The facts, figures, and reality of the diabetes epidemic in Sri Lanka: a systematic review

Ranasinghe, Priyanga; Jayawardena, Ranil; Katulanda, Prasad

doi:10.1007/s13410-015-0326-z

Cited by 5 publications

(4 citation statements)

References 78 publications

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“…T2DM is the most common form of diabetes in which the body is unable to produce adequately to overcome insulin resistance and affects various organs and systems [3]. In Sri Lanka, DM is a significant health problem; with an unprecedented current level of prevalence [4].…”

Section: Introductionmentioning

confidence: 99%

Diabetes Self-Care Activities and Glycaemic Control among Adults with Type 2 Diabetes in Sri Lanka: A Cross-Sectional Study

Saumika¹,

Amarasekara²,

Jayasekara³

2019

JBM

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The prevalence of Type 2 Diabetes Mellitus (T2DM) and its complications continue to rise across the globe including Sri Lanka. Diabetes Self-care activities (DSCA) are promising behaviors to reduce complications and to achieve good glycaemic control. There is a lack of data regarding DSCA and its association with glycaemic control among adults with T2DM in Sri Lanka. A descriptive cross-sectional study was conducted among purposively selected adults with T2DM (n = 300) in a teaching hospital, Sri Lanka to determine the association between DSCA and glycaemic control. Apre-tested interviewer-administered questionnaire which includes socio-demographic, diabetes-related information and Summary of Diabetes Self-care activities questionnaire was used to collect data. Data were analyzed by using descriptive statistics and Chi-square test. General diet (Healthy eating plan) (OR = 3.04, 95% CI = 1.04-8.88, p = 0.034), Physical activities (OR = 2.26, 95% CI = 1.29-3.97, p = 0.004), Medication adherence (OR = 2.87, 95% CI = 1.24-6.64, p = 0.011) were significantly associated with HbA1c. Medication adherence was significantly associated with poor fasting blood sugar (FBS) (OR = 1.90, 95% CI = 1.07-3.37, p = 0.028). The findings highlight the need for health professionals to implement health education programs on diabetes self-care activities for adults with T2DM to enhance their adherence to DSCA, as well as to maintain glycemic control.

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Section: Introductionmentioning

confidence: 99%

Diabetes Self-Care Activities and Glycaemic Control among Adults with Type 2 Diabetes in Sri Lanka: A Cross-Sectional Study

Saumika¹,

Amarasekara²,

Jayasekara³

2019

JBM

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“…There are several studies conducted by Sri Lankan researchers assessing the effect of herbal products on DM treatment (6). Modern methods such as oral medications, injectable insulin and some surgical procedures as well as traditional medicines are being practised and experimented for the control of DM.…”

Section: Introductionmentioning

confidence: 99%

Systematic review of the effect of <em>Phyllanthus emblica</em> in glycaemic control

Karawita,

Withana,

Thasleem

et al. 2023

J Coll Community Phys Sri Lanka

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Introduction: Diabetes mellitus which is characterized by chronic hyperglycaemia accounts for 1.6 million deaths per year globally. In Sri Lanka, 7.4% of adults are with raised fasting blood glucose. Phyllanthus emblica, some fruit, which is also called by Nelli, Amla or Indian Gooseberry, is traditionally believed to facilitate control of hyperglycaemia.Objectives: To systematically review the glycaemic control effect of Phyllanthus emblica.Methods: PubMed, EMBASE, Cochrane Library, CINAHL and AGRICOLA databases were searched to select relevant studies. Studies were selected in two rounds. Three screening questions consisted of; whether study was a human study with Phyllanthus emblica included as a fruit or an ingredient, outcomes were related to glycaemic control and outcomes being reported quantitatively. Following the review of titles and abstracts, full articles were reviewed with screening questions such as, study design, participants, intervention, and findings of outcome. Two reviewers independently screened articles with the third intervening in resolving the conflicts. Meta-analysis was not performed following the heterogeneity assessments and narrative review of the findings was done.Results: Eighteen studies were selected, having respectively excluding 81, 106 and 22 studies with reference to three screening questions. Six studies were done among healthy individuals and 12 were done among patients with diabetes. The studies were conducted among the age group of 18-75 years. Sample sizes of studies ranged from 10 to 150 participants, with 951 participants in total. In three studies, Phyllanthus emblica was used as a single entity and in 15, it was one component of a combined product. Fifteen selected studies described the mean fasting blood sugar (FBS) levels and 13 of them showed statistically what Phyllanthus emblica or products containing it had on glycaemic control, compared to control group (p<0.001). Out of those 13 studies with significant findings on glycaemic control, 10 studies were done among hyperglycaemic patients. In eight studies, a significant reduction in HbA1c results (p <0.05) was observed and nine studies showed a significant reduction in post prandial blood sugar (PPBS) levels (p<0.05). None of the selected studies showed any negative impact of Phyllanthus emblica on blood glucose levels among either healthy or diabetics individuals.Conclusions & Recommendations: Phyllanthus emblica is found to be with favourable effects in facilitating blood sugar control. Further research on the potential application of it as a glycaemic controller, must be encouraged.

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“…Scoping search (electronically) done by the author for articles on systematic reviews carried out in Sri Lanka/by Sri Lankan authors/about Sri Lanka yielded only four articles (Rajapakse, Griffiths & Christensen, 2013, Pearson, Zwi, Rouse, Fernando, Buckley & McDuie-Ra, 2015, Lunyera, Mohottige, Isenburg, Jeuland, Patel & Stanifer, 2015,Ranasinghe, Jayawardena & Katulanda, 2015. All four of these studies have been conducted with foreign collaborations.…”

Section: Introductionmentioning

confidence: 99%

Systematic reviews: significance of search strategy

Perera

2017

Jnl Univ. Librarians Assoc. Sri Lanka

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The facts, figures, and reality of the diabetes epidemic in Sri Lanka: a systematic review

Cited by 5 publications

References 78 publications

Diabetes Self-Care Activities and Glycaemic Control among Adults with Type 2 Diabetes in Sri Lanka: A Cross-Sectional Study

Diabetes Self-Care Activities and Glycaemic Control among Adults with Type 2 Diabetes in Sri Lanka: A Cross-Sectional Study

Systematic review of the effect of <em>Phyllanthus emblica</em> in glycaemic control

Systematic reviews: significance of search strategy

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