High prevalence of diabetes and impaired fasting glycaemia in urban Nepal

Singh, Dipendra Raman; Bhattarai, Madhur Dev

doi:10.1046/j.1464-5491.2003.00829_4.x

Cited by 76 publications

(83 citation statements)

References 5 publications

(4 reference statements)

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“…The International Diabetes Federation gives an estimate of 12% prevalence in Pakistan, with a total of 8.8 million people with diabetes in 2000 20. In Sri Lanka the 1999 census report records diabetes prevalence as 8% in rural areas and 12% in urban areas22; equivalent current rates for Nepal have been reported as 3% and 15% respectively 23…”

Section: Diabetes Mellitusmentioning

confidence: 99%

Burden of non-communicable diseases in South Asia

Ghaffar

Reddy

Singhi³

2004

BMJ

376

272

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Section: Diabetes Mellitusmentioning

confidence: 99%

Burden of non-communicable diseases in South Asia

Ghaffar

Reddy

Singhi³

2004

BMJ

376

272

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“…DM is growing as epidemics especially in the urban areas of Nepal affecting 19% of population above the age of 40 years (Singh and Bhattarai, 2003). Diabetic retinopathy (DR), a most common complication of DM, is the leading cause of blindness among the working age people of developed world while more than 80% of its blinding sequelae occurs in low income setups (Report of WHO, 2005).…”

Section: Introductionmentioning

confidence: 99%

Agreement on diabetic retinopathy grading in fundus photographs by allied ophthalmic personnel as compared to ophthalmologist at a community setting in Nepal

et al. 2017

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Introduction: Diabetic retinopathy (DR) is the emerging cause of blindness in the developing world. Timely detection of DR could save vision from its avoidable blinding condition. Objective: To assess the accuracy of DR grading in fundus photographs by the allied ophthalmic personnel (AOP) as compared to ophthalmologist at a community setting in Nepal. Materials and methods: Fundus photographs of known diabetes subjects attending for DR screening were graded by two groups of AOP and ophthalmologist. Agreement for DR grading by the AOP versus ophthalmologist was assessed using kappa coefficient (k). Results: Fundus photographs of 864 eyes of 435 subjects with diabetes were evaluated in the study. The agreement was substantial for detection of normal versus abnormal retina by both the AOP 1 and AOP 2. For normal versus abnormal macula, the agreement was substantial for AOP 1 and moderate for AOP 2. The agreement for grading macular exudates, retinal hemorrhage, venous beading ranged from moderate to substantial for both the AOPs. There was overall substantial agreement for diagnosing cases with or without DR and CSME by both the AOP 1 and AOP 2. The agreement ranged from fair to moderate for diagnosing other stages of NPDR by both the AOPs. Conclusion: Allied ophthalmic personnel with training could be a first level DR screener and referral of vision threatening DR. Three out of five diabetics could be managed at community level and thus reduce work load of ophthalmologist. This DR screening modality can be useful in other resource limited countries.

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“…6 DM prevalence among urban subjects are higher than rural ones (urban 25.9% vs rural 3.1%) in Nepal. 7 The prevalence of diabetes is around 15% among people aged more than 20 years and 19% among people aged 40 years and above. 7 One in ten …”

mentioning

confidence: 99%

Diabetes mellitus related complications in out- patient clinic of tertiary care hospital

Maskey

Shakya

Sharma

et al. 2012

J Coll Med Sci-Nepal

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We tried to explore the demographic profile and complications of the out patients suffering with Diabetes Mellitus (DM). It was hospital based descriptive study conducted among the 100 diabetic out-patients of B.P.Koirala Institute of Health Sciences, Dharan, Nepal during the period of 1-1-2010 to 29-2-2010.Patients above 14 years diagnosed as per ADA guidelines 2009 giving written informed consent were taken. The number of common diabetes related complications were searched and diagnosed clinically with the use of relevant investigations which included macro-vascular complications like ischemic heart disease, peripheral vascular disease, and micro-vascular complications like diabetic retinopathy, diabetic neuropathy, and diabetic nephropathy. Among 100 confirmed cases of diabetes mellitus (51male and 49 female).Of all diabetes, 99% were type 2, 1% were type1. About 42% subjects were of age group between 40-60 yr. When BMI >23 kg/m 2 (as recommended for Asians) is taken as the determining factor for overweight, 29% of patients were overweight ,56% obese and 6% morbid obese. About 83% of subjects were on OHA, 9% on Insulin and 8% on OHA and insulin both. The most common and frequent chronic complications were neuropathy (44.4%) followed by cardiovascular and retinopathy (27.7%),nephropathy(16.6%) and others (11.3%).About 25 % of subjects had hypertension (stage 1 hypertension-17%, and stage 2 hypertension 8%).As most of the patients are overweight with more neurological and cardiovascular complications so the lifestyle changes are required with regular antidiabetics and dietary restriction.

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High prevalence of diabetes and impaired fasting glycaemia in urban Nepal

Cited by 76 publications

References 5 publications

Burden of non-communicable diseases in South Asia

Burden of non-communicable diseases in South Asia

Agreement on diabetic retinopathy grading in fundus photographs by allied ophthalmic personnel as compared to ophthalmologist at a community setting in Nepal

Diabetes mellitus related complications in out- patient clinic of tertiary care hospital

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