Prediabetes and diabetes in India: An HbA1c based epidemiology study.

Diabetes Res Clin Pract

Vice President, Lab Operations and Quality, Thyrocare Technologies Ltd., Navi Mumbai, India.

Published: November 2024

AI Article Synopsis

  • The study examines the growing issue of Type 2 diabetes and prediabetes in India by analyzing lab data from nearly 2 million adults in 2023, highlighting significant state-by-state variations in prevalence.
  • Results indicate that 22.25% of adults have prediabetes and 27.18% have diabetes, with the highest rates in Odisha and the lowest in Jammu & Kashmir, and a marked increase in diabetes prevalence among males and working-age individuals.
  • The findings underline the necessity for regular health screenings and suggest that dietary factors, particularly grain consumption, play a crucial role in managing and understanding these conditions.

Article Abstract

Background: The relentless rise in Type 2 diabetes mellitus (T2DM) and prediabetes presents a complex challenge to India's healthcare system. This study analyses the prevalence and trends of these conditions in adults across Indian states using laboratory data collected during 2023.

Methods: HbA1c values from 19,66,449 samples from adults alongside demographic and geographic details were retrospectively analysed. Data were stratified by state, age, and gender and evaluated against national statistics parameters such as food consumption and socio-economic status.

Results: Substantial regional variation was seen across the country where 22.25% of the tested population was considered having prediabetes, and 27.18% with diabetes. Odisha had the highest rates, while J&K reported the lowest. Gender-specific trends indicate an increase in prevalence of diabetes among males compared to females. Age-wise data stratification shows a significant burden of prediabetes and diabetes in the economically productive age groups. Correlations between disease prevalence and state-specific grain consumption were observed, suggesting dietary influences.

Conclusions: The reported prevalence of prediabetes and diabetes higher than previous studies highlights the importance of regular screening. The use of HbA1c for estimation as a long-term average blood sugar marker helps to identify previously undiagnosed diabetes. The correlation of prevalence with food production underscores the importance of diet in disease management.

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Source
http://dx.doi.org/10.1016/j.diabres.2024.111889DOI Listing

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