Objective: Despite the improved healthcare and frequent community-ridden educational awareness campaigns, the prevalence of diabetes is enormously increasing and 50% of the Malaysian adults with diabetes are still unaware of their disease status. Therefore, this study aimed to assess the awareness of diabetes mellitus (DM) among the general public of Shah Alam, Malaysia.Methods: A cross-sectional study was carried out in five urban areas of Shah Alam. A total of 350 participants were conveniently recruited using a pre-validated questionnaire. The questionnaire comprised two main parts, including the sociodemographic characteristics of the respondents and a 24-item Diabetes Knowledge Questionnaire. The data were analyzed by Statistical Package for the Social Science® using descriptive and inferential statistics.Results: The overall mean (±standard deviation) score of DM knowledge of participants was 11.11±6.09. Among 350 respondents, more than half claimed that medication is more important than lifestyle modification in DM management. 81.7% did not know about the frequent urination and thirst are signs of DM. 82.3% had a misconception that diabetes is caused by failure of the kidneys to keep sugar out of the urine. The knowledge score was statistically significant difference across the categories of level of education, monthly income, occupations, and family history of diabetes.Conclusion: Majority of enrolled respondents possessed moderate level of awareness and misconceptions regarding diabetes and its management. Hence, there is a need for collective efforts toward improving the level of awareness through community awareness campaigns, to improve the self-management of DM.
People with diabetes mellitus type 2 will have higher rate of cognitive impairment than people that do not. Besides that, the effect of diabetes on the normal mental functions is often disregarded. This may be due to a lack of signs and standard assessment technique to measure the cognitive function of the diabetes patient. Hyperglycaemia which is common in people with diabetes has been associated with an increase in the possibility of developing Alzheimer's disease and vascular dementia in the both general public and people with cognitive impairment. It has been estimated that an individual with diabetes mellitus is 1.5 times more likely to experience cognitive dysfunction and dementia than a normal healthy individual. Alleviation of microvascular complications and hypoglycaemia is the key in treatment of DM to prevent cognitive decline.
S73 for positives, 2) serial testing with the Enhanced Liver Fibrosis (ELF) test and liver stiffness measurement (LSM) for ELF positives, 3) serial testing with the Forns index followed by ELF for index positives and referral to LSM for ELF positives, or 4) liver biopsy. RESULTS: At a prevalence of advanced fibrosis of 6% among Danish excessive drinkers the correct-diagnoses-to-unnecessary-referrals ratio per 1000 tested was 0.24 for strategy 1, 10.1 for strategy 2, 65.8 for strategy 3, and 0.063 for strategy 4. CONCLUSIONS: With an objective of maximising the correct number of advanced fibrosis diagnoses, and minimising unnecessary referrals to the secondary care sector, triaging patients first with the non-commercial Forns index, followed by ELF and LSM in serial for positive patients was optimal.
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