Presented at AFPI Telangana (State) on 24-Jun-2023
Presented at AFPI Telangana (State)
on 24-Jun-2023
Presented at AFPI Telangana (State) on 24-Jun-2023
Role of Preventive Health Check-up in early identification
of Prediabetes in a Telemedicine Set-up
Role of Preventive Health Check-up
in early identification of Prediabetes in a Telemedicine Set-up
Role of Preventive Health Check-up in early identification
of Prediabetes in a Telemedicine Set-up
INTRODUCTION
INTRODUCTION
Prediabetes is the condition where the blood glucose levels are above normal but below Diabetes thresholds.
Prediabetes is the condition where the blood glucose levels are above normal but below Diabetes thresholds.
Asian Indians experience a rapid conversion from normoglycemia to dysglycemia and have one of the highest incidence rates of Diabetes.
Asian Indians experience a rapid conversion from normoglycemia to dysglycemia and have one of the highest incidence rates of Diabetes.
Due to its high conversion rate, Prediabetes is becoming a public health concern and its early detection offers a window of opportunity for the prevention of progression towards Diabetes.
Due to its high conversion rate, Prediabetes is becoming a public health concern and its early detection offers a window of opportunity for the prevention of progression towards Diabetes.
The most effective strategy for managing Prediabetes is lifestyle modification.
The most effective strategy for managing Prediabetes is lifestyle modification.
However, in a country like India, with geographical barriers and resource limitations, we should be looking into accessible and affordable means for delivering lifestyle interventions and telemedicine provides the ideal platform for this.
However, in a country like India, with geographical barriers and resource limitations, we should be looking into accessible and affordable means for delivering lifestyle interventions and telemedicine provides the ideal platform for this.
OBJECTIVE
OBJECTIVE
To estimate the prevalence of Prediabetes from the routine health check-ups happening on a telemedicine platform and the role of timely intervention.
To estimate the prevalence of Prediabetes from the routine health check-ups happening on a telemedicine platform and the role of timely intervention.
METHODOLOGY
METHODOLOGY
All teleconsultations that took place in our platform for routine health checks in the year 2022 were included in the present study.
All teleconsultations that took place in our platform for routine health checks in the year 2022 were included in the present study.
The sample size was 4041.
The sample size was 4041.
The subjects with HbA1C levels between 5.7-6.4 were defined as Prediabetic.
The subjects with HbA1C levels between 5.7-6.4 were defined as Prediabetic.
The data was checked for duplicates, cleaned and descriptive statistics were computed.
The data was checked for duplicates, cleaned and descriptive statistics were computed.
RESULTS
RESULTS
The ratio of Male to Female who had Prediabetes in our study is 1: 1.16.
The ratio of Male to Female who had Prediabetes in our study is 1: 1.16.
Around 67% of the subjects had BMI over 25.
Around 67% of the subjects had BMI over 25.
All the subjects with Prediabetes were given preventive interventions and post intervention assessments to know of any improvements in their HbA1C and BMI score will be done in the year 2023.
All the subjects with Prediabetes were given preventive interventions and post intervention assessments to know of any improvements in their HbA1C and BMI score will be done in the year 2023.
Dyslipidemia and BMI > 25 kg/m2 were the most common comorbidities that were seen in the cohort.
Dyslipidemia and BMI > 25 kg/m2 were the most common comorbidities that were seen in the cohort.
According to the ICMR-INDIAB Study, the overall prevalence of Prediabetes was
reported at 10.3% in 15 states studied.
According to the ICMR-INDIAB Study, the overall prevalence of Prediabetes was reported at 10.3% in 15 states studied.
According to the ICMR-INDIAB Study, the overall prevalence of
Prediabetes was reported at 10.3% in 15 states studied.
Fig 1: Prevalence of prediabetes in 15 States sampled in phase2 ICMR-INIDAB Study
Fig 1: Prevalence of prediabetes in 15 States sampled in phase2 ICMR-INIDAB Study
Fig 2: Comparison of the Prevalence of Prediabetes
Fig 2: Comparison of the Prevalence of Prediabetes
CONCLUSION
CONCLUSION
Prediabetes is rising at an alarming rate in the Indian population.
Prediabetes is rising at an alarming rate in the Indian population.
Thus, the proactive approach is crucial.
Thus, the proactive approach is crucial.
Evidence suggests that it predisposes to the development of macrovascular and to a lesser extent, microvascular complications of Diabetes.
Evidence suggests that it predisposes to the development of macrovascular and to a lesser extent, microvascular complications of Diabetes.
Lifestyle interventions based on the adoption of a healthier diet and increased levels of physical activity can reverse Prediabetes or prevent its progression to Diabetes
Lifestyle interventions based on the adoption of a healthier diet and increased levels of physical activity can reverse Prediabetes or prevent its progression to Diabetes
REFERENCES
REFERENCES
Das AK, Mohan V, Ramachandran A, et al. An Expert Group Consensus Statement on “Approach and Management of Prediabetes in India”. J Assoc Physicians India 2022;70(12):69–78
Das AK, Mohan V, Ramachandran A, et al. An Expert Group Consensus Statement on “Approach and Management of Prediabetes in India”. J Assoc Physicians India 2022;70(12):69–78
Lindström J, Louheranta A, Mannelin M, Rastas M, Salminen V, Eriksson J, Uusitupa M, Tuomilehto J. The Finnish Diabetes Prevention Study (DPS) Lifestyle intervention and 3-year results on diet and physical activity. Diabetes care. 2003 Dec;26(12):3230-6.t
Lindström J, Louheranta A, Mannelin M, Rastas M, Salminen V, Eriksson J, Uusitupa M, Tuomilehto J. The Finnish Diabetes Prevention Study (DPS) Lifestyle intervention and 3-year results on diet and physical activity. Diabetes care. 2003 Dec;26(12):3230-6.t
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