    Вирус не будет быстро развиваться,
    и Вы не столкнетесь с непредвиденным ухудшением ситуации
    со здоровьем.
    Принимать медикамент необходимо по схеме,
    которую разработал опытный врач, и только тогда
    Вы не столкнетесь с непредвиденными изменениями самочувствия.


    Нужно узнать заранее, нет ли у Вас следующих противопоказаний:

    • грудное вскармливание, период беременности;
    • аллергия на основные компоненты, входящие в состав препарата;
    • заболевания, которые иногда обостряются;
    • возраст до 18-ти лет;
    • заболевания кожи, дерматологические проблемы.

    На [url=]Spegra (Долутеглавир / Тенофовир алафенамид / Эмтрицитабин) – Спегра (Dolutegravir/ Taf / Emtricitabine) отзывы[/url] хорошие.
    Пациенты говорят, что применение таблеток позволило им
    справиться с различными проблемами.
    Вы можете опробовать медикамент на практике,
    чтобы убедиться в его эффективном воздействии на организм,
    достаточно оформить заказ.

    Способ применения

    На [url=]Spegra (Долутеглавир / Тенофовир алафенамид / Эмтрицитабин) – Спегра (Dolutegravir/ Taf / Emtricitabine) цен[/url]а доступная.
    Чтобы справиться с болезнью, достаточно принимать
    по одной таблетке лекарства до или после еды утром и вечером,
    четко следуя разработанной доктором схеме.

    Побочные явления

    Если нарушить схему терапии, можно столкнуться с такими сложностями:

    • расстройства желудка;
    • отсутствие сил, бессонница;
    • боли в области желудка;
    • резкие скачки давления;
    • инфекции дыхательных путей;
    • кровотечения из носа.

    На [url=]Spegra (Долутеглавир / Тенофовир алафенамид / Эмтрицитабин) – Спегра (Dolutegravir/ Taf / Emtricitabine) стоимость[/url] доступная.
    Помните: нужно строго придерживаться рекомендаций специалиста,
    чтобы не столкнуться с проблемами.

    [url=]ретровирусные препараты +при вич[/url]

  • rebeccart1618. Nov, 2019

    Free Porn Pictures and Best HD Sex Photos

    porn albums lights porn bbs porn video gay bear xxx anal porn milkmans porn

  • Kingy Daniel17. Nov, 2019

    After my DIABETES TYPE 2 diagnosis, I had typical symptoms of thirst, lethargy, severe tiredness, urinary frequency, hearing loss and ringing in the ears, vision problems, dehydration and weight gain. I was placed on metformin twice daily for several months, the symptoms only seemed to worsened. I began to do a lot of research and learnt about a DIABETES HERBAL TREATMENT from Rich Herbal Garden and their success rate with the Diabetes treatment, i immediately started on the treatment, i started experience decline in major symptoms, the severe thirst, dry mouth, tiredness, urinary problems, dehydration and fatigue. My doctor took me off the metformin and other medications i was placed after the diabetes herbal treatment. Visit rich heral gardens ww w. richherbalgardens. c om . I did another blood test after the treatment, i am diabetes free. I have also lost over 35 pounds since treatment.

Leave a comment

Your email address will not be published. Required fields are marked. *