alexa Diabetes scenario in a backward rural district populati
ISSN: 2161-1165

Epidemiology: Open Access
Open Access

Like us on:
OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Diabetes scenario in a backward rural district population of India and need for restructuring of health care delivery services

Suman Kanungo, Tanmay Mahapatra, Kalyan Bhowmik, Sanchita Mahapatra, Jayanta Saha, Debottam Pal and Kamalesh Sarkar*

National Institute of Cholera and Enteric Diseases, Kolkata - 700010, West Bengal, India

Corresponding Author:
Kamalesh Sarkar
Scientist F, National Institute of Cholera
and Enteric Diseases and Officer-in-Charge
National Nutrition Monitoring Bureau
West Bengal Unit. P-33, CIT Road
Scheme-XM, Beliaghata, Kolkata, India
Tel: +91-33-23631222
E-mail: [email protected]

Received Date: February 19, 2016; Accepted Date: February 25, 2016; Published Date: March 01, 2016

Citation: Kanungo S, Mahapatra T, Bhowmik K, Mahapatra S, Saha J, et al. (2016) Diabetes Scenario in a Backward Rural District Population of India and Need for Restructuring of Health Care Delivery Services. Epidemiol 6:224.doi:10.4172/2161-1165.1000224

Copyright: © 2016 Kanungo S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Background: Poor healthcare infrastructure and utilization complicated Indian diabetic epidemic especially in backward areas where many cases remain uncontrolled or even undiagnosed till complications develop. Dearth of information from eastern India regarding the burden and correlates of such uncontrolled and undiagnosed diabetes and consequent healthcare-seeking thus called for a detailed investigation in a poor-resource setting.

Methods: A community-based cross-sectional study was conducted in Malda, an under-developed district in eastern India. Between October 2013 and July 2014, 18028 consenting adults were randomly recruited, interviewed and tested for capillary blood sugar (fasting/post-prandial/random). Diabetics were defined by previous diagnoses or having fasting capillary blood sugar ≥126mg/dl or post-prandial/random blood sugar ≥200mg/dl. A previously diagnosed case was defined as uncontrolled if his/her measured blood sugar did fall in the diabetic level. On the other hand, previously undiagnosed persons, if found diabetic according to the test results, were termed as undiagnosed diabetic. Descriptive and regression analyses were conducted using SAS-9.3.2.

Results: Six percent adult residents were suffering from diabetes in Malda, India. Unfortunately, more than two-third (approximately sixty-three percent) of these diabetics remained undiagnosed till this study while a little less than half (about forty-seven percent) of the diagnosed cases were uncontrolled. Furthermore, eight percent of the diagnosed diabetics sought treatment from non-qualified practitioners. Among diabetics, odds of remaining undiagnosed were relatively lower among older and richer diabetics of urban area while females were more likely to remain undiagnosed. Secondary-educated subjects had higher and divorced/separated/widowed/widowers had lower odds of having uncontrolled Diabetes. Muslims and backward castes were less and educated, hard-working and richer diabetics were more likely to visit qualified private practitioners.

Conclusions: Burden of uncontrolled and undiagnosed Diabetes were high in Malda. Urgent interventions targeting young, female, married, less-educated and poor diabetics from rural area seemed necessary to ensure early detection and appropriate treatment.


Share This Page

Additional Info

Loading Please wait..
Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version