Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Mar;30(3):326-32.
doi: 10.1111/dme.12013.

The Burden of Diabetes Mellitus and Impaired Fasting Glucose in an Urban Population of Sri Lanka

Affiliations
Free PMC article

The Burden of Diabetes Mellitus and Impaired Fasting Glucose in an Urban Population of Sri Lanka

M J Pinidiyapathirage et al. Diabet Med. .
Free PMC article

Abstract

Aims: To describe the burden of diabetes mellitus and impaired fasting glucose in middle-aged residents (35-64 years) in an urban area of Sri Lanka.

Methods: A cross-sectional survey was conducted in the Ragama Medical Officer of Health area, from which 2986 participants (1349 men and 1637 women) were randomly selected from the electoral registry between January and December 2007. The participants underwent a physical examination and had their height, weight, waist and hip circumferences and blood pressure measured by trained personnel. Fasting blood samples were taken for measurement of glucose, HbA(1c) and lipids. The prevalence of diabetes (fasting plasma glucose > 7 mmol/l) and impaired fasting glycaemia (fasting plasma glucose 5.6-6.9 mmol/l) and major predictors of diabetes in Sri Lanka were estimated from the population-based data.

Results: Age-adjusted prevalence of diabetes mellitus in this urban population was 20.3% in men and 19.8% in women. Through the present screening, 263 patients with diabetes and 1262 with impaired fasting glucose levels were identified. The prevalence of newly detected diabetes was 35.7% of all patients with diabetes. Among patients with diabetes, only 23.8% were optimally controlled. In the regression models, high BMI, high waist circumference, high blood pressure and hypercholesterolaemia increased the fasting plasma glucose concentration, independent of age, sex and a family history of diabetes.

Conclusions: Our data demonstrate the heavy burden of diabetes in this urban population. Short- and long-term control strategies are required, not only for optimal therapy among those affected, but also for nationwide primary prevention of diabetes.

Figures

FIGURE 1
FIGURE 1
Distribution of HbA1c among study participants without a past history of diabetes mellitus.
FIGURE 2
FIGURE 2
Diabetes pyramid of an urban Sri Lankan population: category 1, normal glycaemia; category 2, impaired fasting glucose; category 3, newly detected (at screening); category 4, patients with diabetes—without suboptimal control; category 5, patients with diabetes—with optimal control.

Similar articles

See all similar articles

Cited by 5 articles

References

    1. IDF. Diabetes Atlas. 5th edition. Brussels: International Diabetes Federation; 2011. Available at http://www.idf.org/diabetesatlas/5e/the-global-burden Last accessed 29 July 2012.
    1. IDF. Diabetes Atlas. 5th edition. Brussels: International Diabetes Federation; 2011. Available at http://www.idf.org/diabetesatlas/5e/south-east-asia Last accessed 29 July 2012.
    1. Ministry of Health. Annual Health Bulletin. Colombo: Ministry of Health; 2007.
    1. Uragoda CG. A History of Medicine in Sri Lanka. Colombo: Sri Lanka Medical Association; 1987.
    1. Illangasekera U, Nugegoda DB, Perera LS. Prevalence of diabetes mellitus and impaired glucose tolerance in a rural Sri Lankan community. Ceylon Med J. 1993;38:123–126. - PubMed

Publication types

Feedback