Awareness, Treatment, and Control of Diabetes in Bangladesh: A Nationwide Population-Based Study

Abstract

ObjectivesTo examine awareness, treatment, and control of diabetes mellitus among the adult population in Bangladesh.MethodsThe study used data from the 2011 nationally representative Bangladesh Demographic and Health Survey (BDHS). The BDHS sample is comprised of 7,786 adults aged 35 years or older. The primary outcome variables were fasting blood glucose, diagnosis, treatment, and control of diabetes. Multilevel logistic regression models were used to identify the risk factors for diabetes awareness.ResultsOverall, age-standardized prevalence of diabetes was 9.2%. Among subjects with diabetes, 41.2% were aware of their condition, 36.9% were treated, and 14.2% controlled their condition. A significant inequality in diabetes management was found from poor to wealthy households: 18.2% to 63.2% (awareness), 15.8% to 56.6% (treatment), and 8.2% to 18.4% (control). Multilevel models suggested that participants who had a lower education and lower economic condition were less likely to be aware of their diabetes. Poor management was observed among non-educated, low-income groups, and those who lived in the northwestern region.ConclusionsDiabetes has become a national health concern in Bangladesh; however, treatment and control are quite low. Improving detection, awareness, and treatment strategies is urgently needed to prevent the growing burden associated with diabetes.

Cardiovascular Disease in Bangladesh: A Review

“…The BDHS 2011 showed the overall, agestandardized prevalence of diabetes and pre-diabetes to be 9.7% and 22.4%, respectively; among urban residents, the age-adjusted prevalence of diabetes was 15.2% compared with 8.3% in rural residents. 67,68 The prevalence of diabetes mellitus was 7.4% (95% CI 7.2-7.7%) in a recently published review involving 51,252 participants, and also there was an increasing trend of diabetes prevalence among urban and rural population in Bangladesh. 69 According to the International Diabetes Federation assumption in 2010, the explosion in diabetes prevalence will place Bangladesh among the top 7 countries in terms of the number of people living with diabetes in 2030.…”

Diabetes, cardiovascular disease, and chronic kidney disease in South Asia: current status and future directions

“…[23][24][25] The rates of diabetes awareness (50%), glycaemic control (<30%), and chronic kidney disease awareness (<15%) are suboptimal. [24][25][26][27][28] Delay or prevention of diabetes in South Asians will require earlier intervention-that is, at lower levels of glycaemia. This requires wider testing and earlier use of antihyperglycaemic treatment, complemented with population-wide strategies to drive change in dietary habits and physical activity.…”

Fasting blood glucose level and its association with sex, body mass index and blood pressure: a cross sectional study on a Bangladeshi public university students

“…[15][16][17][18][19] Our study demonstrated that 94.2% of study subjects were non-diabetic, 5.4% of study subjects were pre-diabetic and 0.4% of study subjects were diabetic (Figure 1). Sayeed et al 1995 conducted a study in rural Bangladesh and found the prevalence of type 2 diabetes was 2.1% (male 3.1% and female 1.3%).…”